Important Plan Documents - Peninsula

Summary of Benefits Booklet: Value and Prime Peninsula Plans

2018 Medicare Star Ratings1

Optima Medicare HMO Prime Plan

Optima Medicare HMO Value Plan

Low Income Subsidy Information

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. See what your monthly plan premium will be if you get Extra Help.

Enrollment Form

To print and mail in your Optima Medicare HMO enrollment form, download your form here.

Please mail or fax to the Optima Health enrollment center at:

Optima Medicare
3535 Piedmont Rd NE
Suite 1400
Atlanta GA 30305-1518
Fax Number (Toll-Free) 866-783-5191

1Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

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