Apparently an office visit with my PCP for an allergic reaction is “not a covered benefit.” Optima health is a joke and does more harm than good to it’s clients, even though the eternal hold you get out on just repeats condescendingly: “we …
They have really good marketing but it is not good choice for the health plan. I was very upset. Also, contact center services is worst. I changed my plan
Finally I can’t find a customer service number email person whatever I forgot my password on my account 2 years ago more than hundred times I tried but no one response.
Zero customer service, will try to get every possible dollar from you even if you haven’t had a claim in the 3 years of being with optima health insurance. DO not choose this health insurance company.
It’s like paying to not have insurance. They cover nothing until you meet high deductibles; they refuse to cover any vaccines outside of the flu; they argue every prescription and refuse to cover them. Your health means nothing to them.
I would give lower than 1 star if I could. They have tormented me via telephone calls and emails wanting me to use their insurance . They are relentless and there is NO way to stop them . An update to this review. Calls stopped for a while and are starting up again. Just relentless, 6 calls yesterday .
So I have this insurance through my employer I have had deductions taken out since August and when I went ti schedule an appointment it was canceled because this insurance told the provider I don’t have coverage but I can log in to their website and see my coverage not only that but went to pharmacy today and was told no coverage
Impossible to know how much you actually owe for payment. Their online portal will try to overcharge you, then undercharge you but then your claims get denied because somewhere in their end it shows non-payment. It’s nesrly impossible to …
Absolutely horrible. Typical greedy insurance company. If my doctor writes me a prescription there is no need to verify with the doctor that I actually need it. End of story. Stop wasting my pharmacy’s time, my doctor’s time and most importantly my time with your silly games. I hope you get smitten with lawsuits.
The worst healthcare program I have ever had. I am constantly having issue picking up my prescriptions and always having to call them so that I can get my medication. They will make you mental, because they are such an inconvience.
Zero stars. Negative stars. They are ripping off their customers, charging thousands per month in premiums for horrible high deductible individual ACA plan. Cheating their customers who don’t have a choice, and cheating the taxpayers by …
First of all Optima is a sorry excuse for a so called medical insurance comp. They obviously cannot tell time . How are you going to be closed before 5 when it clearly states you people don’t close until 6.00 . They taught how to tell time …
The grace period means, NO Insurance until they get the payments up to date. The credit card number doesn’t work, it hangs up on the caller. Then by that time you mail the payment it’s in the grace period, which means No, insurance.
I’ve been with them for a few years now and I wouldn’t go anywhere else. My premium and deductible with them is low through the marketplace. When I call for questions they are usually very friendly and answer all of my questions. I’ve had Anthem and they did not compare to Optima Health at all.
ZERO STARS I am so frustrated with Optima. I have tried to pay my bill on line for a week. I sat on hold for 3 1/2 hours and still didn’t get thru. That is the 4th time I have tried and doing the same again today. I have emailed for …
Health Market Place signed me up for them automatically even after I sent a cancelation notice. I tried to call Optima to cancel and the automatic “assistant” disconnected me after I answered 20 questions to finally get to the right person. Waste of time.
The most clueless group of people I’ve ever spoken to on the phone. They don’t take notes (in the age of computers, a 5 year old could accomplish this), and they get information wrong daily. There’s a serious disconnect between EVERY …
This company is absolutely disgusting on how it treats its members. I might as well not even have insurance with this disgrace of a policy. It covers nothing, unless I meet my absurdly high deductible then that’s the only time I begin to …
Zero starts! during “inclement weather” there is absolutely NO way you can reach anyone in this company no matter if you have an emergency and you need your insurance ID which you’ve paid for last month and haven’t received since then. Do …
One of Optima’s brokers convinced my 96 yr old WWII Veteran neighbor to switch from Humana. He recently had a mild stroke and needs Rehab. Even though the policy says you are eligible for 90 days Optima is refusing to cover after 30 days …
So frustrated. My son was in a serious accident while visiting NY a couple of weeks ago. I brought him home last Thursday. I have tried to call since Friday. I keep getting a message that due to technical difficulties, they cannot take my …
Since my pharmacy sent the claim to the wrong insurance company. And they are just now fixing it, Optima will not rerun the following claims so they will be covered and not out of pocket. Now I’m on the hook for $2300. People don’t have that kind of money. I hate your company. If I could switch I would. You are the worst.
