Health Insurance Coverage in Virginia
| Insurance Company | Sentara Health Plans |
|---|---|
| State | Virginia |
| Website | sentarahealthplans.com |
| Number of Hospitals in Network | 54 |
| Number of Plans Offered | 19 |
2 plans
4 plans
3 plans
1 plan
7 plans
1 plan
1 plan
| Plan Name | Plan Type |
|---|---|
| DSNP Sentara Community Complete | Medicare Advantage |
| OPTIMA FAMILY CARE | Medicaid |
| OPTIMA FAMILY CARE MEDICAID | Medicaid |
| Optima Health Plan | Medicaid |
| OPTIMA PPO | PPO |
| Optima/Sentara | Medicaid |
| Sentara Behavioral Health Services | OTHER |
| Sentara Commercial Plan | PPO |
| Sentara Community Complete and Sentara Community Complete Select | HMO |
| Sentara Community Plan | HMO |
| Sentara Health Plan | PPO |
| Sentara Health Plans | PPO |
| Sentara Health Plans - Exchange (Bronze, Silver, Gold, Platinum) | PPO |
| Sentara Health Plans (as administrator for VCUHS) | PPO |
| Sentara Health Plans (formerly Optima) | PPO |
| Sentara Health Plans Commercial Products | PPO/POS/HMO |
| Sentara Individual and Family Plans | PPO/HMO |
| Sentara Medicaid Advantage SNP | Medicare Advantage |
| Sentara Medicare Advantage | Medicare Advantage |
President of Sentara Health Plans (SHP) and an Executive Vice President of Sentara Healthcare. Responsible for the strategic direction, performance and growth of the Medicaid, Medicare, Commercial lines of business. Previously served as Senior Vice President of Comprehensive Health Solutions at SHP. Has more than 30 years of experience in healthcare, spending 26 years with the Blue Cross and Blue Shield system, most recently serving as Senior Vice President of Provider Solutions for Anthem, Inc.
Serves as Senior Vice President and Chief Financial Officer for Sentara Health Plans. Responsible for financial strategy, planning, analysis and management, budgeting and forecasting, financial reporting, product pricing, actuarial work, and underwriting. Has more than 25 years of health plan experience. Formerly served as Health Plan CFO and Chief Accounting.
Serves as Chief Medical Officer at Sentara Health Plans. Previously served as Vice President, Chief Medical Officer for BayCare Health Plans, Population Health, and BayCare Physician Partners. Role includes clinical oversight of case management, utilization management, population health, quality, accreditation, and clinical program development. Also has clinical oversight for behavioral health and pharmacy programs for Sentara Health Plans.
Serves as Senior Vice President of Operations at Sentara Health Plans. Leads the Operations team in delivering excellent customer service, driving strong financial commitments, and building a culture consistent with Sentara and Sentara Health Plans values. Has more than 20 years of experience in the healthcare industry and more than 15 years of experience leading claims, operations, and process improvement initiatives.
Serves as the Senior Vice President for Marketing and Sales for Sentara Health Plans. Responsible for the overall growth of Sentara Health Plans with a primary focus in strategic positioning of the organization which includes identifying, promoting, and distributing new products and services that produce overall profitable growth.
Mentioned in the context of a partnership program designed to improve care outcomes and patient experience while reducing healthcare costs for members across Sentara Health Plans' Commercial, Medicare Advantage, and Managed Medicaid products.