News

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Season's Greetings from Optima Health

A Seasons Greetings from Optima Health to show our appreciation to all of those supporting the accomplishments of 2022.

What's New for 2023

A summary of the latest updates for Optima Health Brokers for 2023.

We are excited to announce the 2023 commission schedule. This competitive compensation is designed to enhance broker earnings in addition to our broker rewards program and bonuses. We appreciate your loyalty and will continue to adapt and improve the broker experience.

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).

Open Enrollment Resources and Rewards

Open Enrollment is underway, and we have the resources available to better serve you and your employer groups.

New Training Opportunities and Small Group News

New to working with Optima Health? Need a refresher? Optima Health is excited to offer multiple Q&A opportunities to equip you to be successful. These sessions will include an overview of the Broker portal and eBroker, our employer quoting tool.

Consolidated Appropriations Act (CAA) RxDC Reporting

Optima Health continues to review the requirements under the Consolidated Appropriations Act (CAA). We are on track to meet these deliverables according to the required timelines with the first report due no later than December 27, 2022.

Medical Loss Ratio Rebates for 2021 Tax Year Update

Based on our final assessment, only Individual & Family Plan subscribers who paid premiums in 2021 will receive rebate checks from us.

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.

Medical Loss Ratio Rebates for 2021 Tax Year

Federal law requires that we spend a certain percentage of fully insured plan premiums on medical care. If we spend less during the three-year lookback period, we refund that money back to our customers.