At El Paso Health, we care about your health. That’s why we focus on getting you the Healthy Rewards, quality care and support you need to stay healthy.
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Transportation Services
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Free ride service to get to WIC and HHSC offices, food pantries, health education classes, and Member Advisory Group meetings that are not covered under the NEMT benefit.
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Dental Services
This benefit is included in the following Health Plans:
At-Home Medicaid Only Up to $300 per year for dental checkups, x-rays, and cleaning for non-HCBS waiver members. Referral required.
At-Home Dual Up to $500 each year for check-ups, x-rays, cleanings, fillings and simple tooth extractions for members for non-HCBS waiver members. Referral required.
Nursing Facilities Medicaid Only Up to $600 per year for dental checkups, x-rays, and cleaning for non-HCBS waiver members. Referral required.
Nursing Facilities Dual Up to $500 each year for check-ups, x-rays, cleanings, fillings and simple tooth extractions for non-HCBS waiver members. Referral required.
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Extra Vision Services
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$125 eyewear allowance towards upgrades for frames, lenses, or contacts every two years.
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Routine Foot Care
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Nursing Facilities Medicaid Only
Nursing Facilities Dual
Two (2) additional podiatry visits annually for professional nail trimming. Includes one service every six months.
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Over-the-Counter Benefits/Utility Assistance
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Up to $160 per year: $40 debit flex card every three months, for utilities, OTC, and other medical or health-related supplies not covered by Medicaid, upon request.
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Emergency Response Services (ERS)
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Emergency response services for STAR+PLUS non-HCBS waiver members age 21 to 100. Referral required.
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Home Visits
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Up to an extra 12 hours of in-home respite care services for STAR+PLUS non-HCBS waiver members age 21 to 100.
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Healthy Eats Program
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Diabetic non-dual STAR+PLUS members can participate in the Healthy Eats Program and receive a $50 debit flex card reward each quarter to obtain nutritious food.
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Home Delivered Meals
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Up to 14 healthy home-delivered meals for STAR+PLUS non-HCBS waiver members after being discharged from a hospital or nursing facility. Referral required.
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Meal Planning
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Four additional nutritional counseling/meal planning services for diabetic STAR+PLUS non-HCBS waiver members age 21 to 100.
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Fitness Membership
This benefit is included in the following Health Plans:
At-Home Medicaid Only
A YMCA or Planet Fitness membership for STAR+PLUS non-HCBS waiver Medicaid members. Members must choose one fitness membership and cannot enroll in both.
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Care Kit
This benefit is included in the following Health Plans:
Nursing Facilities Medicaid Only
Nursing Facilities Dual
New Nursing Facility Members can receive the following: -Skid Proof Socks -Personal Blanket -Accesory tote bag -Digital clock
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Pest-Repellant
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Pest repellent wall plugs for members with Asthma or COPD who fill a new prescription and engage in the Asthma Disease Management Program.
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Allergy-Free Pillow Case
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
One allergy-free pillowcase for members with Asthma or COPD who fill a new prescription and engage in the Asthma Disease Management Program
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GED Support for IDD
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
Eligible members receive GED preparation support, help with finding test centers, and a voucher for test costs. One per member per lifetime.
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First-Steps Baby Shower
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
After completing a First Steps baby shower (pregnancy class) at El Paso Health, pregnant members can receive:
A free convertible car seat. A diaper bag, diapers, and other items for the baby.
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
$50 gift card for pregnant members who complete a prenatal visit during the first trimester (90 days) or within 42 days of enrollment (for new members).
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Postpartum Visit
This benefit is included in the following Health Plans:
At-Home Medicaid Only
At-Home Dual
$50 gift card for members who receive a postpartum visit within 7 to 84 days of delivery.
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Prenatal Nutritional Counseling
This benefit is included in the following Health Plans:
At-Home Medicaid Only A $25 gift card for healthy food related items for STAR+PLUS Medicaid Members age 21 to 65 who complete four nutritional counseling/meal planning services.
At-Home Dual A $25 gift card for healthy food related items for STAR+PLUS Dual Members age 21 to 65 who complete four nutritional counseling/meal planning services.
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Grooming & Stylist Services and Products
This benefit is included in the following Health Plans:
Nursing Facilities Medicaid Only
Nursing Facilities Dual
$25 debit flex card allowance toward grooming/stylist services or eligible grooming-related products each quarter.
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Mental Health Follow-Up (30 Days)
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Dual
$25 debit flex card reward for completing a follow-up visit within 30 days of a mental illness discharge. Limit one reward per qualifying discharge.
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Mental Health Follow-Up (7 Days)
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Dual
$50 debit flex card reward for completing a follow-up visit within 7 days of a mental illness discharge. Limit one reward per qualifying discharge.
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Annual Wellness Exam
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for members age 21 to 100 who complete an annual wellness visit, available once a year.
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Annual Flu Shot
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for members age 21 to 100 who receive the recommended annual flu vaccine, available once a year
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Diabetic Blood Test
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for members with diabetes age 18 to 75 who complete an HbA1c blood test, available once a year.
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Diabetic Eye Exam
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for members with diabetes age 18 to 75 who complete a diabetic eye exam, available once a year.
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Post-Hospitalization Follow Up
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for members who have a follow-up doctor visit within 30 days of getting out of the hospital once a year.
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Cervical Cancer Screening
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for female members age 21 to 64 who get a cervical cancer screening once every three years.
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Mammogram
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Nursing Facilities Medicaid Only
$25 debit flex card reward for female members age 50 to 74 who get a mammogram once every two years.
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Blood Pressure Cuff
This benefit is included in the following Health Plans:
At-Home Medicaid Only
Members with hypertension can receive a free home blood pressure monitor if uncontrolled blood pressure is found at a provider visit. Limited one per lifetime.
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Controlled Blood Pressure
This benefit is included in the following Health Plans:
At-Home Medicaid Only
$25 debit flex card reward for members with hypertension who show 2 consistent controlled BP readings at different doctor visits by year-end. One per year, upon request.
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