Your Arizona Medicare member programs and rewards
Get the member programs you need to stay healthy and find out how you can earn valued rewards.
Your Medicare plan involves no cost programs to help you feel your best. You can also earn rewards.
Reach your health goals with Molina Healthcare.
Molina Healthcare’s Healthy Actions Rewards Program was made just for our members. We want to support you on your health journey! See your doctor, complete your healthy actions, and earn rewards with Molina.
What Are Healthy Actions?
Healthy actions are routine screenings you complete with your doctor. These visits are important to keep you healthy or catch health problems early. They help your doctor come up with a care plan for you.
Follow these simple steps to earn your rewards:
Visit your My Molina Portal to see details for this year's program.
Complete These Screenings to Earn Your Rewards:
| Screening | Description |
|---|---|
| Annual Wellness Visit | Yearly in-person check-up with your doctor or in-home visit. Talk to your doctor about your care plan and ask any questions you may have. |
| Colon Cancer Screening |
Screening to check for signs of colon cancer in adults ages 45-75.
Eligible screenings include:
|
| Breast Cancer Screening |
Mammogram to check for signs of breast cancer in women ages 40-74.
A mammogram is an x-ray of your breast. The test should only take a few minutes. Your doctor will use a special x-ray that will compress each breast. This may cause some discomfort but should not hurt. |
| Flu Shot | Yearly vaccine to help lower your chances of getting the flu. |
| Diabetes Screenings |
Yearly diabetes screenings for adults ages 18-75 with diabetes.
You must complete all three screenings to claim your reward.
|
Visit your My Molina Portal for more information on eligible reward values.
Complete Health Screenings from Home
Want to complete some screenings from the comfort of your home? Molina can mail you a home lab kit. The lab kits can check:
Call the Wellness Team at (855) 483-8740 (TTY: 711), Monday through Friday, 8 a.m. to 5 p.m. local time, for more information.
What Information Do I Need to Claim My Rewards?
For each screening you complete, we will need to know:
How Do I Claim My Rewards?
You must complete your health screenings before you claim your rewards. You can claim your rewards in one of the following ways:
1. Nations Benefits Portal
Visit molina.nationsbenefits.com and enter your appointment information after your visit.
2. Phone
Call the Wellness Team. Let them know:
How Can I Use My Rewards?
Your rewards will be loaded onto your NationsBenefits Mastercard Prepaid Card. You can use your rewards to buy healthy food and produce. Visit molina.nationsbenefits.com to find stores that are part of the program.
What Happens to My Rewards if I Disenroll?
You must be an active Molina member to claim your rewards. You will lose any unspent rewards if you disenroll from Molina.
If you have questions about this year's Healthy Actions Rewards Program or how to claim your rewards, call the Wellness Team.
Molina Healthcare's reward program is subject to change without notice based on guidance from the Centers for Medicare and Medicaid Services (CMS) and the state.
Members must complete the eligible service(s) before claiming the reward. By taking part in the program, members understand that Molina may call to ask for details about the completed visit.
Disease management programs
Get help handling your chronic illness. Programs include:
Health education programs
You can stay healthier when you ask for guided help with:
This program is for members who may need help controlling their weight. The weight control program is provided for Molina members. You will learn about healthy eating and exercise. You may be able to go to classes in your area if classes are offered.
This program helps adults who want to quit smoking. We ask about your readiness to quit. If you are ready, you may join.
The program is done over the phone and lasts for six months.
Molina partners with Solera Health to offer this program. It helps you build healthy habits. It may help you lose weight. It may lower your risk for type 2 diabetes. The program gives support for your lifestyle goals.
The program includes the following:
Visit solera4me.com/molina or call (888) 305-6058 (TTY 711), Monday to Friday 9 a.m. to 9 p.m. ET to see if you pre-qualify.
You can get women's health care services from any doctor who has a contract with Molina Healthcare. You do not need a referral from your PCP. This may include services such as:
Motherhood Matters® is a program for pregnant women. This program supports a healthy pregnancy.You get a workbook and helpful resources by mail.You can talk with a Care Manager at any time.
