A 5-Star Plan

OptimaFit® Individual & Family Health Plans earn top score in Virginia

Optima Health is proud to report that our OptimaFit® Individual & Family Health Plans offered through the Health Insurance Marketplace have achieved a 5-Star quality rating from CMS. The star ratings reflect our members’ responses to questions about the quality and satisfaction with our health plan including member services, care from our doctors, and access to care.1

This rating demonstrates our commitment to members and providers to help our members achieve their best health.

Additional highlights from our 5-Star rating include:

  •       5 out of 5 Stars - Enrollee Experience with Health Plan (the highest rating for the service we provide, answering questions and providing the information members need)
  •       5 out of 5 Stars - Patient Safety (the highest rating for the care members receive and access to medications needed to manage members' conditions)
  •       5 out of 5 Stars - Doctors and Care (the highest rating for members' experience with medical services, including those provided by personal doctors and specialists)

1CMS rates qualified health plans (QHPs) offered through the Marketplaces using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance Marketplace Quality Initiatives website at www.cms.gov.http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Health-Insurance-Marketplace-Quality-Initiatives.html.