Plan Information
OptimaFit® plans are non–referral Health Maintenance Organization (HMO) plans offered in select areas in Virginia. OptimaFit plans are part of an open–access network, meaning members are not required to get a referral to see a specialist within our vast provider network. We provide access to a quality network of physicians and facilities, so you and your family can find the healthcare you need.
We offer affordable plans with a wide range of coverage, deductibles, and cost–sharing options, as well as Health Savings Account options to ensure we have a plan that's right for you. Our plans include both retail and mail-order prescription drug coverage, preventive services, and access to our 24/7 Nurse Advice Line, so you can worry less, and we can help when you need it the most.
Instant Access to Plan Information
With our comprehensive suite of digital solutions, OptimaFit members have 24/7 access to their plan and benefits. Either online or with the Optima Health mobile app, members can:
- schedule virtual consults
- search for doctors and facilities
- look up benefit deductibles and copayments
- contact member services
- find costs for treatments and services
- pay monthly premium
- get important preventive care reminders
- update or change PCP
- view claims history
- and much more!
Initial Payments for New Members
New members can make their initial premium payment in a variety of convenient ways. You may pay your first month's premium with a credit card or check upon completion of your application either online or by phone at 1–888–737–5479. You may also pay cash at participating MoneyGram® locations across Virginia.
Easy Ways to Pay for Recurring Payments
Auto–debit — premium is automatically deducted from your checking account each month.
Online/Mobile App — sign in at optimahealth.com/members or the mobile app to create a custom payment schedule, set up email reminders, and more.
Cash — pay in person using MoneyGram® at thousands of merchants, without any fees. Required for payment: cash, your member ID number, and Code: 15084.
Mail — in the form of a check, cashier's check, or money order mailed to: Optima Health, P.O. Box 715892 Philadelphia, PA 19171-5892.
Pay by phone — pay with our Automated Attendant by calling 1–888–645–4306. The monthly bill is needed to use this option. Follow the prompts to make a payment using a bank checking or savings account. Call with an Optima Health representative at 757–687–6434 or 1–888–737–5479.
For more information, visit optimahealth.com/payment.