About Optima Health

Supporting Good Health

Optima Health provides health plan coverage to approximately 590,000 members.¹ We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

Our quality provider network features more than 35,000 providers including specialists, primary care physicians and hospitals.²

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Making Insurance Easier

Optima Health offers personal, accessible customer service which members may expect from enrollment to renewal. We also provide fast and accurate claims processing, meaning you spend less time following up on claim issues and more time doing what you love.

Mission

We improve health every day.

Vision

To be the health plan of choice in the communities we serve.

Products

At Optima Health, we are committed to providing members with quality, cost-effective healthcare. Whether you’re choosing a health insurance plan for your employees or your family, we are confident you will find coverage that is right for you.

Current Plans Include:

• Traditional Commercial Plans – Vantage (HMO), Plus (PPO), Point of Service (POS)
• Integrated Account-based Product Lines – Equity (HSA), Design (HRA)
• Self-funded Options for Large and Small Employer Group
• Tiered Plans – OptimaDirectSM
• Narrow Network Plans – OptimaSelectSM
• Individual & Family Plans – OptimaFit®
• Medicare Advantage Plans – Optima Medicare HMO
• Dual Eligible Special Needs Plan – Optima Community Complete (HMO D-SNP)
• Medicaid Medallion 4.0 Plan – Optima Family Care
• Commonwealth Coordinated Care Plus Plan – Optima Health Community Care

Our Pledge

Helping you take care of yourself and your loved ones is our guiding mission. You’ll see our commitment to this in the variety of innovative wellness programs we sponsor. This same dedication is also echoed in the concerned, caring manner that characterizes our customer service staff and philosophy. Simply put, we’re passionate about your health.

Awards

Optima Health along with our parent company, Sentara Healthcare, has received several awards and accreditations for our products, wellness programs, and company performance.

View our awards

Quality and Accreditation

With a national and regional track record for success, we take a great deal of pride in our ability to offer award-winning health plans, educational programs and community initiatives.

Notable areas of achievement

Partnership Opportunities

Sentara AdvantEDGE^SM is the strategic partnership service line of one of the most progressive and integrated health care organizations in the country—Sentara Healthcare. Sentara AdvantEDGE partners with like-minded health systems to generate health solutions. Optima Health is a service of Sentara.

Learn more about Sentara AdvantEDGE

Locations

Virginia Beach Headquarters

PO Box 66189
Virginia Beach, VA 23466

Newport News

11803 Jefferson Avenue, Suite 100
Newport News, VA 23606

Richmond

10800 Nuckols Road
Glen Allen, VA 23060

Roanoke

5060 Valley View Boulevard, NW
Roanoke, VA 24012

Contact Us

You may contact us by email, phone, or mail.

Members  |  Brokers  |  Employers  |  Providers

¹ Total Medical Membership based on Optima Health Membership Report, February 2022
² Optima Health Provider Status Report, March 2020; Behavioral Health Count Report, April 2020. Par providers participating for any product, in Virginia only.