Members

Benefits and Rewards

Welcome Molina members!

With your Medicaid benefits, you’ll get standard benefits like those listed below. Some of these benefits will require a prior authorization* and others will not.

Covered Services

  • Healthy Rewards program
    Molina offers a Healthy Rewards program to support your health and wellness. You must claim your Healthy Rewards within 90 business days after you receive a service. Exclusions and limitations may apply.

    Preventive Care Reward Description Eligible populations
    Well-child visits $10 Healthy Reward per visit Have up to six well-child visits when the baby is 0-15 months old. Members up to 15 months old
    Well-child visits $25 Healthy Reward Have at least two well-child visits when the child is between 16-30 months old. Members 16-30 months
    Well-child visits $25 Healthy Reward per annual visit Have one well-child visit a year. Members 3-18 years old
    Adult checkup $25 Healthy Reward per annual visit Have one checkup a year. Members 19 years old and older
    Health Risk Screener $25 Healthy Reward Have a Health Risk Screener within the first 90 days of joining Molina. New members
    Hospital follow-up: Behavioral health A Healthy Reward Visit a behavioral health provider within seven days of leaving the hospital for a mental health stay. The follow-up visit may be virtual. All Members
    Hospital follow-up: Primary care A Healthy Reward Visit a PCP within seven days of leaving the hospital for an overnight stay for medical or mental health care. The follow-up visit may be virtual. All Members
    Diabetes: Eye test A Healthy Reward   Have one diabetic eye test a year. Members 18-75 years old with diabetes
    Diabetes: HbA1c blood test A Healthy Reward Have a HbA1c blood test done once a year. Members 18-75 years old with diabetes
    Prenatal visit A Healthy Reward

    Note: May be used to get a car seat, stroller, pack-and-play or other helpful baby items     		Have a prenatal visit during the first trimester of pregnancy or within 42 days of joining Molina Healthcare. Pregnant members
    Postpartum visit A Healthy Reward Have a postpartum visit within seven to 84 days after the birth of your baby. Postpartum members
    Mammogram screening $25 Healthy Reward Have one mammogram (breast cancer) screening a year. Female* members 40-74 years old
    Cervical cancer screening $25 Healthy Reward Have a cervical cancer screening (pap test). Female* members 21-64 years old
    Chlamydia screening $25 Healthy Reward Have one chlamydia screening a year. Female* members16-24 years old
    *Assigned female at birth

     

 

 

 

 

 

 

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.