Provider Network

As part of a not-for-profit, integrated delivery system, Optima Health has a unique approach to provider contracting.

With more than 26,000 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.

The percentage of providers with a favorable impression of Optima Health is 93%.
— Optima Health Customer Service Monthly Report Cards, May 2018.

Search for doctors, drugs and facilities within our network to see the options you get when you choose Optima Health.

OptimaDirect^® and OptimaSelect^® Networks

Our new network designs offer 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 26,000¹ 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.

Select network plans utilize local doctors and facilities within key clinically integrated networks, to provide high-quality and efficient care. Members can save more if they get services from a regionalized group of doctors and facilities.

Select and Direct At–A–Glance Comparison Chart

The Service Area

Download a printable PDF version of this map

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 Sentara Health Plans, Inc. Provider Database, 2018
² May only be available in certain Product Lines, depending on group size
³ Value-Added services; not a covered benefit
⁴ Office Visit copayment or coinsurance may apply