My Health Pays^® Rewards Program

0-12  Months

Complete five well-child visits per well-child checkup. Schedule by child’s 12th month birthday. Recommended schedule at 2, 4, 6, 9 and 12 months.

• Enrollees can choose between select products or 100 points per visit.
  • One-time reward
  • Required information: provider information and date of visit
  • For more information about well-child checkup schedules, visit: healthychildren.org.

12 to 30 months

Complete three well-child visits:

• One visit after the child’s 12th month birthday and before the 15th month birthday.
• Two visits after the child’s 15th month birthday and before the 30th month birthday.
• Enrollees can choose between select products or 100 points per visit.
  • One-time reward
  • Required information: provider information and date of visit
  • For more information about well-child checkup schedules, visit: healthychildren.org.

1 to 17 Years old

Metabolic monitoring for enrollees ages 1 to 17 who are taking two or more antipsychotic medications. Enrollees must complete both blood glucose and cholesterol testing.

• Enrollees can choose between select products
  or 250 points.
• Once per calendar year
• Required information: Provider information and date of visit

3 to 20 years old

Enrollees ages 3 to 20 who complete a yearly check-up and dental cleaning.

• Enrollees can choose between select products,
• a $75 Nike gift card, or 750 points.
• Once per calendar year.
• Required information: Provider information and date of visit for both yearly check-up and dental cleaning.
• For more information about well-child checkup schedules, visit: healthychildren.org.

Enrollees age 2 Immunizations Incentive

Children’s health combo requires the following (shots) immunizations before the enrollee’s second birthday, as per schedule and documented by provider:

• Four diphtheria, tetanus, and acellular pertussis (DTaP).
• Three polio (IPV).
• One measles, mumps, and rubella (MMR).
• Three haemophilus influenza type B (HiB).
• Three hepatitis B (HepB).
• One chickenpox (VZV).
• Four pneumococcal conjugate (PCV).
• One hepatitis A (HepA).
• Two or three rotavirus (RV).
• Two influenza (flu).
  • Enrollees can choose between select products or 250 points
  • One-time reward
  • Required information: Provider information and date of visit
  • For more information about childhood immunizations, healthychildren.org or Vaccines For Your Child.

Prenatal Care Visits

Enrollees ages 12 and up who complete three prenatal visits. One visit must occur during first trimester or within 42 days of enrollment.

Bonus Rewards: Enrollees who complete prenatal visits can choose between:

• Stroller
• Portable playpen
• Car seat
• Diapers
• Or 2560 points to use toward baby items of your choice
• Please note: Reward points are intended to be used for baby items only.
• One reward per pregnancy.
• Visit must be with an OB/GYN, other prenatal care practitioner, or PCP.
• Required information: Provider information, dates of prenatal visits, and baby’s due date.
• For more information on Healthy Pregnancy: Are You Pregnant? and Pregnancy Center - WebMD

Annual Eye Exam:

Enrollees ages 18 to 75 with diabetes who complete an annual dilated eye exam.

• Enrollees can choose between select products or 200 points.
• Once per calendar year.
• Required information: Provider information and date of visit.
• For more information on controlling Diabetes: Take Control of Diabetes.

Cervical Cancer Screening

Enrollees ages 21 to 64 who complete an office visit for a cervical cancer screening (pap test).

• Enrollees can choose between select products or 250 points.
• Once per calendar year.
• Required information: Provider information and date of visit.
• For more information on Cervical Cancer Screening: Cervical Cancer Screening

Mammogram Screening

Enrollees ages 40 to 74 who complete an annual mammogram screening.

• Enrollees can choose between select products or 250 points.
• Once per calendar year.
• Required information: Provider information and date of visit.
• For more information on Breast Cancer Screenings: What to Know About Breast Cancer.

New Enrollee Initial PCP Visit

New enrollees ages 21 and older who visit their PCP for an initial visit. Visit must be within 90 days of enrolling.

• Enrollees can choose between select products or 100 points.
• Once per calendar year.
• Required information: Provider information and date of visit.
• For more information on Adult Health Screening: See Your Primary Care Provider Regularly.

Annual Adult Health Screening

Enrollees ages 21 and older who complete an annual adult health screening (wellness visit).

• Enrollees can choose between select products or 250 points.
• Once per calendar year.
• Required information: Provider information and date of visit
• For more information on Adult Health Screening: See Your Primary Care Provider Regularly.

Colon Cancer Screening

Enrollees ages 45 to 75 who complete a colon cancer screening.

• Enrollees can choose between select products or 250 points.
• Once per calendar year.
• Required information: Provider information and date of visit.
• For more information on Colon Screenings: Colon Screenings.

Infant Preventative Dental Visit

Any preventive dental visit for enrollees ages 1 to 2.

• Enrollees can choose between select products or 100 points.
• Once per calendar year.
• Required information: Provider information and date of visit.
• For more information on Dental: Dental Home.

Youth Preventative Dental Visit

Enrollees ages 3 to 20. See the “Child and Adolescent Health” section for more details.

Topical Fluoride Treatment

Enrollees ages 1 to 4 who complete two topical fluoride treatments.

• Enrollees can choose between select products or 100 points total.
• Must complete both treatments.
• Once per calendar year.
• Required information: Provider information and date of visits.
• For more information on Dental: Dental Home.

Dental Sealant

Enrollees ages 6 to 14 who get dental sealant on their permanent molars.

• Enrollees can choose between select products or 100 points.
• Once per calendar year.
• Required information: Provider information and date of visit
• For more information on Dental: Dental Home

Tobacco and Smoking Cessation

Enrollees ages 12 and older who use tobacco products. Enrollees must register and complete a Kentucky Tobacco Prevention and Cessation Program and quit for at least six months in a row.

• Adults ages 18 and older may call 1-800-QUIT-NOW (784-8669) or text QUITNOW to 333888.
• Enrollees ages 17 and younger can call My Life, My Quit at 1-855-891-9989 or Text START MY QUIT to 36072.
• Enrollee can choose between select products or 250 points.
• Once per calendar year.
• Required information: Program information, date of registration, date program completed, and smoking quit date.
• For more information on Tobacco and Smoking Cessation: 
  • Take Control and Quit Smoking
  • Home (quitnowkentucky.org)
  • My Life My Quit

7 Day Follow-Up

Enrollees ages 6 and up who go to a behavioral health provider within seven days after a behavioral health hospital stay.

• Enrollee can choose between select products or 250 points.
• Required information: Provider information and date of visit
• For more information on Follow-up care after Discharge and mental health: Behavioral Health.