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My Health Pays® Program

What is the My Health Pays Program?

The My Health Pays Program is meant to promote healthy behaviors. It includes activities that can help your child live a healthier life. And your child can earn rewards for completing them!*

Get rewarded for healthy behaviors like:

  • Getting recommended wellness checks for your child
  • Working with your child’s providers to manage illness (like diabetes)
  • Participating and completing activities within the Smoking Cessation, Weight Loss or Substance Use Disorder programs

* Rewards cannot be transferred. If your child leaves our plan, rewards may not be received.

Use My Health Pays rewards to help pay for:

  • Utilities
  • Transportation
  • Telecommunications
  • Childcare services
  • Education
  • Rent

Or, you can use them to:

  • Shop at Walmart for everyday items**

**This card may not be used to buy alcohol, tobacco, or firearms products.

My Health Pays Programs

We offer programs to help keep your child healthy and to help your child live a healthier life (like losing weight or quitting smoking). We call these healthy behavior programs. Your child can earn rewards while participating in these programs. The plan offers the following programs:

My Health Pays Rewards Visa card

Additional Incentives 

  • Up to $20: Tobacco Cessation Health Coaching Sessions*
    • Age 10 years old 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.
  • $20: Weight Loss Health Coaching Sessions*
    • Age 10 years old 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.
  • $10: Substance Use Health Coaching*
    • Age 12 years old 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.
  • $25: Comprehensive Diabetes Care
    • Age 13 years old to 20 years old. Complete both HbA1c test and retinopathy screening (dilated eye exam) once in the calendar year.
  • $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.
  • $50: Prenatal Care
    • Complete three prenatal visits.  
  • $20: Postpartum Visit
    • Complete one postpartum follow-up visit 7 to 84 days after delivery.        

Children’s Health 

  • $10: Well Child Visit: 0–30 months
    • Annual Well Child Visit with a PCP, one per year.
  • $20: Annual Well Child Visit (ages 3-21 years)
    • Annual Well Child Visit with a PCP, one per year.
  • $20: Lead Screening (age 2 years)
    • Complete blood test for lead poisoning screening.            
  • $20: HRA Completion for New Members
    • Complete HRA within 60 days of enrollment.       

* 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 schedule. During these sessions, our Health Coaches can help answer questions about how to improve health. They can also provide education and support to help our members set goals and make better lifestyle choices.

Please remember that rewards cannot be transferred. If your child leaves the plan for more than 180 days, your child may not receive the reward. For any questions or for how to join any of these programs, please call 1-866-799-5321 (TTY 1-800-955-8770).

My Health Pays reward dollars are added to the rewards card after we process the claim for each activity your child completes.  If your child is earning the first reward, a My Health Pays® Visa® Prepaid Card will be mailed to you.

This My Health Pays Rewards Visa Prepaid card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. The Bancorp Bank; Member FDIC. Card cannot be used everywhere Visa debit cards are accepted.

Children’s Medical Services Health Plan Healthy Behaviors Annual Evaluation 

2025

Children’s Medical Services (CMS) Health Plan believes that healthy behaviors can lead to better health outcomes. Healthy behaviors include taking care of medical needs, cutting out habits that hurt your health and getting regular preventive screenings. CMS Health Plan believes in these healthy behaviors so much that we offer rewards for them.