Description

Limits

Boys & Girls Club memberships

Oklahoma Complete Health gives Boys & Girls Club memberships to members ages 6-18.

Ages 6-18. Up to $125 per year.

Breathe Better
at Home

Oklahoma Complete Health offers asthma self-management through these benefits:

•  Home visits by a care manager or community health worker to check the home for things like dust, pests, mold, etc.

•  In-home asthma education.

• Help quitting tobacco.

• Grants to help with things like getting special bedding, pest control, carpet cleaning, special cleaners, and air purifiers.

• Another nebulizer for member ages 0-18.

Must have an asthma diagnosis. Up to $250 per member per year.

ConnectionsPlus^®

Through ConnectionsPlus®, Oklahoma Complete Health gives no-cost cell phones and data plans to members who do not have safe, reliable access to telephone or web services. ConnectionsPlus® lets members have access to providers, care managers, telehealth services, and 911.

Must be in care management and ineligible for federal phone programs.

Digital behavioral health (BH) app

Oklahoma Complete Health offers members access to myStrength® Complete, our digital BH app for health education and coaching. myStrength® has personalized online tools to help members with depression, anxiety, stress, substance use, chronic pain, and sleep problems. Members can use the app through our website any time.

myStrength® also supports the physical and spiritual aspects of whole-person health. Members ages 18 and older can access two more areas through myStrength® Complete:

• Virtual BH provider visits.

• Choose Tomorrow suicide prevention support.

Ages 13 and older.

Must be 18 or older to access more benefits.

Educational support and work skills

Oklahoma Complete Health offers three benefits to help members improve their grades in school or to get their diploma or GED. Benefits include:

• GED tutoring and testing vouchers for members ages 16 and older without their high school diploma.

• In-person or virtual tutoring for qualified members in grades K-12. Members must be at risk of failing one or more core subjects.

•  Scholarships to attend Rose State College for adult members in care management who wish to get their community health worker (CHW) micro-certification.

No limitations on GED testing or tutoring.

K-12 tutoring limited to 24 sessions per year to members in care management.

One scholarship per member.

Enhanced transportation services

Oklahoma Complete Health offers these enhanced transportation benefits:

• One roundtrip per day for parents or guardians to visit a child in the hospital.

•  Fifteen roundtrips per member per year to support social determinants of health needs. These may be:

•  Food resources like grocery stores, food pantries, or farmer’s markets.

•  Women, Infants, and Children (WIC) services.

•  Childcare services.

•  Job interviews.

•  Education activities.

•  Support groups.

•  Ability to bring up to four children when childcare is not available*.

*Total number of passengers cannot be more than five people.

Health, wellness, and health literacy

Oklahoma Complete Health helps members take charge of their health, learn about their conditions, and engage in healthy behaviors. Our benefits include:

•  No-cost access to our online Krames Staywell Health Library, which has more than 4,000 easy-to-read articles. Members can learn about wellness, illnesses, care plans, medications, and other health tips and facts.

• Our Healthy Kids Club mails youth members a $10 gift card for a new book, a welcome packet, a Kids Club membership card, and a quarterly newsletter when signed up by a parent or guardian.

•  Reach Out and Read with a grant for services in Health Empowerment Zones. This program advises families about the importance of reading with their children and shares books that aid in healthy childhood growth.

Healthy weight

Oklahoma Complete Health offers WeightWatchers® memberships to members whose body mass index (BMI) is equal to or greater than 30. Members can also join if a provider refers the member to the program as a way to reduce BMI through healthy eating and increased physical activity.

Ages 18 and older. Must be in care management and meet BMI requirements or must be referred by a provider.

Housing insecurity and homelessness

Oklahoma Complete Health supports members experiencing housing insecurity or homelessness by:

• Partnering with organizations that give shelter for members experiencing homelessness after discharge from an Oklahoma City hospital.

• Partnering with Legal Aid Services to offer support to members in care management who need help with education, employment, housing, social service benefits, personal and family safety, or health-related legal matters.

My Health Pays®

Oklahoma Complete Health members can earn rewards by completing healthy activities like yearly screenings, tests, and more. Spend rewards at Walmart® or on necessities like rent, utilities, or childcare*. After you complete a healthy activity, we will add funds directly to your My Health Pays Visa® prepaid card.

*Rewards cannot be used to buy alcohol, tobacco, or firearm products.

