Enhanced Subsidies Now Available Through 2025
Have a qualifying life event and need insurance? You may be eligible for a larger subsidy amount or be newly eligible if you didn’t qualify before. Losing your Medicaid Coverage? You may be able to get financial help to lower the cost of private health insurance.

We can help! Talk to one of our OptimaFit® Personal Plan Advisors at 1-800-741-4825 to learn more.

OptimaFit® Health Plans

OptimaFit®, a highly rated plan1


Health plan coverage for individuals and families just got more rewarding with OptimaFit health plans from Optima Health. OptimaFit plans combine great health plan coverage and a wide variety of deductible and copayment options.

Shop and compare plans to determine if you are eligible for tax credits (financial assistance) to help pay for your health plan. Optima Health offers a variety of health plans both on and off the Health Insurance Marketplace.

Plan Features

  • 24–hour access to virtual consults with board-certified physicians
  • access to award-winning free health and wellness programs with MyLife MyPlan
  • discounts on health and wellness services2
  • Emergency Travel Assistance3
  • a wide range of deductibles and copayments offered
  • Health Savings Accounts (HSAs)
  • Gold-, Silver-, and Bronze-level plans both on and off the Health Insurance Marketplace
  • free preventive care services when received from an in-network doctor or facility3

Provider Networks

Our plans feature our tiered Direct provider network in a two-tier structure to maximize cost savings4. Tier 1 includes all participating doctors and facilities except those in Tier 2 and Tier 2 includes Mary Washington Healthcare. You can find participating providers using the provider search tool.

Plans are available in Bristol, Charlottesville, Danville, Harrisonburg, Hampton Roads, Halifax, Mecklenburg, Lynchburg, Northern Virginia, Richmond, Roanoke, and Rockingham.

Check to see if you live in our coverage area.

Other Coverage Options

Even if you are not eligible for one of our OptimaFit Health Plans, you might be eligible for one of our other coverage options including Medicaid, or health insurance plans for self-employed sole proprietors.

Learn about our other health insurance coverage options

Still Have Questions?

If you still have questions, contact one of our Personal Plan Advisors at individualsales@optimahealth.com or call 1-844-206-3208 from 8:00 a.m. to 8:00 p.m., seven days a week.

CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee.
2 Value-Added services; not a covered benefit.
Office Visit copayment or coinsurance may apply.
Standard plans have access to the full provider network and are not tiered.