Mid-Market Groups

Plans for Businesses with 51 to 150 Employees

Mid-market company size is defined by Optima Health as employers with 51 or more total employees up to 150 or less eligible employees. Optima Health has over 100 progressive plans for mid-size companies to choose from. All of our plans include our revolutionary health and wellness programs — MyLife MyPlan — to help your employees stay healthy, which helps you control costs.

You can benefit from our expanded options including chiropractic riders for all non-Plus plans, products with leaner benefit designs and out-of-network coverage with Optima POS.

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  • Optima BusinessEDGE┬«

    Our self-funded plan alternatives for qualifying small groups

    Compare BusinessEDGE® plans

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    • Cost savings, quality service
    • Protection from high claims
    • Many plan options

  • Optima Equity Health Savings Account (HSA)

    Optima Equity is a consumer-driven health plan coupled with a Health Savings Account (HSA). Optima Equity offers savings for employers and employees via lower premiums and health savings account options. We can work with you to customize a plan to meet your budget.

    • Best in class integrated claims and payment experience
    • Lower premiums* with financial benefits for employers and employees
    • Preventive coverage before deductible
    • Customizable investment options
    • Free debit cards

    * As compared to traditional medical plans

  • Optima Design Health Reimbursement Account (HRA)

    Optima Design (HRA) is a consumer-driven health plan. Optima Design offers savings for employers and employees via lower premiums and health savings account options. We can work with you to customize a plan to meet your budget.

    • An employer-funded account
    • Covers some deductible expenses for employees
    • Employers keep all unused funds remain
    • The option to choose traditional copayments for prescriptions or to apply prescription costs toward the annual deductible total
    • Easy paperless record keeping

  • Optima Vantage Products

    Our no-referral Health Maintenance Organization (HMO)

    Compare Platinum, Gold, Silver and Bronze tier HMO plans

    • No referrals required
    • Large provider network
    • Emergency coverage anywhere

  • Optima POS Products

    Point of Service (POS) with out-of-network coverage.

    Compare Optima POS plans

    • Extensive network
    • Out-of-network care available to members

  • Optima Plus Products

    Our Preferred Provider Organization (PPO) that adds a national network.

    Compare the Gold, Silver, Bronze tier PPO plans

    • In- and out-of-network benefits
    • Access to a national provider network at in-network rates