Welcome to Optima Medicare - find the best plan for you

You will find Medicare Advantage all-in-one healthcare plans, offering both medical and prescription drug coverage. Take advantage of our network of more than 35,000 providers and healthcare facilities, with added benefits that cover more than Original Medicare (Part A and Part B) alone. Optima Medicare plans include coverage for vision, dental, and hearing, as well as over-the-counter items and prescription drug coverage.

With monthly premiums as low as $0, plus out-of-pocket maximums to limit your payment for medical services each year, you can enjoy more services and plan coverage at more predictable costs.

Our Plans

Extra Benefits

  • SilverSneakers® - New for 2022
  • Grocery card*1 - New for 2022
  • In-home support services
  • Annual wellness visit
  • Annual physical exam
  • Routine chiropractic care
  • Preventive dental
  • Comprehensive dental
  • Vision and hearing services
  • Health education benefit
  • Meals post hospital discharge
  • Over-the-counter (OTC) items
  • Personal emergency response system (PERS)
  • Podiatry services
  • Telehealth
  • Routine medical transportation
  • Non-medical transportation*1
  • Worldwide emergency care

*Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

Optima Medicare HMO Plans

Monthly Premiums From $0 

Medicare HMO plans with access to expansive network of providers and healthcare facilities

Our Medicare Advantage (Part C) plans include everything offered by Original Medicare (Part A and Part B) plus more.

Many Optima Medicare HMO plans include prescription drug (Part D) benefits. All plans include supplemental coverage like dental, vision, and hearing services. To see which plans you qualify for and eligibility requirements, select “View plans” below.



 

View Optima Medicare Plans

Plan details for Optima Medicare HMO plans

Optima Community Complete (HMO D-SNP)

Dual-eligible special needs plan for $0 monthly premium

Medicare and Medicaid CCC Plus combined health insurance plan for special needs members

Optima Community Complete (HMO D-SNP) combines your Virginia Commonwealth Coordinated Care Plus (CCC Plus) Medicaid benefits with your Medicare benefits.

This $0 monthly premium plan offers personal attention from your Care Coordinator as well as access to our high-quality network of more than 35,000 doctors, specialty providers, and healthcare facilities.


 

View Optima Medicare Plan

Plan details for Optima Community Complete (HMO D-SNP)

Optima Medicare Salute (HMO)

Serves those who already have prescription coverage for $0 monthly premium

Veterans finding happiness, freedom, and the Medicare life

Optima Medicare Salute serves as all-in-one coverage—veterans can boost existing military coverage—at no extra cost.

Available to anyone who wants more Medicare coverage and does not need Part D.

Veterans, you can keep your Department of Veterans Affairs (VA) or TRICARE for Life benefits with prescription drug coverage, while taking advantage of extra benefits and our network of more than 35,000 providers and healthcare facilities.

View Optima Medicare Plan

Plan details for Optima Medicare Salute (HMO)

2022 Medicare Star Rating

Four-stars

1 Every year, Medicare evaluates plans based on a 5-star rating system.

Compare Plans

Enter your ZIP code to see which Optima Medicare HMO plans are available in your area and what benefits they include.
 
 
 

 Learning Center

Learn how Medicare and Medicare Advantage plans work, which plan is right for you, and how soon you can enroll. Also, find answers to frequently asked questions.
 
 

 Ready to Enroll?

We make enrolling easier. Enroll during your Initial Enrollment Period, which is seven months long - including your 65th birthday month, the three months before and the three months after. You can enroll or switch plans during the Annual Election Period, October 15 through December 7.

 Already a Member?

Access more plan tools and detailed benefit information when you sign in to your secure portal. Make the most of your health plan by registering online or on the mobile app.
 
 
Medicare Basics Video by Optima Health

Are you new to Medicare?

Please take a moment to watch this video about Original Medicare – Part A and Part B, Medicare Advantage plans – Part C, and prescription drug coverage – Part D. This video explains the transition to a Medicare health insurance plan, services you will receive, and what eligibility requirements qualify you for coverage.

 

Watch Video
Take classes online or at the gym

SilverSneakers® - New for 2022

When you enroll in a 2022 Optima Medicare plan, you can sign up for a SilverSneakers® membership at no cost. You can attend SilverSneakers LIVE™ online classes and workshops, view SilverSneakers On-Demand™ workout videos, or visit one of SilverSneakers® many nationwide fitness locations.

 

Sign Up
Seniors in classroom receiving instruction

Community Events

Find Optima Health special community events near you. You will have access to healthcare education and health screenings, in addition to participating in various community events in Virginia.


 

View Events

How Can We Assist You?

You are not alone on the Medicare journey. Our Licensed Plan Advisors can explain how the Medicare enrollment process works, requirements to qualify, and discuss your options.

Call toll-free: 1-855-434-3267 (TTY Service 1-800-828-1140 or 711)

Hours:
October 1 – March 31
8 a.m. to 8 p.m.
7 days a week.

 
April 1 – September 30
8 a.m. to 8 p.m.
Monday through Friday.

Schedule an appointment with a Licensed Plan Advisor.

Enrollment Tools

See if you qualify for an Optima Medicare plan. You can switch plans during the Annual Election Period.

Find a Doctor

Formularies

Last Updated: 10/26/2021