Optima Health sent me a new card in spite of the fact I did not choose them this year as my health provider and I recieved a cancellation notice from Optima Health in December. I called last week after they sent me the new member card for …
So far I’m very pleased with Optima. This is my second year having them through the exchange. When I’ve had to call them, they actually know what’s going on. Recently I had a life change and had to change my policy, and the Optima agents …
You can never have easy access to health care with Optima. They argue absolutely everything. We tried to use MD Live (free service) as well, because our doctor was off for the day and Urgent Care is $70 copay, that was a joke. 35 minutes on …
I had an issue with my Medication Authorization but after explaing my concerns to their Virgina Beach, Virginia Office, I am pleased to report that I am no longer stressed! …
I would definitely do your research before deciding to go with optima. I switched from anthem to optima for the past few years. Every year about halfway through I start wondering why I ever thought that was a good idea. I can’t believe I …
Worst Worst Worst! They withdrew money automatically, around March ( Pandemic) they sent us a letter said we didn’t pay money and cancel out insurance. My husband called and they said they received no money, then how the heck it was …
I love my health insurance. My daughter has mental health issue and Optima covered 95% of her stay at a facility. I’ve only have had one issue with a prescription that she needs, but I understand why it is the way it is. Her doctor, pharmacist, and the ins are working on getting the issue resolved.
Having no health insurance is better than having Optima. For 2 months they have not been providing me with my doctor’s recommended medication. What insurance company stops their customers from having their medication? Also, my sister is …
I have read a lot of negative review with this insurance payor. Honestly it doesn’t matter what insurance you pick. They all have similar issues regardless. I do suggest to think about all the things you need in medical, mental, and …
I waited on hold for 2 1/2 hours to get a vacation override for a medication for 48 hours to leave on vacation. They transferred me to both pharmacy tech and members services (which I feel is clueless) and they kept telling me I had to talk …
They’ve completely mixed my insurance up with my twin sister,who doesn’t even have Optima insurance anymore then credited my $ to her eventhough the payment was withdrawn from my bank acct. Supervisor Brenda Taylor has no professionalism, …
What ever you do DO NOT choose optima. They will send you incorrect billing statements telling you to pay an amount lower than your premium and then tell you that you owe more money. They will also not send bills at all and give you two …
Terrible service, had insurance for 3 months after canceling still received bills. Had to call and email about 10 times before telling them we were going to call the AG to help us straighten out their mess.
This is honestly one of the worst insurance companies I’ve ever had. They cover virtually nothing & you have to pay for everything out of pocket. You might as well not even have insurance at that point. I’m so glad I got rid of them & …
They have to be the worse Insurance company around. You end up paying more out of pocket. Don’t even know what the point of having insurance is if they don’t cover anything! They tell you not to use out of network providers. Yet they don’t …
Thieves, Do you pay your monthly premiums? 🤔 YES ofcourse! So when you go to schedule a doctors appointment you expect to be covered. Long story short my plan was cancelled with zero notification after my monthly premiums were paid and …
All insurance companies are an absolute bear to try to work with. But every once in a while you come across an employee such as Kelsey Floyd who has gone above and beyond to help me trying to get a prescription filled for more than a …
Optima Health is bad enough, but they partner with an even worse predator; DentaQuest. DentaQuest scheduled a dental appointment for me because I could not find a dentist who is in their network. I live in a fairly large city with …
Sending my heartfelt thanks for the wonderful birthday card I received from Optima Health. It contained so much helpful information on preventive care, screenings, and wellness programs that are available. I also enjoyed the quote inside …
Awful! Won’t cover my new insulin my doctor recommended because I’m doing “just fine” on the current insulin I’m on. Sorry I’m a well controlled diabetic but “just fine” isnt good enough for me optima. If I can be even better why not cover it?! So messed up!!!
Terrible they do not have any knowledge on dentist providers just very short with answers and just keep apologizing for the inconvenience and for not being able to find a dentist provider there is a serious breakdown with the system of Sentara and Optima there is a total disconnect.!!
BEWARE: This is the worst health insurance company, ever. We’ve had to endure two years with this company through my husband’s work and now that we have BCBS I am fully aware of just how terrible Optima Health is. Examples: Husband had …
I wish I could review this without any stars. I signed up via the Marketplace where I switched from BCBS solely because of the cost of my prescriptions. It has been a nightmare since. I paid my 1st month on 12/31 w/due date of 01/01 so a …
I’ve never had any issue with the insurance alone.but I do have issues with some of the representatives I get on the phone for instance like the one for transportation because I currently cannot drive right now my eyes are so bad I cannot …
Re: Dewey/Prescott Valley Optima Healthcare. Infuriating that the dregs at the bottom of the barrel are presented in guise of Primary Care providers for Medicare patients. I say this as I sit here reviewing my last 3 Medicare statements. …
This insurance is the worst that I have had through any job of my working life. The representative lied on every aspect of the insurance from prescriptions co pays to office visit co pays. I cannot wait for open enrollment so that I can go back too Anthem.
