Medical - 2022
Below you'll find information about health insurance plan benefits including Uniform Summary of Benefits and Coverage, general plan information and COBRA coverage.
Uniform Summary of Benefits and Coverage
Optima Health Plan Documents
Coordination of Benefits
PDF, 20 KB
PDF, 20 KB
POS Benefit Information Guide
PDF, 3 MB
PDF, 3 MB
POS Summary Plan Description
PDF, 1 MB
PDF, 1 MB
Plan Information
Emergency Travel Assistance Flyer
PDF, 194 KB
PDF, 194 KB
Find a Doctor Search Tool
PDF, 428 KB
PDF, 428 KB
How to View Claims
PDF, 143 KB
PDF, 143 KB
Treatment Cost Calculator
PDF, 265 KB
PDF, 265 KB
MDLIVE Behavioral Health Flyer
PDF, 1 MB
PDF, 1 MB
MDLIVE Flyer
PDF, 1 MB
PDF, 1 MB
MyOptima Mobile App
PDF, 380 KB
PDF, 380 KB
Out of Area Dependent Form
PDF, 36 KB
PDF, 36 KB
Health Savings Account (HSA)
HSA Administration Fees Account Setup
PDF, 148 KB
PDF, 148 KB
HSA Interest Rate Schedule
PDF, 53 KB
PDF, 53 KB
COBRA Information
2022 COBRA Rate Chart
PDF, 53 KB
PDF, 53 KB
CMS COBRA Participant Letter
PDF, 186 KB
PDF, 186 KB