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 dental visits (cleanings, screenings) for adults 21 and older every year. Children are covered for most dental services under regular Medicaid benefits.|
|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-$50 or more in My HealthPays rewards. Find all the details for this program on the My Health Pays® webpage.|
|Cell Phones||Free smart phone through SafeLink®. These come with free limited data and voice minutes per month, unlimited texting and free calls to and from Sunflower.|
|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.
|Home Visiting||Community-based Health Services staff can provide in-home member visits to assist with scheduling healthcare appointments and transportation, as well as help with paperwork for benefits. They also assist members with accessing food, shelter, or other health or social programs. This service is complementary to case management and is performed by certified Community Health Workers.|
|MyStrength - Digital Behavioral Health||Our MyStrength online program offers eLearning to help members overcome depressionand anxiety. This online program includes simple tools, weekly exercises, moodtrackers and daily inspirational quotes and videos. The program may be used independentlyor with other care.|
|Chronic Disease Management & Depression Support||
Healthy Solutions for Life is a disease management program for members with asthma, COPD, diabetes, heart disease or high blood pressure. Weight management is also available. Members can enroll in any of these programs.
The program also helps members determine how emotions impact 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.
|Boys & Girls Club Membership||Free services and events to promote healthy lifestyles for kids, such as covering membership fees to the Boys & Girls Club.|
|Sunflower’s Adopt-a-School Program||Sunflower’s Adopt- a-School Program brings activities, speakers and books into the schools, as well as summer program locations like YMCAs, libraries, parks & recreation departments, and Boys & Girls Clubs.|
|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.|
|Medication Review||A comprehensive medication review with a local pharmacist is available to eligible members. The review includes a 30 minute face-to-face consultation with a local pharmacist.|
|Tele Monitoring (Diabetes & Heart Failure)||In-home tele-health available for adults. This service helps members stay at home when they need help to manage their chronic conditions.|
|Employment Support & Transportation||Sunflower Transition to Employment Program (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, connection with career counseling services, and information on the STEP scholarship program. Members may be connected with a benefits specialist to learn how their income may impact their benefits.|
|Nursing Home-to-Community Transition Support||
Sunflower offers nursing home transition support by partnering with providers to:
|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.|
|Internet Service (F/E &PD Waivers)||Internet service for F/E & PD waiver members using telemonitoring services and homehealth coaching.|
|Home-delivered Meals (F/E Waiver)||Meals delivered to the home of F/E waiver members who are discharged from a nursing facility or inpatient stay. This covers 14 meals over a week. KanCare covers this service for PD and Brain Injury (BI) waiver members.|
|Respite Care (F/E & PDWaivers)||Up to 24 hours of respite care for non-paid caregivers who provide supports forpersons 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.|
|Home Modification & Assistive Services (F/E & PD Waivers)||Home modification and assistive services for members on the F/E & PD waivers to enable individuals to remain living at home. Examples include wheelchair ramps, stairlifts, walk-in or wheelchair accessible bathtubs and showers.|
|Peer Support Program (F/E & PD Waiver)||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 & PD Waiver)||Up to 16 hours of hospital companionship for persons on the F/E and PD waivers.|
Beginning January 1, 2020