Welcome to Your Member Profile Setup
We're glad you're here! Your healthcare is important to us, and we're here to make it as simple and supportive as possible.
Complete your member profile setupWhy You May Hear From Us
You may be contacted by OptiMed to verify details or collect information needed for your care.
This outreach helps ensure your care is ready when you need it.
- Tap and hold the phone number above
- A menu will appear — tap Add to Contacts
- Save it as OptiMed so you'll recognize it
Your Privacy Matters
We protect your information with the same care we give your health.
- We comply with HIPAA privacy standards
- We only share details with those directly involved in your care
Your data is handled under strict federal privacy law. Read our full Notice of Privacy Practices to learn exactly what we collect, how we use it, and your rights.
Read Notice of Privacy Practices →Help Us Work Together With Your Providers
This form tells your providers that you want OptiMed to help coordinate your treatment.
When providers know you're working with OptiMed, they can easily share medical information and work with our team.
Complete & Sign
Fill out the entire form and sign it.
What to Expect
Before your treatment is due, we'll work with you and your provider to coordinate on your care, review your benefits, and help reduce costs when possible.
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1 Referral ReceivedWe've received a referral for your care, and are beginning the intake process.
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2 We May Contact You to Gather InfoWe may need to check or confirm some details from your intake to keep things moving smoothly and ensure clinical excellence.
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3 Proactive SetupWe can begin preparing for your plan’s go-live date up to 60 days in advance. Treatment services will begin on your official go-live date.
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4 Provider CoordinationWe will contact your provider for clinicals and prescription information needed.
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5 Coverage ConfirmationWe conduct clinical reviews to satisfy prior authorizations, as applicable.
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6 Coordinate Delivery or ServiceAfter approvals are complete, care will be scheduled or provided for upcoming doses once your plan goes live.
Resources to Help You Get Started
These guides explain what to expect, what you’ll need, and how we support you during your member profile setup.
Member Drug List Lookup
These therapies are different from everyday medications — and OptiMed is experienced in managing them.
Most common medications available through OptiMed, noting your specific benefit plan may have a custom drug list.
Is your medication impacted?
Check the Member Drug List to see which specialty medications are covered under your benefit plan.
Why OptiMed?
OptiMed specializes in coordinating care for specialty medications and advanced therapies that often require:
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Some therapies require special storage, handling, monitoring, or careful timing. We ensure clinical excellence every step of the way.
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We help coordinate clinical review and requirements so your care team has what they need at the right time.
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We work alongside your provider to align documentation, timing, and any required approvals for therapy.
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When applicable, we can help coordinate infusion services and scheduling so care happens in the right setting.
Frequently Asked Questions
(Tap or click a question to expand.)
Do I have to use OptiMed?
Is my provider out of network?
What if I have billing questions?
Hear from our patients.
Contact Us
For questions about your care or member profile: