Provider Network
The percentage of hospitals and physicians that participate in the Optima Health network across the state are1:
| Location | Hospitals | Physicians |
|---|---|---|
| Hampton Roads | 100% | 98% |
| Richmond | 100% | 96% |
| Charlottesville | 100% | 98% |
| Harrisonburg | 100% | 98% |
| Roanoke | 100% | 96% |
| Lynchburg | 100% | 96% |
| Winchester | 100% | 99% |
As part of a not-for-profit, integrated delivery system, Optima Health has a unique approach to provider contracting.
With more than 37,0002 providers and facilities across Virginia, our committed, high-quality network includes the Optima Health statewide networks, PHCS®, MDLIVE®, EyeMed, and American Specialty Health®.
Key clinically integrated networks within the Optima Health provider network offer members the benefit of new models of care from a custom care team, to deliver the right care, in the right place, at the right time.
90.4% of providers would recommend Optima Health to family or friends
2020 Optima Health Annual Provider Satisfaction Survey
OptimaDirect® Networks
Our tiered design offers lower–cost options that allow you to choose what works best for your employees and your budget.
Direct network plans include the full network of over 35,0002 doctors and facilities, in a two-tier structure to maximize cost savings. Members can save money when they get services from a Tier 1 doctor or facility.
More Information
For more information, get detailed plan information from a local broker.
If you are already an Optima Health member, please contact your broker or Optima Health representative for more information.
1 Provider Network Penetration, January 1, 2019
2 Sentara Health Plans, Inc. Provider Status Report, 2020