Benefits & Services

Preventive dental care for members 21 and older, including:

• Two free cleanings per year
• Free scaling and polishing procedures

Children get dental care as part of their regular Medicaid benefits.

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

We provide practice visits to dentists for members with developmental disabilities and children on the autism waiver to help them become more comfortable with dental preventive care visits.

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 where members can earn $10, $15, or $25 on your Amerigroup debit card when you get:

• Maternal health checkups
• Well-child checkups
• Well-woman exams
• Flu Shots
• Diabetic screenings
• Refills of medication used to treat schizophrenia or asthma

Use your debit card to buy hundreds of items, like:

• Over-the-counter medicines
• Baby and kid care products
• Dental care
• Nutritional foods
• Home health care items
• Adult briefs
• And more

Debit cards are good to use at select Walmart, Dollar General and Family Dollar stores.

Healthy Rewards Program: Members can earn between $5 - $50 in healthy rewards or a combination of rewards on a CentAccount card for receiving healthy checkups. These rewards can be used to buy from hundreds of items like groceries, baby formula, and over the counter cough/cold medicine from participating retail stores.

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.

Taking Care of Baby and Me® program for pregnant women and new moms to support healthy pregnancies and healthy babies. The program includes:

• Support, and coaching from a case manager
• Local health resources
• A self-care book to study and take notes during your pregnancy
• My Advocate™ program – maternal health education by phone, texts and smartphone app
• Text4Baby program

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

• In-home help with healthcare and social service benefits
• Baby showers for pregnant members. At these events, members are given diapers, the Baby Fuel book and other gifts and health material
• Birthday programs for children

Pregnant members 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.

Pregnant members can get OFF brand Bug Spray to help protect against mosquitos.

Personalized stop-smoking program, for members 18 and older that includes:

• Support and coaching services
• Unlimited calls to a health coach for tips and advice
• Help understanding the nicotine replacement therapy (NRT) products available through KanCare

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.)

Weight Watchers voucher that pays for members’ initiation fees, plus four weeks of meetings.

Weight management program through Healthy Solutions for Life.

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.

Choose Health program serves 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.

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

Amerigroup Mobile app helps you manage your health from your smart phone.

Our Healthy Families program helps families with children ages 7-13 who are overweight or obese (or at risk) live healthier lives. Includes:

• A health coach you can call to get tips and advice
• Materials to help your family learn about wellness and healthy living
• Referrals to local nutrition classes for 6-8 weeks (where available)

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 can be used on its own or with other care.

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.

Free yearly Boys & Girls Club membership (at a participating clubs), for members ages 5-18.

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

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

Eligible members on the Frail Elderly waiver receive adult incontinence supplies up to $100 per year.

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

Extra transportation benefits, including free rides for members to get to:

• community health events
• Women, Infants, and Children (WIC) appointments
• Prenatal Classes
• Job Interviews

*Certain limits apply.  This benefit is for extra rides on top of what KanCare covers. (rides to doctor appointments are included in your KanCare benefits)

Six one-way or three round-trip rides annually for certain waiver members and some members receiving behavioral health support services, to job interviews, job training and for rides to jobs.

Up to 16 hours of hospital companionship for persons on the Intellectual/Developmental Disability (I/DD) and Frail Elderly waivers.

15 Extra days of overnight respite care for Intellectual or Developmental Disability (I/DD) waiver members*. (Respite care lets your caregiver or personal attendant take a vacation.)

3 extra days of personal care services for Intellectual or Developmental Disability waiver members.

24 Hours or respite care per year for members in the Autism waiver group

56 Hours of respite care for Frail Elderly waiver members.

*This benefit is extra respite care on top of what KanCare covers.  it is not for members living alone or residing in ICF/IDD, assisted living and nursing facilities, group homes, or similar settings.

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

A free smart phone with free minutes, data and unlimited text messages.  You can also sign up for free health texts, like:

• appointment reminders
• nutrition and fun facts
• weight loss tips

*coverage may not be available in certain remote service areas.

Free cell phone through our Connections Plus program or through SafeLink®, which provides up to 250 free minutes of service per month. This includes unlimited texting and free calls to and from Sunflower Health Plan. Members will be able to have telephone access to their KanCare providers.

Member Advocates can help members who qualify get free Federal Lifeline cell phones. Members can get up to 350 free minutes of service a month. Benefit includes:

• Free Cell Phone with unlimited nationwide text messages
• up to 500 MB of 3G Data per month

Coverage may not be offered in certain remote service areas.

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.

Pest control services for members in waiver groups and certain members receiving SSI. Up to $500 for four treatments per calendar year (whichever is met first). Members must own their homes to get these services (excludes members living in ICF/IDD, assisted living and nursing facilities, group homes or similar settings).

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

Members ages 21 and older can get up to two podiatry visits each year.

Four podiatry visits each year for members ages 21 and older who have diabetic neuropathy or peripheral vascular disease.

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 can be used on its own or with other care.

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.

Grief support groups for members who may need help during times of loss. *If a local CMHC is not available, we’ll work with the member to find help through a local church, hospital or hospice organization.

Over the Counter drug benefit for members in waiver groups and certain members on SSI.
We give you $10 every month ($120 per year) to order OTC items. Our catalog includes over 400 products. members may order online or by phone, and we deliver to your home.

The MemberConnections Program has community-based staff to provide in-home member visits to assist with scheduling healthcare appointments and transportation as well as paperwork for benefits and local services.

Adult members on the PD, FE and I/DD waivers can pick one free item from catalog per year. Items are for home safety or other support. The care coordinator will assist with order.

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