Sentara Health Plan

Sentara Health Plan is a prominent health insurance provider in the United States, operating as a subsidiary of Sentara Healthcare, a non-profit health system based in Virginia. With a strong presence in the Mid-Atlantic region, Sentara Health Plan offers a range of health insurance products and services to individuals, families, and employer groups. As a trusted health plan, Sentara is committed to providing high-quality, affordable healthcare coverage that meets the diverse needs of its members.

Established in 1984, Sentara Health Plan has a long history of serving the healthcare needs of its community. Over the years, the health plan has expanded its product offerings to include a variety of plans, such as individual and family plans, group plans, Medicare Advantage plans, and Medicaid plans. Sentara Health Plan's extensive network of healthcare providers includes primary care physicians, specialists, hospitals, and other healthcare facilities, ensuring that members have access to comprehensive and coordinated care.

Health Insurance Products and Services

Sentara Health Plan offers a diverse range of health insurance products and services designed to meet the unique needs of its members. The health plan’s product portfolio includes:

• Individual and family plans: Sentara Health Plan offers a range of individual and family plans, including catastrophic, bronze, silver, gold, and platinum plans, which vary in terms of premium costs, deductibles, and out-of-pocket expenses.
• Group plans: Sentara Health Plan provides group health insurance plans to employer groups, offering a range of plan options and flexible benefit designs to meet the needs of businesses and their employees.
• Medicare Advantage plans: Sentara Health Plan offers Medicare Advantage plans, which provide Medicare beneficiaries with additional benefits and services beyond traditional Medicare, such as prescription drug coverage, dental, vision, and hearing benefits.
• Medicaid plans: Sentara Health Plan participates in Medicaid programs, providing health insurance coverage to low-income individuals and families who meet eligibility requirements.

Network and Provider Partnerships

Sentara Health Plan’s extensive network of healthcare providers is a key factor in its ability to deliver high-quality, coordinated care to its members. The health plan’s network includes:

• Primary care physicians: Sentara Health Plan's network includes a large number of primary care physicians, who serve as the first point of contact for members and provide routine medical care, preventive services, and referrals to specialists.
• Specialists: Sentara Health Plan's network includes a wide range of specialists, including cardiologists, dermatologists, gastroenterologists, oncologists, and orthopedic surgeons, among others.
• Hospitals and facilities: Sentara Health Plan's network includes numerous hospitals, outpatient facilities, and other healthcare facilities, ensuring that members have access to comprehensive and coordinated care.

Quality and Performance

Sentara Health Plan is committed to delivering high-quality healthcare services to its members. The health plan’s quality and performance are measured through various metrics, including:

• NCQA ratings: Sentara Health Plan is accredited by the National Committee for Quality Assurance (NCQA), which evaluates health plans based on their quality, customer satisfaction, and network performance.
• HEDIS measures: Sentara Health Plan reports on its performance using the Healthcare Effectiveness Data and Information Set (HEDIS) measures, which assess the quality of care provided to members in areas such as preventive care, chronic disease management, and patient satisfaction.
• CAHPS surveys: Sentara Health Plan participates in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, which gather information from members about their experiences with the health plan and its providers.

Member Engagement and Education

Sentara Health Plan recognizes the importance of member engagement and education in promoting health and wellness. The health plan offers a range of resources and tools to help members make informed decisions about their healthcare, including:

• Member portal: Sentara Health Plan's member portal provides members with secure access to their health information, claims, and benefits, as well as tools for tracking their health and wellness.
• Health coaching: Sentara Health Plan offers health coaching programs, which provide members with personalized guidance and support to help them manage chronic conditions, improve their health, and achieve their wellness goals.
• Wellness programs: Sentara Health Plan offers a range of wellness programs, including fitness classes, weight management programs, and stress management workshops, which are designed to promote healthy behaviors and lifestyles.

Meta Description: Sentara Health Plan is a non-profit health insurance provider offering a range of health insurance products and services to individuals, families, and employer groups. Learn more about Sentara Health Plan’s network, provider partnerships, and quality metrics.