Extra benefits beyond standard coverage

Ages birth to 15 months

Earn $60 once per lifetime for completing six well-child exams for kids ages birth to 15 months. 

Ages 16 to 30 months

Earn $40 once per lifetime for completing two well-child exams for kids between ages 16 and 30 months.

Ages 3 to 20 years

Earn $25 once each year for a well-child exam for kids ages 3 to 20.

Earn $50 for completing the full combo 3 series of childhood immunizations on or before your child’s second birthday. 

Kids ages 5 to 18 can get $100 each year to pay for after-school programs or equipment for sports, clubs and other memberships, like:

• YMCAs 

• Boys and Girls Clubs

• Boy Scouts or Girl Scouts 

• Agriculture projects 

• Supplies from sporting goods stores

Pregnant members can earn $25 for notifying their health plan of their pregnancy. To notify us about your pregnancy, join our digital app, Maven, and then complete the health assessment. Be sure to notify us within the first trimester of your pregnancy or within 30 days of member enrollment.

Maven app

Prenatal visits

Earn $25 for completing your first prenatal visit within the first trimester. 

Postpartum visits

Earn $50 for completing your first postpartum visit 7 to 84 days after birth. 

Pregnant members can get a no-cost breast pump. You can get this benefit during your third trimester, once every two years. And you don’t need pre-approval or prior authorization. 

Members ages 12 months and younger can get $100 to buy diapers, once per lifetime. 

Pregnant members (who are 37 or more weeks pregnant) can earn a $100 gift card. You can use this gift card to help pay for a portable crib or car seat. To earn your gift card, you’ll need to complete 7 prenatal visits during pregnancy. 

Whether you are pregnant or just gave birth, Maven can support you through every step of your journey.

With Maven, parent have 24-hour online access to:

• More than 30 doctors and specialists 

• Guidance and info from OB/GYNs, doulas, pediatricians, lactation experts, mental health providers and more

• Trusted resources like articles and parenting classes 

Maven app

Breast cancer screening

Female members (ages 40 and older) can earn $25 for completing a breast cancer screening.

Cervical cancer screening

Female members (ages 21 to 64) can earn $25 for completing a cervical cancer screening.

Colon cancer screening

Members (ages 45 and older) can earn $25 for completing a colon cancer screening.

Vision

Members (ages 21 and older) get:

• $150 every two years for glasses or contact lenses

• $75 for one eye exam each year

Kidney screening

Members (ages 18 to 64) who have a diabetes diagnosis can earn $15 for completing kidney health screenings (blood and urine tests required).

Diabetic retinal eye exam

Members (ages 18 to 64) who have a diabetes diagnosis can earn $15 for completing a diabetic retinal eye exam.

Diabetic A1C testing

Members (ages 18 to 64) who have a diabetes diagnosis can earn $15 for completing A1C testing.

Healthy foods

This benefit is for members (ages 18 to 64) enrolled in care management who have had a diabetes diagnosis within the last year. Eligible members can get $50 each month (up to 6 months) for healthy food and groceries. To get this reward, you need to be enrolled in care management and complete all of the diabetes screenings above.

This benefit is for members (ages 21 to 64) enrolled in care management who have hypertension (high blood pressure) and a diagnosis of heart disease or chronic kidney disease. Those eligible can earn $25 when they improve their blood pressure and get a controlled reading (139/89 or lower) from their doctor.

Members enrolled in care management can get 14 meals each week for 2 weeks post-discharge or after hospital treatment for any of these conditions: 

• Asthma or chronic obstructive pulmonary disease (COPD)

• Cancer

• Chronic heart failure 

• Chronic kidney disease or end-stage renal disease

• Diabetes

• Gastroesophageal reflux disease (GERD)

• Heart disease or hypertension (high blood pressure) 

• High-risk pregnancy and/or anemia 

• Non-healing wound

• Obesity

Eligible members must request this benefit within 14 days of receiving treatment from the hospital.

