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Extra Services

To access these extra benefits, please call Customer Service toll-free at 1-877-644-4623 (TTY 711). 

There are no grievance and appeal rights for these Value-Added Benefits listed on this page. 

SERVICE NAME DESCRIPTION OF SERVICE
Dental Visits
  • Two (2) dental visits each year, which includes the exams and cleanings, bitewing x-rays and a panoramic x-ray every 36 months for adults 21 and over. Adult members have a maximum benefit of $500 per calendar year.
  • Dentures are covered for members receiving FE and PD waiver benefits. Eligibility is based on determination of need.
  • Children are covered under regular Medicaid benefits on most dental services.
My Health Pays Rewards® Members can earn rewards on a My Health Pays® Visa® Prepaid Card when they get health checkups and screenings. Members can earn $10-$75 (up to $75 annually) in My Health Pays rewards. Find all the details for this program on the My Health Pays® webpage.
Maternal & Child Health Start Smart for Your Baby® program for pregnant members, babies and families. Start Smart for Your Baby offers nursing support, education and gifts. There is no cost to the member.
  • In-home help with healthcare benefits and community services
  • Special texting program for Start Smart participants
  • Community baby showers for pregnant members. Diapers and other gifts are included in these events
  • Birthday programs for children
  • Transportation to WIC appointments.
MyStrength - Digital Behavioral Health Our MyStrength online program offers eLearning to help members overcome depression and anxiety. This online program includes simple tools, weekly exercises, mood trackers and daily inspirational quotes and videos. The program may be used independently or with other care.
Chronic Disease Management & Depression Support

We provide targeted disease management under the Healthy Solutions for Life Program to members with the following conditions:

  • Asthma (adults and children);
  • COPD (adults);
  • Diabetes (adults and children);
  • Heart disease (CAD) (adults);
  • Hypertension (adults);
  • Obesity weight management (adults)

The program also helps members determine how emotions affect their condition. It helps with stress, poor sleep and appetite. As a part of the program, participants are assigned a Health Coach who works with the entire healthcare team to ensure members have everything they need to feel their best.

(Members may be referred by their physician, referred by the health plan, or self-enrolled in any of these programs). **Adults are classified as 18 years and older.

Notable differences with the Healthy Solutions for Life program:

  • These are opt-in programs – the member must consent.
  • We use motivational behavior techniques.
  • No time limit for the programs. Enrollment duration is based on the member’s progress.
  • All asthma members receive a peak flow meter and spacer as part of enrollment in the asthma program. Children under 5 receive a mask also.
Boys & Girls Club Membership Free services and events to promote healthy lifestyles for kids, such as covering membership fees to the Boys & Girls Club.
Sunny's Kids Club Sunny’s Kids Club program mails a new book four times a year to children (parents) who subscribe to the program. Each Kids Club member also receives a welcome packet with a club membership card. Sunny is the health plan’s mascot and can be spotted at community events and at provider offices serving foster care members.
Healthy Eating - Farmers Market Vouchers Members can receive produce vouchers worth $10 at special events with participating Farmers Markets.
Caregiving Collaborations® Caregivers are supported through various channels in the Caregiving Collaborations program. This benefit is available to one primary, informal support caregiver per member. Benefits include the Caregiver Resource Center and a Caregiver Journal. In addition to the program benefits, each member and caregiver will continue to receive coordination of respite services available through the individual care plan.
Employment Support & Transportation GROW (GED, Rides, Opportunities, Work) (renamed from STEP) is an employment support resource program. We help members identify and remove employment barriers through a discussion with an internal employment specialist. Benefits include enhanced transportation coverage, GED Ready and GED test vouchers and connection with career counseling services. Members may be connected with a benefits specialist to learn how their income may impact their benefits.
SERVICE NAME DESCRIPTION OF SERVICE
Dentures (F/E or PD Waiver) Dentures may be covered for eligible members receiving F/E and PD Waiver benefits. Eligibility is based on medical necessity.
Respite Care (F/E & PD Waivers) Up to 24 hours of respite care for non-paid caregivers who provide supports for persons on the F/E and PD waivers.
Transportation to Community & Social Events (F/E & PD Waivers) Enhanced transportation to local community events and social activities for members receiving Frail Elderly (F/E) and Physical Disability (PD) waiver benefits. This benefit includes three round trips a year.
Peer Support Program (F/E & PD Waivers) Peer Support Program for members receiving F/E & PD waiver benefits, as well as members on the waiting list for PD waiver services. This social interaction includes monthly phone calls with other members, facilitated by a Sunflower Member Liaison.
Hospital Companionship (F/E, IDD & PD Waivers) Up to 16 hours of hospital companionship for persons on the F/E, IDD and PD waivers.

Beginning January 1, 2022