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.