Medicaid Member Incentives

We reward you for getting and staying healthy. The Healthy Incentives Program rewards you with up to $50 in gift cards for completing certain wellness exams and services.

How does it work?

  • If you qualify, we will send you a postcard in the mail.
  • The postcard has a form you will need to take with you when you go to your exam.
  • Ask your doctor to complete the form.
  • Mail or fax the completed form back to Optima Health.
  • After we verify the form is correct, we will mail you a gift card within 6 to 8 weeks.
  • If there is an issue with the form, we will call you.

Contact the Member Outreach and Education Department to check eligibility.

Toll-free: 1-833-261-2367 (TTY: 711)
Monday - Friday, 8:00 a.m. - 5:30 p.m.
Email: ofc_referrals@sentara.com

About Rewards

The rewards maximum is $50 per member in a calendar year. Once you earn a total of $50, you will not be rewarded with additional gift cards. The visit, exam, or vaccination must be completed by December 31 to earn rewards for that same calendar year.

How to Send Your Form

There are three ways to send us your completed form.

1. Email to ofc_referrals@sentara.com
2. Fax to 1-833-552-3072
3. Mail to Optima Health Member Outreach and Education
    824 North Military Highway
    Suite 200
    Norfolk, VA 23502

Learn about the types of doctor’s visits that could earn you rewards:

Prenatal Visits

We want to help you have a healthy pregnancy. A prenatal visit means going to your doctor to check your baby’s development.

Your first appointment is important. Remember to bring your Healthy Incentives form with you to earn a $25 gift card.

How to Earn:

  • New member: See your doctor within 42 days of joining.
  • Existing member: See your doctor within the first 12 weeks of becoming pregnant.
  • Excludes Optima Health Community Care members.

Postpartum Visit

We want to help you recover after giving birth. A postpartum visit with your doctor checks on your health.

Remember to bring your Healthy Incentives form with you to earn a $25 gift card.

How to Earn:

  • See your doctor no later than 7 to 84 days after your baby is born.
  • Excludes Optima Health Community Care members.

Well-Child Visit

A well-child visit is a routine medical checkup for a child age 3 to 6 years old. The exam will check the child’s growth and development. This preventive visit may help avoid health issues.

Remember to bring the Healthy Incentives form to the doctor’s visit to earn a $50 gift card.

How to Earn:

  • Members 3 to 6 years old: Complete by December 31 of each calendar year.

Well-Child Vaccines

Vaccines protect children from certain diseases. Children should get them at certain ages.

Remember to bring the Healthy Incentives form with you to earn a $50 gift card.

How to Earn:

  • Members 0 to 2 years old: Must have their Dtap, IPV, MMR, HepB, HIB, Varicella, Pneumococcal, HepA, Rotavirus, and Flu vaccines on or before their second birthday by by December 31 of the calendar year.

Well-Adolescent Visit 

Pre-teens and teenagers should see the doctor once every year for a routine medical checkup. This is called a well-adolescent visit.

The preventive visit can be helpful in avoiding health issues. It is also a good opportunity to ask the doctor important questions.

Remember to bring the Healthy Incentives form to the visit to earn a $50 gift card.

How to Earn:

  • Members 11 to 17 years old: See the doctor by December 31 of each calendar year.

Well-Adolescent Vaccines

Vaccines help protect pre-teens from getting sick from viruses and other diseases.

Remember to bring your Healthy Incentives form with you to earn a $50 gift card.

How to Earn:

  • Members 9 to 13 years old: Have their Tdap, Meningococcal, and HPV vaccines on or before their 13th birthday; by December 31 of the calendar year.

Foster Care Health and Dental Visits

We are here to help children in foster care with their health needs. Routine checkups with the doctor and dentist may help prevent issues.

Remember to bring the Healthy Incentives form to the visit to earn a $50 gift card.

How to Earn:

  • Members in Foster Care: Have both a doctor visit and dental visit within 30 days of becoming an Optima Health member.

Diabetic Eye Exam

Diabetes may put the health of your eyes at risk. It can lead to blurry vision or blindness.

If you are living with diabetes, it is important to have your eyes checked every year.

Remember to bring the Healthy Incentives form to the visit to earn a $50 gift card.

How to Earn:

  • Members 18 to 75 years old: Have your eye exam by December 31 of each calendar year.

What if I never received my gift card?

If you never received your gift card, please call the Member Outreach and Education Department.

Toll-free: 1-833-261-2367 (TTY: 711)
Monday - Friday, 8:00 a.m. - 5:30 p.m.