Discover Optimum HealthCare

For CMS Model Electronic Complaint Form please click here. (You will be redirected to this site.)

Last Updated: 10/1/2011

© 2011 Optimum Healthcare

Optimum HealthCare is a health Plan with a Medicare contract. Medicare approved MAPD HMO plans available to anyone entitled to Part A and enrolled in Part B of Medicare through age or disability (for MA plans, individuals must have both Part A and Part B). Medicare approved HMO Special Needs Plans (SNPs) available to anyone who meets the specific eligibility requirements of the SNP and is enrolled in both Part A and Part B of Medicare through age or disability. To qualify for a Dual Eligible SNP (DSNP), you must also be eligible for Medicaid assistance from the State. Premium for the DSP and copayments/co-insurance for Low Income Subsidy eligible beneficiaries may vary based on income. Enrollment period restrictions apply. Call the plan for details. You must continue to pay your Medicare applicable premiums if not otherwise paid for under Medicaid or by another third-party. Plans may be renewed annually. All plan types may not be available in all areas. Copayment and authorization rules may apply. We are required to inform you by law, that we can choose not to renew our contract with CMS, reduce our service area or no longer offer services in the area where you reside. CMS may also refuse to renew our contract, thus resulting in a termination or non-renewal. Should this occur, this may result in termination of your enrollment in the plan.

If you are unable to view PDFs, please download Adobe Reader
By clicking on this link, you will be leaving the Optimum HealthCare website.