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  • Annual RxDC Reporting

    Sentara Health Plans is in the process of collecting the data required to submit RxDC reports on behalf of fully insured and self-funded large groups for calendar year 2025. We are sending all large groups an email with information on how to submit the required data.

  • 1095 Documents for 2025 Tax Year

    For the 2025 tax year, Sentara Health Plans 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.

  • Gag Clause Prohibition Compliance Attestation

    Sentara Health Plans is gathering information to meet the timelines for the required Gag Clause Prohibition Compliance Attestation (GCPCA), due no later than December 31, 2025.

  • Sentara Health Plans President Colin Drozdowski to Retire

    Sentara Health Plans President Colin Drozdowski to Retire.

  • 2025 ACA PCORI Fees

    For 2025, the Patient-Centered Outcomes Research Institute (PCORI) fee is $3.47 per covered member per year. This is a $0.25 increase from 2024.

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© Sentara Health Plans 2026, PO Box 66189, Virginia Beach, Virginia 23466
Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Vantage Health Maintenance Organization (HMO) and Point of Service (POS) plans are issued and underwritten by Sentara Health Plans. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and Family Access to Medical Insurance Security (FAMIS) products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS). Plus Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. The Sentara Employee Assistance Program (EAP) is administered by Sentara Behavioral Health Services, Inc. Large group self-funded health plans and BusinessEDGE® plans are administered but not underwritten by Sentara Health Administration, Inc. Wellness programs are administered by Sentara Health Administration, Inc. All plans have benefit exclusions and limitations, and terms under which the policy or plan may be continued in force or discontinued. For costs and complete details of coverage, please call your broker or review this website for more information. Sentara Health Plans complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.