I was on a phone call with a rep to find out about coverages with my family. She sounded sleepy when it was 8:30 am EST. Then I heard a kid in the background then the phone just went silent and I did not hear back from her. …
Optima talks a good talk but they can’t walk the walk. They send their postcards in the mail about rebates and rewards but you never see your rewards! They partner with Smiles for Children/Dentaquest for adults too and it is a nightmare! …
Please use any other health insurance we have been on hold for over 2 hours finally spoke to someone after giving information they put us back on hold only to wait another hour for someone else to answer and give the information to them …
I’m a new member of Optima’s Medicare advantage plan. So far I’m not impressed. Member services doesn’t answer the phone and the Optima webpage won’t let me register because the number on my Optima member card is not valid. Think I might have made a mistake by changing from Medicare and United Health Care.
Between two days I spent 2.5 hours on the phone with two reps and one manager. Why? Because I had received two letters with the same dates. One letter stated I had met my deductible. The other letter stated that I should disregard the …
Apparently an office visit with my PCP for an allergic reaction is “not a covered benefit.” Optima health is a joke and does more harm than good to it’s clients, even though the eternal hold you get out on just repeats condescendingly: “we …
Their an absolute Joke all day on hold to not get thru fir a oral surgeon for my wife ..over $200 a month for what can’t answer..
terrible company
Avoid at all cost.
Does not do what they say. Buyer Beware
Wonderful experience with Optima
No complaints here. Optima is great!
Worst health insurance provider just like Anthem.
Better off having no insurance at all. Rip off.
Exceptional Customer Care. Helped me get through all of the paperwork over the phone. Thank You
Great customer service, always have an easy and pleasant experience when needing to contact them.
Worst insurance company ever. 👎🏽👎🏽👎🏽👎🏽👎🏽👎🏽👎🏽 Don’t even think about getting this insurance company they don’t cover anything!!!!! …
Charging ridiculous prices for families I see. Rising and rising costs flushing out those who cannot pay anymore. Sickening.
I can’t even see my mental health doctor. Yeah I’m changing.
the worst health insurance available, slow and terrible customer service. places barriers between patients and getting care
They have really good marketing but it is not good choice for the health plan. I was very upset. Also, contact center services is worst. I changed my plan
so disrespectful they hung up on me
Finally I can’t find a customer service number email person whatever I forgot my password on my account 2 years ago more than hundred times I tried but no one response.
Zero customer service, will try to get every possible dollar from you even if you haven’t had a claim in the 3 years of being with optima health insurance. DO not choose this health insurance company.
Optima health is owned by Sentara. Both companies are corrupt and really don’t care about you or your health issues. They just want your money.
I have never had so many out of pocket expenses for myself and my families medical bills EVER as I have had with this company. I hate it!
It’s like paying to not have insurance. They cover nothing until you meet high deductibles; they refuse to cover any vaccines outside of the flu; they argue every prescription and refuse to cover them. Your health means nothing to them.
Worst insurance I have ever had.
I would give lower than 1 star if I could. They have tormented me via telephone calls and emails wanting me to use their insurance . They are relentless and there is NO way to stop them . An update to this review. Calls stopped for a while and are starting up again. Just relentless, 6 calls yesterday .
So I have this insurance through my employer I have had deductions taken out since August and when I went ti schedule an appointment it was canceled because this insurance told the provider I don’t have coverage but I can log in to their website and see my coverage not only that but went to pharmacy today and was told no coverage
They continuously deny the only FDA approved medication for my diagnosis because it doesn’t fall under what they think it should be used for.
Impossible to know how much you actually owe for payment. Their online portal will try to overcharge you, then undercharge you but then your claims get denied because somewhere in their end it shows non-payment. It’s nesrly impossible to …
Absolutely horrible. Typical greedy insurance company. If my doctor writes me a prescription there is no need to verify with the doctor that I actually need it. End of story. Stop wasting my pharmacy’s time, my doctor’s time and most importantly my time with your silly games. I hope you get smitten with lawsuits.
