Introducing Optima Health Commonwealth of Virginia Health Benefits Meetings April 2009 Your New Partner in Improving Health. Today’s Agenda. About Optima Health - The Value of an Integrated Model COVA Connect Network Optima Employee Assistance Program (EAP) My Life My Plan
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“We’re excited to join the Commonwealth team in providing quality healthcare services to those employees in Hampton Roads. We’ve been in Virginia for 25 years and are proud to call it our home. This new relationship is a milestone for our organization and we take our affiliation with you seriously. We look forward to showing you how we care for our members.”
President, Optima Health
Easy to Use
A Great Value
COVA Connect employee zip code area within Optima Health network
Optima Health network
National Optima Health network
Out-of-Network Coverage (with buy-up option, at In-Network less 25 percent)
Not Covered (without buy-up option)
Access to 4 counseling sessions per presenting issue with licensed counselors – covers employee and all members of the household
Unlimited Management Consultations
On-site Leadership and Employee Orientations
Employee and Leadership development training classes*
Workplace Trauma Response Program
24/7 phone assistance
Convenient counseling appointments and locations
Strong provider networks
Privacy and confidentiality
Exclusive Web site access with information on personal and professional development topicsOptima EAP Assistance
*Depending on organizational benefit
EAP as a Management Tool licensed counselors –
EAP as a Management Tool, licensed counselors – continued
Workplace Trauma Response Program licensed counselors –
User Name: COVA Connect
23 to take good care of themselves and their families.
Getting Started to take good care of themselves and their families.
Select Member Registration as a new member by creating your user name and password
Select Personal Health Profile as indicated on the rightOnline Personal Health Profile
Staying Healthy user name and password
Good health improvement information provided via the computer, phone, or mail.
Healthyroads offers Internet tools for members to increase their success in the program.
Healthyroads Internet tools provide access to the following types of services:
Improve Your Heart Health
Stop using tobacco to benefit your health
Develop healthy eating and exercise habits
Stretching and strengthening exercises
Walk your way to better health
Improving Health user name and password
Clinical Care Services (CCS) provides help when you need care. Includes a Life Coach team with clinical, behavioral and benefit specialists dedicated to answer member’s questions and provide support.
Clinical Advocacy Program user name and password
Advantages & Highlights
Member confidentiality is always protected.
Managing Meds user name and password
*Mail order rates reflect up to a 90-day supply
Some drugs will be on a lower tier with Optima,
so members will have a lower copay.
Some drugs will be on a higher tier with Optima,
so members will have a higher copay.
How can you find out what tier your medication is on?
How can you find out what lower tier alternatives are available?
Can I view my prescription profile online?
Go to OptimaHealth.com/COVA
Choose COVA Connect user name and password
Enter drug name
Click on drug user name and password
See alternatives and tiers user name and password
45 user name and password
46 user name and password
(Member will need to mail in a new prescription)
“The Next Generation of Health Care Services” user name and password
Easy to Use
A Great Value