Nutrition support and food security

Oklahoma Complete Health offers these benefits:

· Up to $100 per year in Food Rx healthy food vouchers for members who screen positive for food insecurity.

· Fourteen specialty home-delivered meals for qualified members upon hospital discharge, including those with high-risk pregnancies.

· For members who need more nutritional counseling for chronic conditions, we will expand the state’s nutritional counseling benefit by four more hours per year.

· 7 days (14 meals) medically tailored meals delivered to new foster parents.

Must be in care management.

$100 dollars per year (365 days from issue date).

Over-the-counter (OTC) products

Limited to $30 per quarter.

Prescription limit expansion

Important medicines will not count toward members’ six prescription monthly limit. These include most medicines that treat infections, seizures, mental health, heart health, and diabetes.

Pyx Health (Pyx)

Pyx is a mobile app that reduces social isolation. It provides companionship and resources to adult members who screen positive for social isolation or who have a health condition that would benefit from daily contact with Pyx. Members get phone calls from the Pyx Compassionate Call Center and have daily interaction with Pyx, a friendly 24/7 chatbot that provides an interactive and supportive experience.

Limited to adults in care management.

Ready for My Recovery

Our Ready for My Recovery benefit helps members on their recovery journey. It gives a $30 My Health Pays® reward for every six months of active participation in recovery treatment, as well as a recovery backpack that includes a water bottle, self-care kit, journal, pen, and BH information and resources.

One backpack per member.

Remote patient monitoring (RPM) for high-risk pregnancies

Our RPM program combines telehealth with cellular technology and real-time readings for blood pressure, blood sugar, and fetal health. It also gives virtual access to medical professionals during and after pregnancy. Call your Oklahoma Complete Health care manager to learn more about this service.

Must be pregnant, have a diagnosis of high blood pressure, and have or be at risk of having preeclampsia. Needs approval from your provider.

Respite care

Oklahoma Complete Health gives up to 48 more hours per year of respite services for members with respite services or private duty nursing who have used all covered and community-based respite services. This helps reduce caregiver burnout and allows time to attend foster care training or personal appointments.

Needs care manager approval.

Sports and
camp physicals

Oklahoma Complete Health covers sports or camp physicals for youth members. The physical exam checks:

•   Height, weight, and blood pressure.

•   Vision.

•  Heart and lungs.

•   Joints and motion.

Members ages 6-18.

Start Smart for Your Baby^® (SSFYB) extra benefits

In addition to our evidence-based SSFYB program, members get several more benefits, like:

•  $30 per month diaper club for members ages 0-1.

•  A hospital-grade breast pump to support breastfeeding (one per pregnancy).

•  A portable crib and safe sleep education (one crib per pregnancy).

•  Unlimited 24/7 access to virtual care during pregnancy and for up to 12 months after delivery in identified high-risk counties. Benefits include doulas, lactation support, social support, NICU transitions, etc.

•  Rides to appointments for members in care management with high-risk pregnancies.

•  Prenatal education and parenting classes when referred by a care manager.

Must be in SSFYB program and care management.

Breast pump for members due to deliver within 6 weeks or members who have delivered a baby within the past 30 days (90 days for NICU).

Crib for members due to deliver within 12 weeks or members who have delivered a baby within the past 30 days (90 days for NICU) without safe sleep alternatives.

Tobacco cessation

Oklahoma Complete Health can help if you want to stop using tobacco. Quitting tobacco can help with certain chronic health conditions. Oklahoma Complete Health also offers My Health Pays® rewards to members who want to quit. Earn $25 for the first prescription fill of medication to quit and $50 for completing the program.

One reward per year.

Traditional healing grants

Oklahoma Complete Health respects your cultural preferences for healthcare. We give a yearly grant for ceremonial or spiritual healing that may help with improved behavioral or physical health management and overall well-being.

Limited to $250 per year. Member must be enrolled in a federally recognized tribe.

Vision services for adults

Oklahoma Complete Health expands the state’s covered vision services for members ages 21 and older by offering an annual routine eye exam and $150 towards the cost of glasses or contact lenses every two years.

Ages 21 and older.

Must be an in-network provider.

YMCA memberships

We give adult and youth memberships to local YMCAs to support members’ physical activity and healthy lifestyles. YMCA membership can be renewed up to a full year.