Too much to type. In search of a new health insurance plan as we speak.
The worst healthcare program I have ever had. I am constantly having issue picking up my prescriptions and always having to call them so that I can get my medication. They will make you mental, because they are such an inconvience.
Zero stars. Negative stars. They are ripping off their customers, charging thousands per month in premiums for horrible high deductible individual ACA plan. Cheating their customers who don’t have a choice, and cheating the taxpayers by …
First of all Optima is a sorry excuse for a so called medical insurance comp. They obviously cannot tell time . How are you going to be closed before 5 when it clearly states you people don’t close until 6.00 . They taught how to tell time …
The grace period means, NO Insurance until they get the payments up to date. The credit card number doesn’t work, it hangs up on the caller. Then by that time you mail the payment it’s in the grace period, which means No, insurance.
I’ve been with them for a few years now and I wouldn’t go anywhere else. My premium and deductible with them is low through the marketplace. When I call for questions they are usually very friendly and answer all of my questions. I’ve had Anthem and they did not compare to Optima Health at all.
ZERO STARS I am so frustrated with Optima. I have tried to pay my bill on line for a week. I sat on hold for 3 1/2 hours and still didn’t get thru. That is the 4th time I have tried and doing the same again today. I have emailed for …
Health Market Place signed me up for them automatically even after I sent a cancelation notice. I tried to call Optima to cancel and the automatic “assistant” disconnected me after I answered 20 questions to finally get to the right person. Waste of time.
The most clueless group of people I’ve ever spoken to on the phone. They don’t take notes (in the age of computers, a 5 year old could accomplish this), and they get information wrong daily. There’s a serious disconnect between EVERY …
This company is absolutely disgusting on how it treats its members. I might as well not even have insurance with this disgrace of a policy. It covers nothing, unless I meet my absurdly high deductible then that’s the only time I begin to …
Zero starts! during “inclement weather” there is absolutely NO way you can reach anyone in this company no matter if you have an emergency and you need your insurance ID which you’ve paid for last month and haven’t received since then. Do …
One of Optima’s brokers convinced my 96 yr old WWII Veteran neighbor to switch from Humana. He recently had a mild stroke and needs Rehab. Even though the policy says you are eligible for 90 days Optima is refusing to cover after 30 days …
So frustrated. My son was in a serious accident while visiting NY a couple of weeks ago. I brought him home last Thursday. I have tried to call since Friday. I keep getting a message that due to technical difficulties, they cannot take my …
Since my pharmacy sent the claim to the wrong insurance company. And they are just now fixing it, Optima will not rerun the following claims so they will be covered and not out of pocket. Now I’m on the hook for $2300. People don’t have that kind of money. I hate your company. If I could switch I would. You are the worst.
Optima Health sent me a new card in spite of the fact I did not choose them this year as my health provider and I recieved a cancellation notice from Optima Health in December. I called last week after they sent me the new member card for …
So far I’m very pleased with Optima. This is my second year having them through the exchange. When I’ve had to call them, they actually know what’s going on. Recently I had a life change and had to change my policy, and the Optima agents …
You can never have easy access to health care with Optima. They argue absolutely everything. We tried to use MD Live (free service) as well, because our doctor was off for the day and Urgent Care is $70 copay, that was a joke. 35 minutes on …
I had an issue with my Medication Authorization but after explaing my concerns to their Virgina Beach, Virginia Office, I am pleased to report that I am no longer stressed! …
I would definitely do your research before deciding to go with optima. I switched from anthem to optima for the past few years. Every year about halfway through I start wondering why I ever thought that was a good idea. I can’t believe I …
Worst Worst Worst! They withdrew money automatically, around March ( Pandemic) they sent us a letter said we didn’t pay money and cancel out insurance. My husband called and they said they received no money, then how the heck it was …
I love my health insurance. My daughter has mental health issue and Optima covered 95% of her stay at a facility. I’ve only have had one issue with a prescription that she needs, but I understand why it is the way it is. Her doctor, pharmacist, and the ins are working on getting the issue resolved.
