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Member Rewards

We offer programs to help keep you healthy and to help you live a healthier life. These are programs such as losing weight or quitting smoking. We call these healthy behavior programs. You can earn rewards while participating in these programs. 

How it works

Earning rewards is easy! When you make certain healthy choices, reward dollars will automatically be put on your CentAccount rewards card. The rewards are added approximately two weeks after we receive the claim from your provider for the healthy behavior you’ve completed. If it’s your first reward, a card will be mailed to you.

Please remember that rewards cannot be transferred. If you leave our plan for more than 180 days, you may not receive your reward. If you have questions or want to join any of these programs, please call us at 1-866-796-0530.

Our plan offers the following programs: 

Reward Reward Value Limitations

Well Child Visits in First 15 Months

$50

  • Ages birth to 15 months.
  • All six visits must be completed.
  • Visit must be with a PCP.

Preventive Well Child PCP Visits

$10

  • Ages 2 to 20.
  • Only one reward for this service per calendar year.

Preventive Adult Primary Care Visit

$10

  • Age 21 and older.
  • Visit must be with PCP.
  • Only one reward for this service per calendar year.

Cervical Cancer Screening

$10

  • Females ages 21 to 64.
  • Only one reward for this service per calendar year.

Breast Cancer Screening

$10

  • Females ages 50 to 69.
  • Only one reward for this service per calendar year.

Diabetic Screenings

  • HbA1c test
  • Nephropathy test
  • Dilated eye exam

$40

  • Members with diabetes.
  • All three services must be completed within same calendar year.
  • Only one reward for this service per calendar year.

Prenatal Visits

$10, up to $30 total

  • No age restriction.
  • A Notice of Pregnancy form must be received and the member enrolled in Start Smart for Your Baby maternity program by 37th week of pregnancy.
  • Payment is for third, sixth and ninth prenatal visit.

Postpartum Visits

$10

  • No age restriction.
  • Member does not have to be enrolled in Start Smart for Your Baby.
  • Postpartum visit must occur between 21 and 56 days after the delivery date.

Post Behavioral Health Admission Follow-up Visit

$10

  • No age restriction.
  • Member must have been admitted to a behavioral health inpatient acute care facility.
  • Visit post discharge must be with a behavioral health provider.
  • The post discharge visit must occur within seven calendar days after the date of the discharge.

Substance Abuse Health Coaching and/or Treatment

Up to $30

  • Ages 12 and older.
  • Reward for up to three coaching sessions with a case manager.  The third session must occur within three months of the date of the first session.
  • Reward for a visit with a substance abuse provider for any of the three types of outpatient visits below:
    • Medication assisted treatment.
    • Intensive outpatient treatment.
    • Outpatient substance use provider visit.
  • Reward is $5 after each completed session.

Tobacco Cessation Health Coaching

Up to $20

  • Ages16 and older.
  • Member must sign and return the Sunshine Program Consent form.
  • Member must state that they are willing to stop using tobacco within 30 days.
  • Complete up to four health coaching sessions for tobacco cessation.
  • The fourth session must be completed within six months of the date of the first coaching session.
  • Reward is $5 after each completed session.

Weight Loss Health Coaching

Up to $20

  • Ages 13 and older.
  • Member must sign and return the Program Consent form.
  • Member must state that they are willing to take steps to lose weight within 30 days.
  • Must complete four health coaching sessions for weight loss.
  • The fourth session must be completed within six months of the date of the first coaching session.
  • Reward is $5 after each completed session.

Program Consent Form Received for Agreement to Participate in Tobacco Cessation Health Coaching or Weight Loss Health Coaching Programs

$5

  • Consent form must be signed and received at Health Plan.
  • Up to two program consents per calendar year: one for Tobacco Cessation and one for Weight Loss.

New Member Health Risk Screening

 

Sunshine Health wants to know how we can better serve you. One way we do this is by asking you to fill out a Health Risk Screening. This form gives us information to determine your needs. You can locate the form inside our secure member portal: www.sunshinehealth.com/login.

$10

  • A newly enrolled member in Sunshine Health.
  • Completion of a Health Risk Screening within 90 days of enrollment.
  • Only one reward.