Stay Covered
Medicaid members, don’t lose your healthcare coverage. The renewal process is back. Learn what to do next.
Even Better Together
Optima Health and Virginia Premier Medicaid will become one plan on July 1, 2023. If you are a Virginia Premier Medicaid member and received a letter about Virginia Premier becoming part of Optima Health, you can still access all of your plan information on the Virginia Premier website.
For questions about the change, please visit our FAQ site.
If you are a current Optima Health member, you will not be impacted by this change.
Healthcare and More
Medicaid is health insurance from the government, with no monthly fees or deductibles. It is available to people of all ages with incomes below a certain level and people with disabilities.
You have the right to choose Optima Health as your Medicaid plan. We are committed to serving you with trust and understanding.
Here are just some of the reasons why more than 300,000 Medicaid members choose and keep Optima Health:
Experts Who Care
We have been living our mission to “improve health every day” for over 20 years.
- Main office in Virginia Beach
- Reliable member service
- More than 35,000 quality doctors and facilities
- 24/7 Nurse Advice Line
- Access to private mental health support anytime
- Help managing diabetes, asthma, or weight
- Pregnancy program
Quality Health Coverage
Medical coverage to support your health and wellness needs.
- Free annual checkups and screenings
- Prescription coverage ($5 or less for FAMIS)
- Urgent care
- Emergency care
- Dental services covered by Virginia Medicaid
- Behavioral health services and treatments
- Vision added benefit
Help Beyond Healthcare
We have a friendly team focused on personally connecting you with:
- Safe housing
- Healthy food
- Education
- Job assistance
- Non-medical rides
- Free smartphone with data and texting
- Baby basics
Get the Details
Plans
Optima Family Care
Optima Family Care is our Medicaid Medallion health plan. It covers babies, children, and teens, including those in foster care. Optima Family Care is also for adults up to age 64, pregnant women, and parents.
FAMIS
Family Access to Medical Insurance Security (FAMIS) is the Children’s Health Insurance Program (CHIP) in Virginia. The income requirement is higher than Medicaid. Optima Health covers FAMIS members under age 19.
Optima Health Community Care
Our Commonwealth Coordinated Care Plus (CCC Plus) plan is Optima Health Community Care. It covers adults age 65 or older, anyone with a disability, managed long-term services and supports, and nursing facility residents.
Optima Community Complete (HMO D-SNP)
When it comes to managing your Medicaid and Medicare benefits and care, it is easier working with one health plan. Your Optima Health care coordinator will take the lead connecting your coverage and services. Plus, you gain extra benefits when you choose Optima Health.
How to Choose Optima Health
Open Enrollment is Your Chance to Switch to Optima Health
Open enrollment is the time of year when you have the chance to change your plan to Optima Health. It is open enrollment in:
- Central region: April 19, 2023 – June 30, 2023
- Northern Virginia region: June 19, 2023 - August 30, 2023
What You Get When You Are Our Member
Making a Difference
Learn a few examples of the one-on-one attention that led to better health, more help, and less worry.
View Stories
Programs and Services
The resources around you impact your health just as much as diet and exercise. We are here to advocate for you, and help remove any barriers to your health and well-being.
Get Support
Community Events
We know the community because we live and work across Virginia. Join our events covering specific topics about health and local services.
View Events
Questions? We Are Here For You.
When you call Optima Health, a caring expert quickly answers, not a robot trying to guess what you want. Let's talk about the benefits and services you will get when you become an Optima Health member.
Optima Family Care
Toll-free: 1-800-881-2166 (TTY: 711)
Optima Health Community Care
Toll-free: 1-888-512-3171 (TTY: 711)
Monday through Friday, 8 a.m. to 8 p.m.