**Your Molina Rewards for 2020 may be redeemed through January 31, 2021.**
Stay tuned for news on 2021 rewards coming soon!
New forms are now available for the Molina Medicare Member Rewards Program! It’s easier than ever to fill out the forms. A provider signature is no longer required.
To earn an Amazon.com Gift Card, please fill out the appropriate form(s) to tell us about the health screening(s) you have received.
- There are individual forms for each reward-related screening.
- Plus, there is a Combined Member Form that contains all of the reward-earning screenings, should you prefer to fill that out instead of separate forms.
You can submit the form(s) to us in any of the following ways:
Attn: Quality Team
P.O. Box 4004
Bothell, WA 98041-4004
Attention Molina Quality Team at (800) 461-3234
Call us at (800) 869-7175, ext. 141428, and provide details of the visit you have completed.
Print the form(s) you need below or call/email us with your screening details!