optimum portal


Does optimum healthcare have a network?

    Optimum HealthCare, Inc. has a network of doctors, hospitals, pharmacies, and other providers. You must use plan providers to get your medical care and services except in emergency or urgent needed services when the network is not available, out-of-area dialysis services and in cases in which the plan authorizes use of out-of-network providers.

How do I contact optimum healthcare?

    Kreyòl Ayisyen (French Creole): ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-866-245-5360 (TTY: 711). Optimum HealthCare, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Does optimum healthcare have a Medicare contract?

    Optimum HealthCare, Inc. is an HMO with a Medicare contract. Enrollment in Optimum HealthCare, Inc. depends on contract renewal. To be eligible for Optimum Platinum Plan (HMO) H5594_002 and Optimum Gold Plan (HMO) H5594_019, you must have both Medicare Part A and Medicare Part B and live in our service area.

Is optimum healthcare a C-SNP?

    Optimum HealthCare, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Chronic Condition Special Needs Plan (C-SNP) through 2022 based on a review of Optimum HealthCare, Inc.’s Model of Care.
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