News
For up-to-date information related to COVID-19 coverage, please view our COVID-19 site. Looking for a previous newsletter? Contact employernews@optimahealth.com
Employer News 2nd Quarter June 2023
A quarterly newsletter about your health plan benefits.
We're Moving and Other Important Updates
As you may have heard, Optima Health will change its branding and become Sentara Health Plans as we enter 2024. As we work toward unification with our parent company, Sentara Health, we will update you on our progress toward this goal.
Employer News 1st Quarter 2023
A quarterly newsletter about your health plan benefits.
Temporary Provisions to Waive Cost Sharing for COVID-19 Testing and Related Visits Ending May 11, 2023
BusinessEDGE® and Fully Insured Employers*:
Optima Health has continuously monitored the spread of COVID-19 to keep your employees informed of the latest developments and how these changes could affect their health plan.
Data Collection Updates for RxDC Reporting
Optima Health continues to review the data requirements and reporting timelines under the Consolidated Appropriations Act (CAA).
Bon Secours Remains in Network
We are excited to share with you that Bon Secours Health System will remain as part of the Optima Health provider network.
Celebrating Small Businesses
Optima Health is always looking for ways to celebrate local businesses and recognize your impact on our community.
1095 Documents for 2022 Tax Year
For the 2022 tax year, Optima Health will mail 1095-B tax form to all individuals covered by our fully insured health plans, including employer-sponsored and Individual & Family Plans sold off the Health Insurance Marketplace.
Welcoming Valley Health Back To Our Network
We are happy to announce that Valley Health is re-joining our Optima Health commercial and individual product network starting on January 1, 2023.
Employer News 4th Quarter December 2022
A quarterly newsletter about your health plan benefits.
Exciting Vendor Changes
Optima Health continuously looks for ways to improve benefits and services and increase cost efficiencies for its employer groups and members. As a result of these efforts, we have made the strategic decision to change our pharmacy benefit manager (PBM) from OptumRx® to Express Scripts (ESI) and our vision services vendor from Eyemed to VSP Vision Care (VSP) for all lines of business, effective January 1, 2023 (regardless of the group’s effective date).
Employer News 3rd Quarter August 2022
A quarterly newsletter about your health plan benefits.
Medical Loss Ratio Rebates for 2021 Tax Year
Based on our final assessment, we will not issue rebates for our regulatory fully insured small and large group clients for plan year 2021.
Inova is Joining Our Network
We are pleased to announce that effective September 1, 2022, Optima Health includes all Inova® Health System hospitals, facilities, physician practices, and providers as in-network for our commercial group and Individual & Family Plan members.