Sentara Health Plans in Virginia

Optima Health

Optima Health provides health plan coverage throughout Virginia. We offer a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual health plans, employee assistance plans and plans serving Medicaid enrollees.

Optima Health offers a broad spectrum of innovative products and service solutions designed for employers, employees and their families. Our members have access to doctors and hospitals with nationally-recognized clinical programs, up-to-date preventive care and patient safety protocols, plus the latest medical procedures and technologies.

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. Wherever we serve our members, Optima Health stands out through our passion for health and service excellence.

Optima Health's Facts at a Glance

Founded In: 1984

Plan Options: HMO PPO, HDHP with HAS and HRA options, Medicaid, FAMIS

Number of Employees: Approximately 1,000

Coverage Area: Virginia

Membership: More than 430,000

Network: 11 hospitals, 15,000 doctors and specialists

Optima Health's Awards and Recognitions

For 15 consecutive years, Optima Health Plan has received National Committee for Quality Assurance (NCQA) accreditation for its commercial HMO/POS health plans and Medicaid HMO product.¹

¹NCQA Accreditation Letter, August 2012

Since 2004,Optima Health has received an A+ rating from Weiss Ratings, Inc for financial soundness, recognizing its ability to withstand severe economic adversity and showing exceptional financial strength.²

²Weiss Ratings Award Letter, January 2011, www.weissratings.com

For the second year in a row, Sentara Healthcare, Optima Health's parent company has been ranked as the top most Integrated Healthcare System in the nation according to SDI and Modern Healthcare Magazine. Sentara provides services that cover in and outpatient healthcare services, including physician practices, advanced imaging and diagnostics, long term care, home healthcare services, medical transport and air ambulance services, as well its health plan, Optima Health.³

³Sentara Healthcare News Release, January 24, 2011

Optima Health and Sentara Healthcare have received several awards for Sentara's incentive-based wellness program Mission: Health. The program saved Sentara $3.4 million in healthcare costs. Optima Health was a finalist in the Employee Health Category for the 2011 Virginia Healthcare Innovators Award.⁴

⁴ www.virginiahealthcareinnovators.org