Benefits & Services

Benefits and Services

Some of the services in KanCare include:

  • Doctor’s office visits
  • Vaccines and check-ups
  • Hospital services
  • Blood work and lab services
  • Pharmacy and prescription drugs
  • Eye doctor visits
  • Behavioral health services
  • Dental care for children and some preventative dental care for adults
  • Transportation to medical appointments
  • Home and community based services.
  • Nursing facility services
  • Heart and lung transplants for adults
  • Weight-loss surgery
  • Value-added services (each of the 3 managed care companies offer their own special benefits for joining)
  • ...More

If you currently have a doctor you would like to continue seeing, you may want to consider checking with the three health plans below to see if your doctor accepts that plan’s coverage.


Amerigroup | Sunflower State Health Plan | UnitedHealthcare

Health Plan Highlights for 2016

Look at the highlighted services below to compare plans. All physical, mental, and substance abuse services are the same in each MCO. The table below shows extra services you can receive in KanCare. Please contact your MCO by phone or the MCO website for additional details related to the value added services.



Sunflower State Health Plan




Dental care for members 21 and over:

  • Two cleanings per year
  • Scaling and polishi

One dental visit for adults 21 and older every six months. Children receive regular benefits on most dental services.

Any member over age 21 can visit a participating dental provider once a year for a screening and cleaning, which includes scaling and polishing teeth. Dentist will provide one x-ray per year.

FE members may be eligible to receive dentures at no cost.

Healthy Rewards program:

  • Earn $10, $15, or $25 debit card credits for over-the-counter (OTC) items when you get health checkups and screenings

Members can earn $10 - $50 in healthy rewards or a combination of rewards on a CentAccount rewards card for receiving healthy checkups. The rewards can be used to buy from hundreds of items.

Members can earn rewards through UnitedHealthCare’s Community Rewards program, by tracking healthy activities using an online tool or smart phone.  Earn points to get merchandise and reward cards.  

Free cell phones and up to 250 free minutes each month plus:

  • 200 bonus lifetime minutes
  • Unlimited text messages

*Coverage may not be offered in certain remote service areas.

Free cell phone through our Connections Plus programs for those who qualify. SafeLink® provides up to 250 free minutes of service per month. This includes free calls to and from Sunflower Health Plan. Members will be able to have telephone access to their KanCare providers.

Our Member Advocates can help certain members get free cell phones through SafeLink®. Member can get up to 250 free minutes of service a month. The advocates can help with:

  • Getting the member connected with the program
  • Picking the right cell phone provider
  • Filling out the application
  • Learning phone benefits

Coverage may not be offered in some service areas.

Taking Care of Baby and Me®, fee health resources and coaching for pregnant women plus:

  • Information on Warm Health and how to enroll
  • Helpful information on enrolling in Text4Baby, pregnancy group centering visits and more

Start Smart for Your Baby - Support and education for moms, babies, and families. The program includes the services below. There is no cost to member.

  • Home visits for new mothers
  • Baby showers for pregnant mothers
  • Birthday programs for children.

Each pregnant member will get the "Baby Basics" book.

Pregnant members can join Baby Blocks program. Get a $20 gift card or a cool diaper bag for joining. Earn seven more rewards for staying with the program until your baby is 15 months old.

Sponsored community baby shower events for pregnant and new mothers.  Moms learn about health and wellness for themselves and their babies.

Weight Watcher® vouchers to help you manage your weight:

  • Voucher for four weeks of classes
  • Payment of the sign-up fee

Weight management program through Healthy Solutions for Life, by referral only.

Adults can obtain membership in the Weight Watchers program to help them lose weight. The program is good for local meetings and cannot be used for online services.

Stop smoking program including:

  • Nicotine replacement therapy (NRT) products
  • Unlimited calls to a health coach for tips and advice

Members can participate in a smoking cessation program offered through Healthy Solutions for Life. (Nicotine replacement therapy is a regular benefit when prescribed by your doctor.)

We offer members who need glasses an enhanced benefit of higher quality lenses beyond what Medicaid covers to help members maintain their vision and improve their self-esteem.

Extra Over-The-Counter (OTC) drugs through mail order for all waiver groups and certain members on SSI: 

  • $120 per year ($10 member monthly per member) toward the purchase of OTC products online or over the phone

We also provide practice visits to dentists for members with developmental disabilities to help them become more comfortable with preventive care visits.

Pest Control treatments for HCBS members who own their home.  Services must be set up through Care Coordinator.

PD and FE waiver members can receive up to two boxes of adult briefs to assist with their everyday comfort.

