As part of a not-for-profit, integrated delivery system, Optima Health has a unique approach to provider contracting. As a result, 100% of all Virginia hospitals in our service areas participate in the network, including Charlottesville, Hampton Roads, Harrisonburg, Lynchburg, Northern Virginia, Richmond, Roanoke, and Winchester. We also maintain a 96% or higher saturation of physicians in most areas, including Hampton Roads and Richmond at 97%.1
With providers and facilities across Virginia and Northeastern North Carolina, our committed, high-quality network includes the Optima Health statewide networks, PHCS®️, VSP Vision Care, 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 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