Optima Health

Complete This Form To Access Your Personal Information.

Please have your Member ID Card available. The information you enter must match the information we have on file for you. Your member ID card is the best place to find this information.

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 ID# for Optima Medicare Members