- Rewards and Enhanced Services
Look at all the extra ways we provide for you to stay healthy:
- Unlimited office visits
- Unlimited rides to medical appointments
- $100 credit for frames, lenses, or contact lenses
- $25 for Farm to Family fresh and nutritious vegetables (one per family, every year, to purchase fresh produce) Call Molina at (844) 809-8438 to request this service.
- FREE infant car seat for completing 6 prenatal care visits during pregnancy
- FREE electric breast pump for qualified members
- 24/7 virtual care
- Reimbursement for GED classes and tests when you pass
- Access to 24/7 virtual care with Teladoc
- Two FREE cleanings and oral evaluations each year for adults. Pregnant women can receive an additional cleaning during pregnancy
- Quick access to dental benefits, ID cards, and important resources through the My Molina® Dental App
Healthy Rewards for Healthy Activities
You’ll get a Molina Healthy Rewards card for doing wellness visits, flu shots, mom care, exams and more!
- $10 for flu shot
- $25 for first dose COVID-19 shot
- $25 for routine immunizations (once per year)
- $25 for diabetic eye exam
- $25 for A1c test
- $25 for EPSDT exam
- $25 for asthma exam
- $25 for mammogram
- $25 for wellness visits for all ages
- $25 for 1st trimester prenatal care visit during pregnancy
- $25 for 2nd trimester prenatal care visit during pregnancy
- $25 for postpartum visit
You can redeem your gift card rewards with two options:
- Call the Molina member incentive line at (844) 809-8438 to claim your gift card reward for completing your health screening.
- Fill out the rewards submission form on the member portal to get your gift card rewards.
Download the member portal so you don’t miss out on your rewards!
Disease/Care Management Benefits and Services
- Pregnancy Program: Assists high-risk mothers avoid premature birth, providing tools for a healthier pregnancy and baby.
- Postpartum Kit: Postpartum wound care kit for members with slow healing vaginal lacerations or post-cesarean delivery.
- Community Baby Showers: Held throughout the state for expecting and new mothers featuring free CPR and parenting class.
- Youth Hygiene Kits: FREE hygiene kits and resources available to youth foster care members.
- Behavioral Health: Access to virtual care through the BeMe Health app for teens.
- Free mobile phone with unlimited text/talk and 4.5 GB of data for qualified members.
- Community Connectors: Community health workers assist in navigating the healthcare system and accessing community-based programs for members with chronic illnesses.
- Weight Watchers: Molina will enroll eligible members with up to 12 weeks of online Weight Watchers service vouchers (Must be 18 years or older).
- Instacart (Fresh Funds): $100 in Fresh Funds for high-risk members post hospital discharge.
- Controlling Asthma: Assists members diagnosed with asthma by providing an asthma kit, which includes a room-size air purifier, laundry sheets, a telescoping microfiber duster, and an asthma inhaler pouch.
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Covered Services
• Require Prior Authorization
Including MYPAC, inpatient/outpatient care, psychiatric residential treatment facilities and therapeutic and evaluative services
All Medicaid policy restrictions applyFor members with a chronic disease – disease management
$700 maximum per year for members 21 and over. Members under 21 can get additional services if medically necessary and prior authorization is obtained
Limitations may apply based on type of services provided.
All Medicaid policy restrictions applyDental
- Emergency pain relief
- Palliative care
$2,500 maximum per yearDental
- Preventive
- Diagnostic
- Restorative
$2,500 maximum per year
Orthodontia
$4,620 maximum per lifetime per child
Annually
Freestanding or hospital-based center services
All Medicaid policy restrictions apply.
Limited to beneficiaries under 21 years of age.
No Limit
Adults: 1 eye exam and 1 pair of glasses every fiscal year
Children: (under age 21) 2 eye exams per year and 2 pair of glasses. EPSDT- eligible members are eligible for more services if determined medically necessary.
Inheritable disease diagnosis such as Sickle Cell
Hearing aids are covered for members under 21 years of age, including cochlear implants
Limited to 36 visits per year. Members under 21 can get additional visits if authorized. Physical therapy and speech therapy visits in the home health setting are not covered through the home health program for beneficiaries age 21 and over.
Inpatient and Outpatient
Inpatient and Outpatient
Requires consent form with authorization request
All Medicaid policy restrictions apply.
To medical appointments, vision exams and pharmacy visits immediately following a medical appointment
Including but not limited to Thallium stress test or nuclear stress test
24-hour nurse advice line: (844) 794-3638
Including Prenatal/Postpartum visits
Inpatient/outpatient setting
All Medicaid policy restrictions apply.
24/7 Personal Care Managers available in clinics
No limit
Subject to qualifying systemic diagnosis
Including postpartum care
6 per month; EPSDT eligible members are eligible for more prescriptions if determined to be medically necessary. 72 hour supply of emergency drugs.
Mammograms, well baby and well child care, regular check-ups, EPSDT services
Physician's Office or Outpatient department of a hospital
Infusion in home setting applies to home health benefit limits
Covered for members 21 and over
Requires properly signed consent form, see Title 23: Medicaid Part 202, Rule 5.3 for more information
Limitations may apply based on type of services provided. Prior authorization may be required.
Limited to beneficiaries under 21
Outpatient
Yes, in accordance with Title 23: Medicaid Part 202, Rule 4.2 and 4.3
EPSDT immunizations, flu shots and pneumonia vaccines
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