Free rides for all waiver groups and certain members on SSI:

  • For members to community health events
  • For members and caregivers to provider appointments

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 on its own or with other care.

Six one-way, or three roundtrip, rides for certain waiver members and some members receiving behavioral health support services, to job interviews or job.

Healthy Families program:

  • For families with overweight or obese children ages 7-13 to live healthier lives

Disease management for members with asthma, COPD, diabetes, heart disease or high blood pressure through our Healthy Solutions for Life Program. Members can enroll in any of these programs.

Families with children age 2 to 8 can participate in the Sesame Street “Food for Thought” program. The program is where families can learn about how to eat healthy on a budget from Sesame Street characters.

Free pest control for all waiver groups and certain members on SSI:

  • Maximum benefit of $500 per calendar year
  • Members must own their home to get this benefit

*Excludes members residing in ICF/MR, assisted living and nursing facilities, group homes, or similar settings.

Community Programs for Children: Free services and events to promote healthy lifestyles for kids, such as membership fees to Boys & Girls Clubs and Adopt a School Program.

Youth members up to 18 will have access to great youth programs such as the YMCA, Boys and Girls Clubs, and 4-H and selected Parks and Recreation Departments.

Adults on the FE and PD waiver and SMI Health Home members can get access to one activity per member per year with their selected local Parks and Recreation offices.

Extra respite care:

  • For caregivers of Frail Elderly waiver members
  • For members in Autism and Intellectual/Developmental Disability waiver groups (in addition to the KanCare benefit).

*Excludes members living alone or residing in ICF/MR, assisted living and nursing facilities, group homes, or similar settings

Up to 8 hours a year of respite for caregivers of members on the Frail Elderly waiver.  Up to 50 hours for respite care or hospital companionship for those on the Intellectual/Developmental Disability waiver.

Respite Care for I/DD waiver members receiving supported home care or home based services.  Up to 40 hours of respite care.

Personal assistant services for members in the Intellectual/Developmental Disability waiver group

We also provide practice visits to dentists for members with developmental disabilities to help them become more comfortable with preventive care visits.

Members coming out of the hospital for a behavioral health need can join the Peer Coaches Program.  This program can link the member to community resources to avoid going back into the hospital.

Hypoallergenic bedding for members with allergies or certain other conditions:

  • A one-time $100 credit for special bedding items
  • A doctor must recommend/order the product

Choose Health Program targets members with chronic health conditions. The program helps members determine how emotions can impact their condition (i.e. stress, poor sleep, and change in appetite).  As a part of the program, participants are assigned a Choose Health Coach who works with the entire health care team to ensure members have everything they need to feel their best.

The child member with Asthma is sent information presented by Sesame Street characters that teaches them how to deal with asthma. Children 1 to 4 will receive the A is for Asthma newsletter.


We provide members of certain waiver populations with a medical escort if needed.

Members over 21 can get up to two podiatry visits each year.


In-home tele-monitoring available for adults. This service helps members stay at home when they need help to manage their chronic heart failure, heart diseases or high blood pressure.

Adult members on the PD and FE waivers can pick one free home safety or other support product per year from a catalog of home help items through their care coordinator.

FE members will be mailed a wellness calendar at the beginning of each year to track their doctor appointments, medications timeline, and social events.


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.

Members can download Health4Me app on their smartphone. This app can help members manage their health.

Members, or those responsible for members, can access online to help access health history, educate them on working with their doctor, and track doctor visits.


Mental Health First Aid program is an interactive course designed to mimic regular first aid training. It teaches the general public how to identify, understand, and respond to signs of mental health and substance use disorders.

Keeping Your Same Providers in KanCare

Do I have to move if my nursing home is not part of the health plan’s network?
No.  Nursing homes have up to a year to sign up with the health plans.

Will I have to pay more if my nursing home is not part of the health plan’s network?

If my doctor or in-home helpers never sign up with my health plan, will they be paid less?
Yes, they might.  We want doctors and others to sign up with all three health plans.  After the first 90 days of KanCare, some of those providers could be paid 90% of the approved KanCare rates.

Will I have to make up the difference, if my doctor or in-home helpers are paid less?

What if I need to see a special doctor who is not in the health plan’s network?
The health plan will check to make sure another special doctor is in their network first.  If there is not, they will help you see the doctor you need.  As long as the health plan approves you seeing the special doctor, you will not pay anything.

What if I have an emergency?  Do I have to worry about finding a hospital in the health plan’s network?
No.  In an emergency, go to the nearest hospital emergency room.  All hospitals with emergency rooms will see anyone in an emergency situation.