Optima Plan Information

About Optima -- a Sentara Health Maintenance Organization (HMO)

Contact Information

Web Address: http://www.optimahealth.com/optimahealth
Member Services: (757) 552-7110 or (800) 225-7784
After Hours: (757) 552-7250 or (800) 394-2237

Other Helpful Links

PharmaCare Direct is our prescription drug mail order service.

Why Mail Order?

Mail order is a more convenient, more cost-effective way to get maintenance prescription drugs. You can get a three-month prescription for the cost of two copays, and you have the added convenience of home delivery. Mail order is typically used for maintenance medications that help treat chronic, long-term health conditions including:

High Blood Pressure
Diabetes
Cholesterol
Thyroid
Menopause

Getting Started:

If this is a new medication, or if you are a new health plan member, have your prescription filled at a retail pharmacy before using mail order. (Note: you will still need to do this step even if you have used mail order before with another insurance carrier).

This will:

Ensure that you can safely tolerate the medication.
Determine the appropriate copay tier and pre-authorizations.

After you have safely tolerated the medication and have determined what your monthly copay will be by having the prescription filled at a retail pharmacy, you can move to mail order.

First Time Users

Here are the steps to take:

For your first order, complete and send in the PharmaCare Direct Mail Service Form.
Prescriptions may be faxed to 800-236-9079. To be valid, prescriptions may only be faxed from the doctor’s office. If this is your first prescription order, the PharmaCare Direct Mail Service must accompany the fax.
After PharmaCare Direct receives the order, you should receive your medication within 14 days. Prior to future refill requests, we recommend that you keep a two-week supply on hand to allow for unforeseen delays in shipping.
If you need to confirm the status for you mail order prescription, contact harmaCare Direct at 1-800-346-9113.

Placing an Order

If you’ve used PharmaCare Direct Mail Order before as a member of Optima Health, you can:

Order refills online and check prescription status at www.PharmaCare.com or you may call customer service at 1-800-346-9113.

Download Forms

PharmaCare Direct Mail Service Form