Sentara Health Plans, Inc.

4417 Corporation Lane
Virginia Beach, VA 23462
Telephone: (757) 552-7401
Fax: (757) 552-7396
Member services: (877) 552-7401
Provider services: (757) 552-7474/ (800) 229-8822

Web site:

Key Staff
President – Michael M. Dudley
Medical Director – George K. Heuser, MD
Director of Provider Relations – Rachel Schneider
Government Relations – Stephen Ford

Other Contacts
General Company Information – Melinda Albert
Grievance/Appeals Procedures – Stephen Ford
Quality Improvement – George K. Heuser, MD
Pharmacy Benefits – Deno Sebastian

Specialized Health Care Services
Service In-House Contracted
Mental Health X
Pharmacy Benefit Mgmt. X
Vision Care X- Eye Med
Dental Care X- Dominion Dental
Disease Mgmt. X
Utilization Mgmt. X


Market Segment
Market Segment HMO/POS PPO Medicare Advantage Medicaid
Individual X X X
Small Group (2-49 Employees) X X
Large Group (50+ Employees) X X
Administrative Services Only (ASO) X X


Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs 2110 2454
Physician Specialists 6187 6809
Hospitals 41 13
OB/GYNs 389 416


Enrollment (as of January 31, 2007)
Standard HMO 144889
Medicaid HMO 121056
Point-of-Service (POS) 32990
PPO 39781
Medicare Advantage PPO 1577


Virginia HMO Service Area:
Accomack, Amelia, Brunswick, Chesterfield, Cumberland, Dinwiddie, Essex, Gloucester, Goochland, Greensville, Hanover, Henrico, Isle of Wight, James City, King & Queen, Lancaster, Lunenburg, Mathews, Mecklenburg, Middlesex, New Kent, Northampton, Northumberland, Powhatan, Prince Edward, Prince George, Richmond, Southampton, Surry, Sussex, York

Chesapeake, Colonial Heights, Emporia, Franklin, Hampton, Newport News, Norfolk, Portsmouth, Poqouson, Richmond, Suffolk, Virginia Beach, Williamsburg.

Upcoming Events

all-day 2014 Fall Forum @ Virginia Capitol
2014 Fall Forum @ Virginia Capitol
Nov 10 all-day
2014 Fall Forum @ Virginia Capitol | Richmond | Virginia | United States
Monday, November 10, 2014, Virginia Capitol РSave the date for the VAHP annual Fall Forum! 8:00 AM to 9:00 AM - Registration and continental breakfast [all attendees], Capitol Extension, House Room[...]

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