Optima Health

Complete This Form To Access Your Personal Information.

Please have your Member ID number available. Your Member ID number can be found on your invoice, welcome letter, or member ID card. The information you enter must match the information you provided at enrollment. For example, if you enrolled as "John Doe" you must register as "John Doe" without name modifications, such as a nickname or middle initial.

Members age 14 and older can register to use online tools on optimahealth.com.

Personal Information

*

Important Note: Enter your member ID Number (labeled Member #) exactly as it appears on your ID card.

Important Note: Enter your full name (labeled Member Name) exactly as it appears on your ID card.

All members (except Medicare) enter either:

  • Last four digits of your SSN
    or
  • Medicaid ID# for Optima Family Care Members

Optima Medicare Members Only:

  • Medicare Beneficiary Identifier (MBI) or Health Insurance Claim Number (HICN)