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Rewards Program

You can earn My Health Pays™ rewards from Sunshine Health when you complete healthy activities!

Effective through Sept. 30, 2021

$40 Annual Comprehensive Diabetes Care. Age 18-75. Must complete all of the following once in the calendar year.

  • HbA1c test
  • Retinopathy screening (dilated eye exam)
  • Kidney screening

UP TO $20 4 Weight Loss Health Coaching Sessions. Age 13 and up. Must submit a consent form to participate and complete all 4 sessions within six months of the first session. $5 reward after each completed session.

UP TO $20 4 Tobacco Cessation Health Coaching Sessions. Age 16 and up. Must submit a consent form to participate and complete all 4 sessions within six months of the first session. $5 reward after each completed session.

$5 Program Consent Form Signed And Received by Sunshine Health for participation in tobacco cessation or weight loss health coaching.

Up To $30 Substance Abuse Health Coaching Sessions. Age 12 and up. $5 reward for completing three coaching sessions in three months. Then, $5 for any outpatient visit with a substance abuse provider for a substance use visit, medication assistance treatment or intensive outpatient treatment. $5 reward after each completed session.

$10 Follow Up Visit After Being Discharged From An Inpatient Behavioral Health Facility. 7 days within discharge. Must attend an outpatient follow up appointment with a behavioral health provider.

$20 Notification of Pregnancy Form* Completed within first trimester.

$10 Notification of Pregnancy Form* Completed within second trimester.

$10 Postpartum Doctor Visit. 4-6 weeks after delivery.

$50 6 Infant Well Care Visits With A Primary Care Doctor. By 15 months old. These visits are recommended before 30 days old, and at 2, 4, 6, 9, 12 and 15 months old.

$10 Annual Child Well Care Visit. Age 2-20. One per calendar year.

$10 Health Risk Assessment/Screening. Within 60 days of health plan enrollment. Complete this form online through your secure member account or call Member Services.

*Only one Notification of Pregnancy form can be submitted per pregnancy.

My Health Pays® Rewards Effective Oct. 1, 2021

Healthy Activities Eligible For Rewards

  • $25 Comprehensive Diabetes Care: Age 13-20. Complete both HbA1c test and retinopathy screening (dilated eye exam) once in the calendar year
  • $20 Weight Loss Health Coaching Sessions: Age 10 and up. Must submit a consent form signed by member’s parent/guardian, verbally pledge to lose weight within 30 days and complete six sessions within six months
  • Up to $20 Tobacco Cessation Health Coaching Sessions: Age 10 and up. Must submit a consent form signed by member’s parent/guardian, verbally pledge to stop tobacco use and complete all four sessions within six months of the first session. $5 reward after each completed session.
  • $10 Substance Use Health Coaching: Age 12 and up. Complete three coaching sessions with a Care Manager in three months. Enrollment in Case Management and signed consent form by member’s parent/guardian are required.
  • $20 Post Behavioral Health Admission Follow up Visit: Earn rewards for attending an outpatient follow up appointment with a behavioral health provider within seven days after discharge from an inpatient facility
  • $20 Notification of Pregnancy Form (first trimester): Age 12-20 years. Complete and sign a Notification of Pregnancy form within first trimester
  • $10 Annual Well Child Visit (age 0-30 months): Annual Well Child Visit with a PCP, one per year
  • $20 Annual Well Child Visit (age 15-20 years): Annual Well Child Visit with a PCP, one per year
  • $20 Prenatal Care: Complete a prenatal visit
  • $20 Immunizations for Adolescents (Combo 1): Ages 10-13. Complete both Tdap and meningococcal vaccines

It pays to stay healthy.

You will receive your My Health Pays Visa® Prepaid Card when you earn your first reward from Sunshine Health. Each time you complete a qualifying healthy activity, we are notified, and your reward dollars will be added to your existing card. It’s that simple!

DON’T FORGET TO KEEP YOUR CARD!

Learn more at SunshineHealth.com or call 1-855-463-4100 (TTY: 1-800-955-8770)

This card is issued by The Bancorp Bank, Member FDIC, pursuant to a license from Visa U.S.A. Inc. Card cannot be used everywhere Visa debit cards are accepted. See Cardholder Agreement for complete usage restrictions.

© 2019 Sunshine Health. All rights reserved.

Sunshine Health Healthy Behaviors Program Evaluation

Sunshine Health’s Healthy Behaviors program aims to help members improve their health and wellness. The program also helps members manage chronic conditions and build relationships with their providers. Known as My Health Pays, the program lets members earn dollar rewards by completing healthy activities. Read the full evaluation (PDF).

Tobacco Cessation Program

The Tobacco Cessation program provides support and educates members to help them stop using tobacco. It aims to reduce the risk of tobacco-related conditions like high blood pressure, heart disease and cancer.

Weight Management Program

The Adult Weight Management program helps members improve their diet and exercise. It aims to help them manage weight and decrease risk for health problems.

Substance Use Disorder (SUD) Program

The SUD program helps members, their families and caregivers access treatment, schedule doctor visits, get medications and manage side effects. It also helps them understand how the disease affects their emotional health.

Total members who participated in Healthy Behaviors:

Product Line Tobacco Cessation Weight Management SUD Total Members
MMA and Child Welfare 51 384 13 448

Program completion rate from July 1, 2019, to June 30, 2020:

Program Q1 Q2 Q3 Q4 Total

Tobacco Cessation

31%

0%

22%

100%

31%

Weight Management

30%

22%

35%

72%

37%

SUD

0%

50%

0%

33%

23%

Sunshine Health asked members in the Health Behaviors program to complete a survey. There was a 100% satisfaction rate from all members who took the survey.