EAP Get a Quote Form

Please only complete this form if you are an employer seeking pricing information to establish a new partnership with Sentara EAP.

If you are a current Sentara EAP client, please contact us at 1-800-899-8174 for assistance.

Your Information

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Form

First Name*

Last Name*

Phone Number*

Email Address*

Organization/Company Name*

ZIP Code*

Number of Employees*

Specific Needs/Interests*

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Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products are issued and underwritten by Sentara Health Plans. Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. Sentara Health Administration, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. All plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and FAMIS products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS).