Request Printed Plan Documents
Plan Year
2022
2023
2024
Plan Name
Sentara Medicare Advantage Plans
OptimaFit Individual and Family Plans
Medicare Advantage Plans*
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Sentara Medicare Engage – Diabetes and Heart (HMO C-SNP)
Sentara Community Complete (HMO D-SNP)
Sentara Community Complete Select (HMO D-SNP)
Sentara Medicare Prime (HMO) Peninsula
Sentara Medicare Prime (HMO) Southside
Sentara Medicare Savings (HMO)
Sentara Medicare Value (HMO) Central/Halifax
Sentara Medicare Value (HMO) Northern Virginia
Sentara Medicare Value (HMO) Peninsula
Sentara Medicare Value (HMO) Roanoke Alleghany
Sentara Medicare Value (HMO) Southside
Sentara Medicare Value (HMO) Southwest
Sentara Medicare Salute (HMO)
Material Option
Evidence of Coverage (EOC)
Annual Notice of Changes
Pharmacy Formulary
Please contact member services at 1-800-927-6048 (TTY:711) to request a printed provider directory.
Member Services hours vary by time of year:
October 1–March 31 | 7 days a week | 8 AM–8 PM
April 1–September 30 | Monday–Friday | 8 AM–8 PM
Individual and Family Plans
-- Select Plan --
OptimaFit Direct
OptimaFit Standard
HIOS Code/OptimaFIT Plan Name
Material Option
Evidence of Coverage or Certificate of Insurance - Legal Benefit Documents
Summary of Benefits and Coverage (SBC)
To request printed OptimaFit benefit information for plans prior to 2021 please call the number on the back of your member ID card. Electronic copies are available when you sign in to optimahealth.com or the Optima Health mobile app.
Effective Date
Effective Date
Member ID
Member ID#*
Barcode
Barcode
Barcode
EOC Barcode
SBC Barcode
Full Name
First Name*
Last Name*
Email Address
Email Address*
We will send you an email confirmation of your request that you have submitted today. Once your documents are dropped in the mail, you will receive another email notification to let you know they have been mailed.
Address
Street Address*
Street Address Line 2
City*
State / Province*
Zip / Postal Code*
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