Added Benefits for Medicaid
We provide our members with access to extra benefits and services not generally covered through Medicaid. These are known as “added benefits.” We provide the following added benefits.
2023 – Added Benefits January 1, 2023 – December 31, 2023
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Adult Vision – 2023 Added Benefit
Members age 21 and up get one eye exam and $100 for frames each year. Must use an in-network provider.
Contact: 1-844-453-3378 (TTY: 711) or online.
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Baby Showers – 2023 Added Benefit
Pregnant members are invited to the Optima Health baby showers. Have fun while experts share ways to stay healthy and get connected to free local resources. The baby showers are held virtually and in-person quarterly in each region.
Contact: Outreach
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Cell Phones – 2023 Added Benefit
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)
Contact: Assurance Wireless at 1-888-321-5880 or online.
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College Application Assistance – 2023 Added Benefit
Members who qualify can get up to $75 toward applying for college. Sponsored by Optima Health Read, Learn, Grow.
Contact: Outreach
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Diabetes Prevention – 2023 Added Benefit
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 or managed long term services and supports 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.
Contact: Member Services at 1-800-881-2166 (TTY: 711) to be connected with Health and Prevention.
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Diapers – 2023 Added Benefit
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. All diapers are shipped at one time to the member’s home.
Contact: Outreach
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Feminine Hygiene – 2023 Added Benefit
New in 2023 – Members may order up to $20 in feminine hygiene products each quarter. Products include 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 previous unused amounts are lost. The benefit would restart.
Contact: Outreach
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Financial Wellness Program – 2023 Added Benefit
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
Visit the Optima Health financial wellness website and register.
Contact: Outreach or call the financial wellness program at 1-800-869-6240 (TTY: 711) Monday through Friday from 8 a.m. to 9 p.m.
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GED Coaching and Testing – 2023 Added Benefit
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.
Contact: Outreach
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Health Literacy Program: The HEAL Program® – 2023 Added Benefit
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:
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- 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.
Learn more about the HEAL Program.
Sponsored by Optima Health Read, Learn, Grow.
Contact: Outreach
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Healthy Food Grocery Card During Pregnancy – 2023 Added Benefit
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.
Contact: Outreach
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Healthy Member Incentives – 2023 Added Benefit
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: Outreach
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Healthy Savings Program – 2023 Added Benefit
The Healthy Savings Program offers weekly discounts on:
- healthy food
- baby items
- cleaning supplies.
The discount card or the app can be used at certain grocery stores.
Learn more about Healthy Savings.
Contact: Outreach
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Home Delivered Meals – 2023 Added Benefit
Members who return home from the hospital can get up to two meals a day for up to seven days (up to 14 meals total). This includes returning home after having a baby or moving from a nursing home to the community.
Contact: Care Coordinator
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Incontinence Products – 2023 Added Benefit
New in 2023 – Incontinence is the loss of bladder control. Members 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. Unused amounts will roll over. Any dollars not spent by December 31, 2023 will expire. If a member disenrolls from Optima Heath and later becomes a member again, any previous unused amounts are lost. The benefit would restart.
Contact: Outreach
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Mattress Cover and Pillowcase – 2023 Added Benefit
New in 2023 – Members with asthma qualify for a free mattress cover or protector and a pillowcase every two years.
Contact: Outreach
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Memory Alarms and Devices – 2023 Added Benefit
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.
Contact: Care Coordinator
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Mobile App – 2023 Added Benefit – 2023 Added Benefit
The Optima Health mobile app is free for download from the Apple App Store or Google Play for Android devices. It provides quick access to plan and benefit information, ID cards, forms, and more. View Mobile App Details.
Contact: Member Services
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Online Member Portal – 2023 Added Benefit
All members have access to an online account. It is a secure way to access your ID card, plan details, or connect with a virtual appointment. View Member Portal Sign In.
Contact: Member Services
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Online Resource Guide – 2023 Added Benefit
Our online resource guide is a search tool to find food, housing, jobs, and more. View the Online Resource Guide.
Contact: Outreach
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Partners in Pregnancy – 2023 Added Benefit
The Partners in Pregnancy program supports members during pregnancy and after giving birth. It includes:
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- help scheduling doctor visits and other services
- free breast pump
- free breastfeeding classes
- voucher for Parenting Magazine
Learn more about Partners in Pregnancy.
Contact: Partners in Pregnancy
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Pedometer – 2023 Added Benefit
Walk your way to wellness. Track your steps with a free pedometer. Members must be at least five years old to qualify.
Contact: Outreach
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Reading Program for Children – 2023 Added Benefit
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.
Contact: Outreach
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Sports Physicals – 2023 Added Benefit
Members can get a special exam to check if they are ready to play certain sports. The exam is free.
Contact: Outreach
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Telehealth Services – 2023 Added Benefit
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.
Contact: Call 1-888-469-9198, sign in to the member portal, or use the Optima Health mobile app.
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Transportation: Non-Medical – 2023 Added Benefit
Members can get rides to places like community events, grocery stores, laundromat, places of worship, and more.
Contact: 1-877-892-3986 (TTY: 711)
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Weight Management – 2023 Added Benefit
Eating for Life is an online program to help manage weight. It offers ways to help members eat healthy and get exercise. View the Eating for Life program.
Contact: Member Services at 1-800-881-2166 (TTY: 711) to be connected with Health and Prevention.