Preventive care helps you stay healthy. Our guidelines show when you need exams and services. They help healthy children and adults with no known issues. Always follow your main doctor’s advice.
Do your part to stay healthy!
Molina covers Food and Drug Administration (FDA)-approved (HIV) tests.
If you would like to enroll in any of these programs or if you have questions, please call Member Services .
Virtual care
You can get care online or by phone through telehealth. Use the Molina Provider Online Directory to find a doctor.
Virtual care means:
Call 911 or go to the emergency room for any emergency.
Case management and complex case management
Living with health problems can be hard. We offer special programs to support you.
Case management is when a nurse works with you and your doctor. The nurse helps you get the care you need.
Complex case management is for members with serious health needs. A nurse helps you and your family manage your care.
The nurse also will work with your family or others who help care for you. The nurse will work with your main doctor to make sure you get the care you need.
There are many ways you can be referred to this program. One way to enroll is through your main doctor. You also can self-refer to the program by calling Member Services. There are certain requirements that you must meet.
This program is voluntary and is offered at no cost to you. You can choose to be removed from the program at any time.
Care coordination
Care coordination helps members with long‑term health needs. We help you find services and manage daily challenges.
A Care Coordinator’s job is to:
If you feel that you need emergency treatment, please get help first or call 911.
Caregiving
Caregiving means helping someone stay safe and healthy at home. A caregiver can be a family member, friend or neighbor. Caregiving needs can be both planned and unplanned.
Unplanned caregiving needs can happen in times of:
Planned caregiving is when a health issue or surgery is known before. Caregivers often help people with long‑term needs. For Medicare members, many often want to age-in-place in their own home. Having a part-time or full-time caregiver can help them.
Many caregivers and members want to talk to Molina Healthcare about benefits or making health care choices. There are levels of forms and approvals based on what the caregiver needs to do. Some of these forms come from the state.
Protected Health Information from HIPAA: you or your Personal Representative can complete this form. This lets Molina share PHI but does not require them to do so.
Appointment of Representative Form (CMS-1696):An appointed representative can also act for you.
If you would like to appoint a representative, you and your appointed representative must complete this form and mail it to Molina Healthcare at:
Molina Healthcare
Attn: Service Fulfillment
200 Oceangate Ste 100
Long Beach, CA 90802
Durable Power of Attorney: Members who need help making health choices can complete a Durable Power of Attorney form.
This information does not, and is not intended to, constitute legal advice. Readers of this information should talk to a lawyer to get help about any legal matter.
For more help about caregiving, including a caregiving checklist, and forms, visit MolinaCaregiving.com
Local support for members and caregivers can be found at findhelp.org and care.com
Molina Guided Care
Guided Care supports members with serious illnesses:
Our focus is to reduce pain, stress and confusion.
Members who begin Guided Care can see:
Our goal is to help you feel your best.
Your main doctor can refer you to a Guided Care doctor. Talk to your primary care doctor if you have a serious illness or condition. Your doctor can tell you if you should start Guided Care.
A caregiver may help if a member cannot make care choices. You and your representative must complete the form and mail it in.
Protected Health Information Form: You or your personal representative can complete this form. This lets Molina share PHI but does not require them to do so.
Appointment of Representative Form (CMS-1696): An appointed representative is a family member, friend, doctor or other person approved to act on your behalf in filing a grievance, coverage determination or appeal.
If you would like to appoint a representative, you and your appointed representative must complete this form and mail it to Molina Healthcare at:
Molina Healthcare
Attn: Service Fulfillment
200 Oceangate Ste 100
Long Beach, CA 90802
Durable Power of Attorney: If a member needs help in making health care choices, they should fill out the Durable Power of Attorney form for their state, which can be found here.
This information does not, and is not intended to, constitute legal advice. Readers of this information should talk to a lawyer to get help about any legal matter.
For more information about Molina Guided Care, visit MolinaGuidedCare.com
Local support for members and caregivers can be found at MolinaHelpFinder.com.
Meals benefit
Molina Medicare Complete Care (HMO D-SNP)
After a surgery or inpatient stay, you may get 28 meals. Meals arrive over two weeks.
