Plan Overview

Optima Health introduces Optima Community Complete, a Dual Special Needs Plan.

Optima Community Complete (HMO SNP) is a Dual Special Needs Plan (D-SNP) that offers members a more specialized level of care for highly sensitive needs. If you receive Medicaid and are also eligible for Medicare, a D-SNP plan may be right for you. This coverage is a type of Medicare Advantage plan that increases the level of benefits that you would get from Original Medicare or Medicaid alone. You’ll still get the same great benefits from your Medicaid coverage, plus enhanced care coordination and management of your medical needs.

Are you looking for more information on Medicaid Managed Long Term Services and Supports (MLTSS)? Learn about Optima Health Community Care, a Commonwealth Coordinated Care Plus (CCC Plus) plan.

Plan Benefits

Optima Community Complete provides medical and drug coverage to help patients get the care they need.

The documents below give the details on the benefits you receive as an Optima Community Complete member.

What is a Dual Special Needs Plan (D-SNP)?

A Dual Special Needs Plans (D-SNP) is a type of Medicare Advantage plan designed especially for individuals who receive both Medicare and Medicaid benefits.

If you are enrolled in Medicaid and also eligible for Medicare, you may want to consider Optima Community Complete.

When you enroll in Optima Community Complete, you will gain an entire team focused on your care. Along with your medical providers, you will also have a Care Coordinator to help you stay healthy and follow your doctor’s recommendations. Your Care Coordinator will help you get the right care and the right information you need to keep you feeling your best.

Questions about enrolling in Optima Community Complete?

Call toll-free: (866) 989-1150
TTY VA Relay Service: 1-800-828-1140 or 711
Hours: 8 am – 8 pm | Monday – Sunday

Already a member? Visit our member website.