Optima Health Individual & Family Plans

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1 Optima Health Individual & Family Plans Optima Health is a Qualified Health Plan in the Health Insurance Marketplace.

2 Wellness and Preventive Programs Staying healthy can help you save money, and Optima Health offers a variety of preventive programs. Cancer screenings, women s wellness visits, and child wellness programs are just a few benefits of every individual and family health plan from Optima Health. The Best Health Insurance Choice is a Perfect 10. Our health plans include all ten of the Essential Health Benefits categories (including pediatric dental) required by the Affordable Care Act. In addition, our plans also feature: Annual adult vision exams A variety of plans with a wide range of deductibles and copayments Health Savings Accounts (HSAs) Generous discounts on health and wellness services* Comprehensive Health Management Programs Emergency Travel Assistance (domestic and international)* Preventive services covered at 100% if received from a plan provider (office visit copayments may apply) Online Resources Once you become an Optima Health member, you will have access to a variety of online tools to help manage your healthcare costs. These tools assist you in knowing more about treatment costs, options to help manage prescription drug costs and claims information. Obtain a free personal health profile, an online summary of your health risks and lifestyle behaviors. Your profile recommends ways to improve your health habits, including nutrition and daily activities, and provides a report for you to share with your personal doctor. *Value-added services; not a covered benefit For more information on Optima Health plans, contact your broker, visit us at optimahealth.com/individual or call one of our Personal Plan Advisors at Let us help find the plan that s right for you.

3 Flexible Options... Optima Health Individual & Family plans are available where you prefer to shop: Through your personal broker On the Health Insurance Marketplace Online at optimahealth.com/individuals By calling an Optima Health Personal Plan Advisor Optima Health Personal Plan Advisors are available 8 am 6 pm, Monday Friday at They are ready to help you find the right plan for you and your family. Optima Health offers affordable plans with a wide range of coverage, deductibles and cost-sharing options, as well as prescription drug coverage, preventive services, and Health Savings Account options. These plans are available in the Health Insurance Marketplace, as well as sold directly through Optima Health (Vantage 6350/ Catastrophic and Vantage Bronze are only available in the Health Insurance Marketplace). Vantage is our most comprehensive health plan offering the most coverage. These plans are good for individuals and families who visit their doctors often. Comprehensive coverage Unlimited visits to primary care physician for a set copayment Vantage FourSight is ideal for individuals and families seeking a balance of cost and coverage. Offers a wide range of deductible options Includes 4 primary care visits (office visit copayment may apply) Optima Vantage... Optima Vantage plans are non-referral Health Maintenance Organization (HMO) plans in which you choose a primary care physician (PCP) who will coordinate your family s healthcare needs. You get the benefit of an HMO plan without the hassle of referrals. You can depend on your primary care physician (PCP) for routine medical assistance and guidance when seeking care within the Optima Health network. Except in the case of emergency care, you must use your benefits with in-network doctors and facilities. Vantage Equity is perfect for money-minded individuals who want the financial flexibility of a Health Savings Account-qualified plan, plus tax saving opportunities. These plans are a good match for individuals and families seeking major medical coverage and are comfortable paying more expenses out-of-pocket. Combines lower premiums and higher deductibles Includes a free Health Savings Account Vantage 6350 ( Catastrophic plan only available on Health Insurance Marketplace) Just in case coverage for individuals under the age of 30 Includes 3 doctor s office visits for a set copayment 100% coverage after high deductible met ($6,250 for individuals/ $12,500 for families)

4 Emergency Travel Assistance Worry-Free Travel Anywhere in the World Optima Health is committed to the total well-being of you and your family, including making sure you locate high-quality medical care when traveling away from home. Through a partnership with Assist America, Optima Health now offers global emergency services for members 24/7, anywhere in the world while traveling on business or pleasure, with no exclusions for pre-existing conditions, adventure sports or geographic risk. MDLive Board-Certified Doctors Are Only a Phone Call or Click Away Optima Health members have access to virtual appointments using the same PCP benefits provided by their individual plans. Members and physicians are able to engage in real time, interactive consultations over the phone or online video. Virtual appointments are a good fit for low-acuity illnesses such as allergies, sinus infections, ear infections or urinary tract infections. Board-certified physicians licensed in Virginia are available 24 hours a days to diagnose, recommend treatment and prescribe medication when appropriate. Enjoy Extra Savings And Discounts... Optima Health members have the opportunity to save money on health products and services including: Fitness Facilities Access to a national network of fitness clubs and exercise centers that offers a minimum of 10% discount off initiation and/or monthly dues. Vision Extras Receive significant savings on routine eye exams, lenses and frames, and contact lenses. Laser Vision Receive up to 15% discount for the cost of laser vision surgery. Massage Therapy Receive a 25% discount for massage therapy. Health Products Receive 25% discounts on vitamins and other health products with online ordering convenience and free shipping on most items. Acupuncture Receive a 25% discount for acupuncture exams and treatment. Chiropractic Care Receive a 25% discount for chiropractic services. All of our individual plans include prescription benefits, wellness programs, preventive services, and useful tools to help you manage your healthcare costs. For more information on Optima Health plans, contact your broker, visit us at optimahealth.com/individual or call one of our Personal Plan Advisors at Let us help find the plan that s right for you.

5 Optima Health 4417 Corporation Lane Virginia Beach, VA optimahealth.com/individual Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, Optima Health Group, Inc. and Sentara Health Plans, Inc. Optima Vantage HMO plans are underwritten by Optima Health Plans. Optima Preferred Provider Organization products are underwritten by Optima Health Insurance Company. Self-funded employer benefit plans are administered by Sentara Health Plans, Inc. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. For costs and complete details of coverage please call your broker or Optima Health at or visit optimahealth.com. INDIVGenBro 02/