Members enrolled in care management who have an asthma diagnosis can get $250 each year to manage home-based asthma triggers. You can use this benefit amount toward supplies and services, like:

• Bedding

• Air filters or air purifiers

• Carpet cleaning services 

• Pest control services

Members (ages 21 and older) enrolled in care management who have certain chronic pain diagnoses may be eligible to receive $100 each month (for up to 3 months) to help pay for treatment, such as:

• Acupuncture

• Massage therapy

• Chiropractic 

• Dry-needling

• Yoga 

American Indian and Alaskan Native members can get up to $400 each year for traditional healing practices. To get this benefit, you must complete your health risk screening. 

Completing your health risk screening

The screening is quick and your answers are private. You can take the screening in your Member Portal.

Questions? Call 1-844-365-4385 (TTY: 711).

Members (ages 18 to 64) can schedule a no-cost healthy home visit. A health care professional can visit you at home. They can check your health, answer questions and help you follow your care plan. For more info about healthy home visit services, call 1-918-770-0671. You can also call us at 1-844-365-4385 (TTY: 711).

Have a health question? Call the 24-Hour Nurse Line anytime to speak with a registered nurse. Get quick answers when questions come up and you can’t reach your primary care provider. Call 1-844-365-4385 (TTY: 711).

Members can use Krames Online, a resource with health and medicine info on more than 4,000 topics.

Go to Krames Online

Members can use a personal well-being platform to set goals that fit their interests. Get coaching to build healthier habits, one step at a time. Connect your fitness device to track progress and stay motivated.

More about health coaching

Members (ages 6 and older) can earn $20 for each follow-up visit (up to 4 visits) with a provider within 30 days of a hospital or facility stay for behavioral health.

Members (ages 13 and older) can use Pyx Health. This app offers you 24/7 digital companionship and support to meet your needs, as well as those of your caregiver. 

More about the Pyx Health app

Members (ages 13 and older) can use Teladoc for mental health coaching to help strengthen emotional health. The app offers tools and support for depression, substance misuse, quitting smoking and early pregnancy.

More about Teladoc mental health coaching 

Members (ages 18 and older) enrolled in care management can get up to $600 each month (for up to 3 months) to pay for sober living at an approved facility. Members must have successfully completed inpatient substance use disorder treatment or have been released from an Oklahoma Department of Corrections prison within the last 30 days.

Each household receives a $50 OTC benefit every quarter (three months) (for a total of $200 annually) to use at CVS Health® stores. Shop for health products in store or get delivery for baby and personal care items, first aid needs and more. The oldest member in the household will receive the benefit. 

More about your OTC benefit

Eligible members (ages 18 and older) can save over $300 off cell phone bills. Through Thrive Mobile, members can receive a smartphone and wireless plan at no cost or commitment. Your smartphone will help you stay in contact with your health care team and includes services, like:

• Aetna Better Health apps

• Helpful resources 

• Unlimited texts, talk minutes and 5GB of data each month

Your smartphone is secure and private. And your phone number won’t be shared. Your privacy is always protected.

More about the no-cost smartphone or wireless plan

All members get $40 each year for activities, like:

• Oklahoma State Parks

• Oklahoma City Zoo 

• Tulsa Zoo

If you need a ride for nonmedical reasons, we can help. We work with ModivCare to offer you 10 round-trip rides (up to 60 miles per trip) each year for things, like:

• Job interviews or training

• Food banks or grocery stores

• Community-based or non-profit groups 

• Community health centers

These extra nonmedical services go beyond the standard nonemergency rides benefit.

More about nonmedical rides 

Members (ages 21 and older) have waived copays for all medical and behavioral health services.

This does not include:

• Inpatient hospital stays (intensive care unit, critical care unit, and other room and board or routine)

• Outpatient hospital stays (nonemergency and retail pharmacy)

Members (ages 21 and older) who've screened eligible per Oklahoma state statute for expungement (criminal record removal) can get $150 to help pay for filing fees.