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Benefits Overview

Sunflower Health Plan offers KanCare (Kansas Medicaid) plans with comprehensive healthcare services that suit the needs of families and individuals throughout Kansas.

View some of Sunflower Health Plan's Kansas Medicaid benefits below. You can also view more information in our Member Handbook.

Learn how to enroll in Kansas Medicaid with Sunflower Health Plan as your plan provider. Then you can access these benefits too!     

Get rewarded for focusing on your health!

Earn My Health Pays® Kansas Medicaid rewards when you complete healthy activities like a yearly wellness exam, annual screenings, tests and other ways to protect your health.

Use Your My Health Pays® rewards to help pay for:

  • Utilities
  • Transportation
  • Telecommunications
  • Childcare services
  • Education
  • Rent

Or, you can use them to:

  • Shop at Walmart or Hy-Vee for everyday items**

**This card may not be used to buy alcohol, tobacco, or firearms products.

Find more information on this program for Sunflower Kansas Medicaid members by visiting the My Health Pays® rewards page.

As part of your Kansas Medicaid benefits and coverage, Sunflower Health Plan can help you find a provider, find local resources, plan an appointment and find transportation. Call Customer Service toll free 1-877-644-4623 (TTY: 711).

Care coordination and disease coaching are part of your health benefits and are provided to you at no cost. Sunflower Health Plan pays for these services. We provide services for many conditions, such as asthma, diabetes, COPD, high-risk pregnancy and many more. Call Customer Service toll free 1-877-644-4623 (TTY: 711).

Interested in quitting a tobacco habit? We have resources available to help. For KanCare members, there is now an expanded benefit available, just for you.

Through Lifeline providers like Assurance, eligible members can receive free voice, data and text services. Assurance and SafeLink calls to Sunflower’s toll-free number don’t use your minutes.

Kansas Medicaid members enrolled with Sunflower Health Plan can choose who they see for their healthcare needs from our network of providers. We have many for you to choose from. If you need help choosing a doctor, call Customer Service toll free 1-877-644-4623 (TTY: 711).

Sunflower Health Plan covers dental services like fillings, crowns, fluoride treatments and dentures for members who need them. Some services may vary by members' age.

Preventative care visits are covered by Sunflower Health Plan for Kansas Medicaid members. This means visiting the doctor for a regular check-up, rather than waiting until you are sick. 

Sunflower Health Plan covers an annual physical for adults.

Regular child check-ups are also covered for those under the age of 21. These doctor visits should occur at the below ages. Children also need a blood lead test at 12 and 24 months of age. We cover this. After that, if they are high risk, they need the blood lead test each year age 3 to 6. 

  • Birth
  • 3 to 5 days
  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • 3 years
  • 4 years
  • Every year until age 21

Search for a provider in our network.

Our Nurse Advice Line is ready to answer your health questions 24 hours a day – every day of the year. It is staffed with registered nurses. These nurses have spent lots of time caring for people. Now they are ready and eager to help you. Call toll free 1-877-644-4623 to be directly connected. Please have your Sunflower ID card number handy.

Sunflower’s Community Health Services team offers one-on-one support to help you understand your health coverage and connect with local resources. We can help with:

  • Building a relationship with your doctor.
  • Understanding your benefts.
  • Finding transportation, food, clothing, shelter and health programs.

Support is available by phone or in person. Call Customer Service toll free 1-877-644-4623 to learn more.

Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant and for those moms who just had a baby.  We want to help you take care of yourself and your baby every step of the way. If you are pregnant, please let us know by completing a Notification of Pregnancy form. After completing this form you will be enrolled in Start Smart. You will receive information in mail and over the phone. You can also get information in the Health & Wellness section.

Tips for Pregnancy

If you are pregnant or want to become pregnant, keep these things in mind:

  • Go before you show! Go to the doctor as soon as you think you are pregnant. It is important for you and your baby to see a doctor as early as possible. It will keep both of you healthy. It will also help your baby get off to a good start. It is even better to see a doctor before you are pregnant. This is so you can get your body ready for pregnancy.
  • Maintain healthy lifestyle habits. This includes exercising, eating balanced and healthy meals, and resting for 8-10 hours every night.
  • Do not use tobacco, alcohol or drugs now or while you’re pregnant.

Breastfeeding

Doctors and health organizations agree that breastfeeding is best.

You may already know that breast milk is packed with the perfect mix of nutrients your baby needs. Did you know that it is also more than just food? Breast milk has special ingredients, like antibodies, that only you can provide.

Breast pumps are helpful if you are breastfeeding and have to be away from your baby. Call us after you deliver to see if breast pumps are offered.

Are You Pregnant? Tell Us Right Away!

Call us. Or, you can login to your Sunflower Health Plan account and fill out the Notification of Pregnancy form.

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation.

If you need something translated into a language other than English, please call Sunflower Health Plan. We can also provide materials in other formats such as Braille, CD or large print.

If you need an interpreter for your medical appointment, contact Sunflower Health Plan 24 hours a day, 7 days a week before your appointment. We will arrange for one to be at your appointment.

Sunflower offers transportation to and from covered healthcare appointments for members who need help getting there.

Emergency Transportation

If you have an emergency, dial 911, or the local emergency phone number.

Learn how to schedule a ride, what services are available and who to call on our Transportation and Gas Reimbursement page.

Members may be able to receive gas reimbursement when driving themselves or when a friend or family member drives them to covered healthcare appointments.

For eligibility details, reimbursement rates and how to request gas reimbursement, visit our Transportation and Gas Reimbursement page.

Sunflower Health Plan's Kansas Medicaid benefits cover vision services, including eye exams. Sunflower members 21 years and older receive one complete eye exam and, if needed, one pair of eyeglasses each year. For member under age 21, Sunflower provides exams, eyeglasses and repairs as needed, and up to three pairs of eyeglasses each calendar year.