Having no health insurance is better than having Optima. For 2 months they have not been providing me with my doctor’s recommended medication. What insurance company stops their customers from having their medication? Also, my sister is …
I have read a lot of negative review with this insurance payor. Honestly it doesn’t matter what insurance you pick. They all have similar issues regardless. I do suggest to think about all the things you need in medical, mental, and …
I waited on hold for 2 1/2 hours to get a vacation override for a medication for 48 hours to leave on vacation. They transferred me to both pharmacy tech and members services (which I feel is clueless) and they kept telling me I had to talk …
They’ve completely mixed my insurance up with my twin sister,who doesn’t even have Optima insurance anymore then credited my $ to her eventhough the payment was withdrawn from my bank acct. Supervisor Brenda Taylor has no professionalism, …
What ever you do DO NOT choose optima. They will send you incorrect billing statements telling you to pay an amount lower than your premium and then tell you that you owe more money. They will also not send bills at all and give you two …
Terrible service, had insurance for 3 months after canceling still received bills. Had to call and email about 10 times before telling them we were going to call the AG to help us straighten out their mess.
They don’t cover anything worthwhile. Every year it gets worse. What a worthless company.
This is honestly one of the worst insurance companies I’ve ever had. They cover virtually nothing & you have to pay for everything out of pocket. You might as well not even have insurance at that point. I’m so glad I got rid of them & …
They have to be the worse Insurance company around. You end up paying more out of pocket. Don’t even know what the point of having insurance is if they don’t cover anything! They tell you not to use out of network providers. Yet they don’t …
Thieves, Do you pay your monthly premiums? 🤔 YES ofcourse! So when you go to schedule a doctors appointment you expect to be covered. Long story short my plan was cancelled with zero notification after my monthly premiums were paid and …
All insurance companies are an absolute bear to try to work with. But every once in a while you come across an employee such as Kelsey Floyd who has gone above and beyond to help me trying to get a prescription filled for more than a …
Optima Health is bad enough, but they partner with an even worse predator; DentaQuest. DentaQuest scheduled a dental appointment for me because I could not find a dentist who is in their network. I live in a fairly large city with …
Sending my heartfelt thanks for the wonderful birthday card I received from Optima Health. It contained so much helpful information on preventive care, screenings, and wellness programs that are available. I also enjoyed the quote inside …
Awful! Won’t cover my new insulin my doctor recommended because I’m doing “just fine” on the current insulin I’m on. Sorry I’m a well controlled diabetic but “just fine” isnt good enough for me optima. If I can be even better why not cover it?! So messed up!!!
Terrible they do not have any knowledge on dentist providers just very short with answers and just keep apologizing for the inconvenience and for not being able to find a dentist provider there is a serious breakdown with the system of Sentara and Optima there is a total disconnect.!!
BEWARE: This is the worst health insurance company, ever. We’ve had to endure two years with this company through my husband’s work and now that we have BCBS I am fully aware of just how terrible Optima Health is. Examples: Husband had …
I wish I could review this without any stars. I signed up via the Marketplace where I switched from BCBS solely because of the cost of my prescriptions. It has been a nightmare since. I paid my 1st month on 12/31 w/due date of 01/01 so a …
I’ve never had any issue with the insurance alone.but I do have issues with some of the representatives I get on the phone for instance like the one for transportation because I currently cannot drive right now my eyes are so bad I cannot …
Re: Dewey/Prescott Valley Optima Healthcare. Infuriating that the dregs at the bottom of the barrel are presented in guise of Primary Care providers for Medicare patients. I say this as I sit here reviewing my last 3 Medicare statements. …
I get more and more frustrated dealing with them.
Let’s start off with getting virtually everything in the mail. I do get Medical …
This insurance is the worst that I have had through any job of my working life. The representative lied on every aspect of the insurance from prescriptions co pays to office visit co pays. I cannot wait for open enrollment so that I can go back too Anthem.
I was on a phone call with a rep to find out about coverages with my family. She sounded sleepy when it was 8:30 am EST. Then I heard a kid in the background then the phone just went silent and I did not hear back from her. …
Optima talks a good talk but they can’t walk the walk. They send their postcards in the mail about rebates and rewards but you never see your rewards! They partner with Smiles for Children/Dentaquest for adults too and it is a nightmare! …
Please use any other health insurance we have been on hold for over 2 hours finally spoke to someone after giving information they put us back on hold only to wait another hour for someone else to answer and give the information to them …
I’m a new member of Optima’s Medicare advantage plan. So far I’m not impressed. Member services doesn’t answer the phone and the Optima webpage won’t let me register because the number on my Optima member card is not valid. Think I might have made a mistake by changing from Medicare and United Health Care.
Between two days I spent 2.5 hours on the phone with two reps and one manager. Why? Because I had received two letters with the same dates. One letter stated I had met my deductible. The other letter stated that I should disregard the …