Rewards and Incentives for Medicare Plans

Earn a reward when you complete eligible preventive screenings, exams, or vaccinations.

Taking an active role in managing your health is important.  That’s why Optima Medicare wants to reward you for your healthy behavior. 

It’s easy to earn rewards! Simply complete an eligible preventive screening, exam, or vaccination and you can earn a gift card that you can use as a credit card.

  1. Call
    Call your doctor to schedule the preventive screening, exam, or vaccination.
  2. Visit
    Go to your appointment and complete the preventive screening, exam, or vaccination.
  3. Claim
    Your doctor will submit a claim to us showing you completed the preventive screening, exam, or vaccination.
  4. Receive
    We process your reward! You’ll receive a gift card in the mail 8-10 weeks after receipt of the claim.

2021 Healthy Rewards Program

Expand All

  • Annual Wellness Visit - $25 reward

    • The Annual Wellness Visit is an appointment with someone from your primary care provider’s team. At this appointment you can discuss any health issues you are having as well as plan for all preventive screenings, tests, and vaccines you might need over the next few years.
    • Available to all Optima Medicare and Optima Community Complete members. 
  • Annual Physical Exam - $25 reward

    • The Annual Physical Exam is another great way for you to engage with your doctor. During an Annual Physical Exam, your provider reviews your current health history and completes a comprehensive physical exam and evaluation of chronic diseases, if applicable.
    • Available to all Optima Medicare and Optima Community Complete members.
  • Annual Flu Vaccine - $10 reward

    • Getting your Annual Flu Vaccine is an important step to keeping yourself healthy. According to the Centers for Disease Control and Prevention, during the 2017-2018 flu season, flu vaccination prevented an estimated 6.2 million cases of the flu.
    • Available to all Optima Medicare and Optima Community Complete members.
  • Breast Cancer Screening (Mammogram) - $25 reward

    • Regular mammograms can help detect breast cancer early, when it is easiest to treat. For most women, a mammogram is the best way to detect breast cancer. According to the Susan G. Komen Foundation, the five-year breast cancer survival rate for those diagnosed early (Stage 1) is 98-100%.
    • Available to female members, ages 50-74.
  • Colon Cancer Screening - $25 reward

    • According to the Centers for Disease Control and Prevention, regular screening is key to preventing colorectal cancer. For questions about which colorectal cancer screening is best for you, contact your doctor to learn your options.
    • Available to members ages 50-75.
  • Diabetic HbA1c Test - $10 reward

    • Managing your diabetes includes regular screenings to ensure you are staying as healthy as possible. The HbA1c test measures how much of your hemoglobin is coated with sugar. The higher your level, the greater your chance for diabetes related complications down the road.
    • Available to members with diabetes.
  • Diabetic Eye Exam - $10 reward

    • Diabetic retinopathy is a common diabetes complication, and it is the leading cause of blindness in adults in the United States. Annual diabetic eye exams are an important part of managing your diabetes and health.
    • Available to members with diabetes.
  • Diabetic Kidney Function Test - $10 reward

    • Diabetes can damage the kidneys. Kidney function testing, such as the urine protein (microalbumin) screening, is important to ensure your kidneys are functioning optimally.
    • Available to members with diabetes.
  • Medication Therapy Management (Comprehensive Medication Review) - $50 reward

    • If you are eligible for the Medication Therapy Management Program, OptumRx will contact you on behalf of Optima Medicare and ask you to participate in a Comprehensive Medication Review. This review is a special opportunity for you to talk one-on-one with a clinical pharmacist about all of your medications, including over-the-counter drugs. Participating in the review can help you make sure you are taking all of your medications safely and identify any possible medication interactions your physician may need to know about.
    • Available to Optima Medicare Value (HMO) and Optima Medicare Prime (HMO) members in the Hampton Roads Southside or Peninsula regions only. You must be eligible to participate in the Medication Therapy Management program.
  • Part D Vaccines - $50 reward per vaccine

    • Regular vaccines are an important part of your ongoing preventive healthcare plan. Ask your doctor if you are clinically eligible for any of the qualifying vaccines, such as Shingles, TDAP, Hepatitis A/B, or Meningococcal.
    • Available to Optima Medicare Value (HMO) and Optima Medicare Prime (HMO) members in the Hampton Roads Southside or Peninsula regions only. You must meet vaccine-specific criteria to be eligible to receive the vaccine.
    • Eligible vaccines: Shingles, TDAP, Hepatitis A/B, Meningococcal

Frequently Asked Questions

Expand All

  • How does the rewards program work?

    First, schedule an appointment with an in-network provider for the service. When you complete the screening, exam, or vaccine, a claim is submitted to us from the provider. Once Optima Medicare receives the claim, a gift card will be mailed to you within eight to ten weeks. The gift card is mailed to the address we have on record.

  • What are the eligibility criteria?

    All Optima Medicare and Optima Community Complete (HMO D-SNP) members are eligible for at least three rewards, Annual Wellness Exam, Annual Physical Exam, and Annual Flu Vaccine. Some members may qualify for additional rewards, such as Breast Cancer Screening for females ages 50-74 and Colorectal Cancer Screening for members ages 50-75. Members with diabetes can also earn a reward for completing a Diabetic Eye Exam, a Diabetic Kidney Function Test, or Diabetic HbA1c Testing.

  • Which plans are eligible?

    • Members enrolled in Optima Medicare Value (HMO), Optima Medicare Prime (HMO), Optima Medicare Classic (HMO), Optima Community Complete (HMO D-SNP) in all regions are eligible for:
      Annual Wellness Visit, Annual Physical Exam, Annual Flu Vaccine, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, Diabetic Kidney Function Testing, Diabetic HbA1c Testing
    • Members enrolled in Optima Medicare Value (HMO) or Optima Medicare Prime (HMO) in Hampton Roads Southside or Peninsula plans only are also eligible for:
      Medication Therapy Management and Part D Vaccines
  • Why should I participate in the 2021 Healthy Rewards Program?

    The benefit you get from participating in the rewards program is more than just earning a gift card. Preventive care and staying on top of your health is important to healthy aging. The rewards activities selected can help you manage your overall wellness and help you develop a roadmap to achieve your health goals.

  • How can I follow up on my rewards eligibility or gift card status?

    For questions about the rewards program or to follow up on gift card status, please call member services at 1-800-927-6048 (TTY: 711) or email at members@optimahealth.com.