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Rewards Program

Dad helping son learn to ride bike.

You can earn My Health Pays™ rewards from Sunshine Health when your child completes healthy activities!

Healthy Activities Eligible For Rewards (As of July 1, 2023)

Focus Area

Activity Criteria

Incentive Value

Tobacco Cessation Health Coaching Sessions

Ages 10 and up. Must submit a consent form, verbally pledge to stop tobacco use and complete all four sessions within six months of the first session. $5 reward after each completed session

$20

Weight Loss Health Coaching Sessions

Ages 10 and up. Must submit a consent form, verbally pledge to lose weight within 30 days and complete six sessions within six months

$20

Substance Use Health Coaching

Ages 12 and up. Complete three coaching sessions with a Care Manager in three months. Enrollment in Case Management and signed consent form are required.

$10

Post Behavioral Health Admission Follow up Visit

Complete outpatient follow-up appointment with a behavioral health provider within seven days after discharge from an inpatient facility.

$20

Notification of Pregnancy Form

Ages 12-20 years. Complete and sign a Notification of Pregnancy form within first trimester.

$20

Comprehensive Diabetes Care

Ages 13-20 years. Complete HbA1c test and dilated eye exam once in the calendar year

$25

Annual Well Child Visit, ages 0-30 months

One visit per calendar year with PCP

$10

Annual Well Child Visit, ages 3-21 years

One visit per calendar year with PCP

$20

Prenatal Visit

Complete three prenatal visits

$50

Postpartum Visit

Complete one postpartum follow up visit between 7-84 days after delivery

$20

Childhood Immunization Status (Combo 3)

Age 2 years. 4 doses diphtheria, tetanus, and pertussis (DTaP); 3 doses inactivated poliovirus (IPV); 1 dose measles, mumps, and rubella (MMR); 3 doses haemophilus influenza type B (HiB); 3 doses hepatitis B; 1 dose varicella-zoster virus (chicken pox or VZV); and 4 doses pneumococcal conjugate vaccinations (PCV)

$20

Immunizations for adolescents (Combo 2)

Ages 10-13 years. 1 dose meningococcal vaccine and tetanus, diphtheria, pertussis (Tdap), 2-3 doses human papillomavirus (HPV)

$20

Lead screening in children

Age 2 years. Complete annual blood test for lead poisoning screening

$20

HRA completion

Completion of HRA for new members within 60 days of enrollment

$20

HPV vaccine series

Ages 13-26 years. Complete 2-3 doses human papillomavirus (HPV) vaccine

$20

TDAP for pregnant women

One dose tetanus, diphtheria, pertussis (Tdap) vaccine during pregnancy

$20

What is a Health Coaching Session*?

The above Healthy Activities are eligible for rewards. These include participating in Health Coaching Sessions. The sessions are completed over the phone to fit your child’s schedule. During these sessions, our Health Coaches can help answer questions about how to improve your child’s health. They can also provide education and support to help our members set goals and make better lifestyle choices.

How can you schedule a Health Coaching Session?

To get connected to a Health Coach, please call Member Services at 1-855-463-4100 (TTY: 1-800-955-8770), Monday through Friday from 8 a.m. to 8 p.m. Eastern.

It pays to stay healthy.

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

DON’T FORGET TO KEEP YOUR CARD!

Money Icon

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.

© 2023 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 2022-2023 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

127

775

81

983

Program completion rate from July 1, 2022, to June 30, 2023

Program*

Enrolled

Completed

Members Completed (%)

Annual Well Child Visit

16,579

16,579

100%

BH 7-Day Follow Up

680

680

100%

Diabetes Comprehensive

8,369

8,369

100%

NOP 1st Trimester

1,509

1,509

100%

NOP 2nd Trimester

764

764

100%

Substance Abuse

81

2

2%

Tobacco Cessation

127

24

19%

Weight Management

775

100

13%

Sunshine Health asked members in the Healthy Behaviors program to complete a survey. There was a 100% satisfaction rate from members in the tobacco cessation and weight management programs, and 98% satisfaction rate from members in the SUD program.  

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 2021-2022 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

14

100

144

258

Program completion rate from July 1, 2021, to June 30, 2022

Program

Q1

Q2

Q3

Q4

Total

Tobacco Cessation

0%

0%

0%

0%

0%

Weight Management

0%

0%

10%

5%

5%

SUD

7%

14%

67%

0%

19%

Sunshine Health asked members in the Healthy Behaviors program to complete a survey. There was a 100% satisfaction rate from members in the tobacco cessation and weight management programs, and a 98% satisfaction rate from members in the SUD program. 

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 LineTobacco CessationWeight ManagementSUDTotal Members
MMA and Child Welfare23200107330

Program completion rate from July 1, 2020, to June 30, 2021:

ProgramQ1Q2Q3Q4Total

Tobacco Cessation

25%

100%

9%

0%

13%

Weight Management

51%

14%

10%

3%

26%

SUD

0%

N/A

33%

17%

17%

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. 

 

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 LineTobacco CessationWeight ManagementSUDTotal Members
MMA and Child Welfare5138413448

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

ProgramQ1Q2Q3Q4Total

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.