Eligibility is based on your needs. Maximum of 56 meals and 4 weeks per year.
Non-emergency medical transportation
Molina Medicare Complete Care (HMO D-SNP)
If you are on a Molina AHCCCS (Medicaid) plan, your benefits include non-emergency medical transportation. These rides are for covered medical services.
Pre-funded debit card (MyChoice card)
Molina Medicare Complete Care (HMO D-SNP)
You receive a monthly allowance on a pre-funded debit card. You may use it for approved supplemental benefits. Unused funds do not roll over.
Supplemental dental
Molina Medicare Complete Care (HMO D-SNP)
Preventive dental services (such as cleaning, routine dental exams and dental x-rays) are not covered by Original Medicare.
We cover additional dental benefits that Original Medicare does not cover.
These benefits are detailed separately below under the dental services (supplemental) category.
Supplemental dental services covered include, but not limited to:
Preventive Dental
Comprehensive Dental
All comprehensive dental services listed below are covered up to the annual plan maximum benefit coverage amount:
To find an in-network dental provider close to you:
Search online – using our supplemental dental provider online search tool at MolinaHealthcare.com/Medicare.
Supplemental Vision
Molina Medicare Complete Care (HMO D-SNP)
We have partnered with a vision vendor for added value.
Supplemental Vision services covered include, but are not limited to:
You can use your eyewear allowance to purchase:
*If you choose contact lenses, your eyewear allowance can also be used to pay down all or a portion of your contact lens fitting fee. You are responsible for paying for any corrective eyewear over the limit of the plan’s eyewear allowance.
You pay $0 for up to one routine eye exam (and refraction) for eyeglasses every calendar year. You have an eyewear allowance every calendar year.
For your routine eye exam, find an in-network routine preventive vision provider close to you:
Search online – using our supplemental vision provider online search tool at MolinaHealthcare.com/Medicare.
Supplemental benefits are offered by the plan to help with items or services that are generally not covered by Medicare. All benefits must be used in the plan year and are only available if you are enrolled at the time services are rendered.
Supplemental hearing
Molina Medicare Complete Care (HMO D-SNP)
Our plan covers one routine hearing exam every year, one fitting for hearing aid/evaluation every year and two (2) pre-selected hearing aids covered from a plan-approved doctor every two years.
Over-the-counter (OTC) benefit
Molina Medicare Complete Care (HMO D-SNP)
You get a monthly OTC allowance on your MyChoice card. You may buy items like vitamins, sunscreen, pain relievers, bandages and cough and cold meds. Unused funds do not roll over.
OTC hearing aids are covered and included in the combined OTC allowance.
You can use your pre-funded debit card (MyChoice card):
Things to remember:
Please see the pre-funded debit card (MyChoice card) section for a complete list of benefit and services that are included in the combined allowance.
Personal Emergency Response System (PERS)
Molina Medicare Complete Care (HMO D-SNP)
When authorized, we will provide an in-home device to notify the appropriate personnel in the event of an emergency (e.g., a fall).
Case management review required.
The Silver & Fit fitness program
You can join a local fitness center or get a home fitness kit at no cost. A caregiver may join you to help you feel safe.
Start here or call 877-427-4711 (TTY: 711) Monday to Friday, 8 a.m. to 6 p.m. local time.
Special supplemental benefits for chronic illnesses
Molina Medicare Complete Care (HMO D-SNP)
You get a monthly allowance on your MyChoice card. You may use it for approved food and produce items.Unused funds do not roll over.
Please see the pre-funded debit card (MyChoice Card) section for a complete list of benefit and services that are included in the combined allowance.
Members must meet the criteria outlined in Chapter 4 of the Evidence of Coverage.
24-hour Nurse Advice Line
You can call our Nurse Advice Line 24 hours a day, 365 days a year. Nurses can help you decide what care you need. They can guide you when you have questions.
Our call center has been reviewed and approved by a national quality review organization (URAC) since 2007.
English & Spanish: (888) 275-8750
For the deaf and hard of hearing, please call TTY: 711