Added Benefits for Medicaid
Members age 21 and up get one eye exam and $100 for frames each year. Must use an in-network provider.
Pregnant members are invited to the Optima Health baby showers. Have fun while experts share ways to have a healthy pregnancy and get connected to free local resources.
View schedule and register.
Approved member households can get a free smartphone. The plan includes:
- a free smartphone with unlimited texts, 350 minutes, and free calls to Optima Health
- free unlimited wireless, texts, minutes, and hotspot (one per household)
Members who qualify can get up to $75 toward applying for college. Sponsored by Optima Health Read, Learn, Grow.
Members most at risk for developing diabetes are invited into a special program. It features health coaching and a weight management program. Not a FAMIS added benefit.
For eligible pre-diabetic members 18 years old and up or by invitation based on claims history.
Watch this video to see how the program works.
New in 2023 – Members receive 400 free diapers per pregnancy. To qualify, members must complete their prenatal and postpartum visits and they must have become pregnant in 2023. Only one set of 400 diapers will be given per pregnancy, regardless of giving birth to one or multiple children at the same time. All diapers are shipped at one time to the member’s home.
New in 2023 – Members may order up to $20 in feminine hygiene products each quarter. Products include items such as tampons, sanitary pads, feminine wipes, and period panties. Unused dollars will roll over to the next quarter, but all will expire on December 31, 2023. If a member disenrolls from Optima Health and later becomes a member again, any previously unused amounts are lost. The benefit would restart.
Optima Health wants to help make managing your money easier by offering a financial wellness program. Members have free access to:
- personalized financial assessment
- recommended steps to achieve your financial goals
- tools to help you create a budget
- budget calculators
- spend trackers
- courses to help you make financial decisions
- one-on-one financial coaching to help you plan
- savings accounts to help you establish a financial safety net
Members can get help earning their GED. They may receive up to $275 for the GED testing voucher and an online prep program. Sponsored by Optima Health Read, Learn, Grow.
The HEAL Program is a series of classes focusing on healthy living. There are ten classes in a series. Each class is 90 minutes. Members may take any one of the classes or all of them. For members 18 years old and up. Topics include:
- healthy eating
- what to expect during doctor visits
- medicine label details
- when to go to urgent care instead of the hospital
- mental health
- medical directives
Watch this video to see how the HEAL Program helps improve health.
Sponsored by Optima Health Read, Learn, Grow.
New in 2023 – Members who become pregnant in 2023 will get a grocery card for healthy food, including fresh fruits and vegetables. The grocery card amount is $75 per quarter. Unused dollars will not roll over each quarter. This benefit ends 12 months after giving birth or having a miscarriage. If a member disenrolls from Optima Health and later becomes a member again, any previous unused amounts are lost. The benefit would restart.
Members may earn up to $50 in gift card rewards for seeing the doctor and having certain screenings and vaccinations.
Learn how to earn rewards.
Contact: Member Services
The Healthy Savings Program offers weekly discounts on:
- healthy food
- over-the-counter (OTC) medications and products
- baby items
- cleaning supplies
The discount card or the app can be used at certain grocery stores.
Learn more about Healthy Savings.
After a hospital stay, 56 meals will be delivered to a member’s home. This includes returning home after having a baby or moving from a nursing home to the community. Members must use the approved network.
Contact: Care Coordinator
New in 2023 – Incontinence is the loss of bladder control. Members age 18 and up qualify if they have this issue from a chronic physical or mental condition, including cerebral palsy and developmental delay.
Once eligibility is confirmed, members may purchase up to $30 in products each quarter. Unused amounts will roll over. Any dollars not spent by December 31, 2023 will expire. If a member disenrolls from Optima Health and later becomes a member again, any previously unused amounts are lost. The benefit would restart.
New in 2023 – Members with asthma qualify for a free mattress cover or protector and a pillowcase every two years.
Managed care members with dementia or Alzheimer’s disease can get certain home security devices. The devices may include door and window alarms, chimes, bed alarms, and monitors. Must get devices from the approved network. Authorization is required.
Contact: Care Coordinator
Our online resource guide is a search tool to find food, housing, jobs, and more.
View the Online Community Resource Guide.
Walk your way to wellness. Track your steps with a free pedometer. Members must be at least five years old to qualify.
Optima Health partners with Rainbow Puppets Productions to help bring the joy of reading to life. Each child pre-K through sixth grade who attends a show goes home with a free book. Sponsored by Optima Health Read, Learn, Grow.
Members can get a special exam to check if they are ready to play certain sports. The exam is free.
Members can have a doctor’s or therapist visit from anywhere when they use our telehealth service. Telehealth means you meet with the doctor online or over the phone, instead of going to an office. It is offered 24 hours a day, 7 days a week, including holidays. There is no cost to members. Telehealth visits are good for non-life threatening health questions, prescription needs, and mental health concerns.
Eating for Life is an online program to help manage weight. It offers ways to help members eat healthy and get exercise.
Contact: Member Services at 1-800-881-2166 (TTY: 711) to be connected with Health and Prevention.