Stay Covered
Medicaid members, don’t lose your healthcare coverage. The renewal process is back. Learn what to do next.

Quality Care. Quality Service. Quality of Life.

Optima Health Community Care is a Virginia Medicaid managed care program health plan. It is for people who may need help with daily tasks like dressing and bathing, or have a physical disability, long-term disease, addiction or mental illness. You will get a care coordinator to connect you with trusted doctors and services like access to healthy food, housing, and transportation. Apply at any time of year.

A caregiver talking to a wheelchair-bound patient.

Medicaid Coverage

Medical Care and Prescriptions.

Health coverage that includes a dedicated care coordinator to help personally manage your care plan and benefits.

Highlights

  • Doctor visits, urgent care, and hospital stays
  • Prescription drugs
  • Help with daily activities
  • Mental health and addiction and recovery services
  • 24-Hour Nurse Advice Line

 

Plan Coverage Details

A caregiver combing a patients hair in a bathroom

Added Benefits

Get More with Optima Health.

When you are an Optima Health member, you have access to added benefits on top of your Medicaid coverage.

Highlights

  • Vision and hearing coverage
  • Transportation
  • Gift card rewards
  • Free cell phone
  • Virtual visits over phone or computer
  • Assistive devices
  • Home modifications

More Added Benefits

A smiling, wheelchair-bound child in a classroom

Local Services

Support in your Community.

There are other parts of life just as important as your health. We can help you take care of those things, too.

Highlights

  • Housing help
  • Home and community-based services
  • Access to healthy food
  • Rides to the grocery store, places of worship, and community events
  • Support and wellness programs

 

View Programs

- 5 Out of 5 Rating

  • The Virginia Medicaid Managed Care Quality CCC Plus Consumer Decision Support Tool 2022 - 2023 shows Optima Health with an overall rating of 5 out of 5.

    View Tool

Source: Virginia Medicaid Managed Care Quality CCC Plus Consumer Decision Support Tool 2022-2023

Eligibility

Try the Online Screening Tool to check if you may qualify for Medicaid in Virginia.

 Search Providers

You don’t have to be a member to check if your doctor is in our network. Use our Provider Search Tool.

 Apply

You can enroll in Medicaid at any time of the year.

 Switching

Open enrollment is your chance to change to Optima Health Community Care.

We Support Caregivers

Being a caregiver is an important job. View the Optima Health Caregiver Handbook to learn about how we can help support you when you support others.

You can have Medicaid and Medicare at the same time

Make it easier when you choose Optima Health for both plans. You will gain more benefits than Medicaid and Medicare alone. Learn about the Optima Community Complete (HMO D-SNP) plan.

View Plan

Questions?

Whether you are seeking coverage for yourself or helping someone else, we are here to answer your questions about our added benefits and services. We can help in other languages.

Optima Health Community Care
Toll-free: 1-888-512-3171 (TTY: 711)
Monday through Friday, 8 a.m. to 8 p.m. EST/EDT

Check our online Learning Center for answers to common questions.

This page does not represent a complete list of coverage and benefits. View the Optima Health Community Care member handbook for full details.