MyChoice and Healthy You Infographic FAQs | Effective October 2023 | For agents’ use only
What is this material for?
This material is intended to teach members about how to use their MyChoice card and the benefits that a MyChoice
card offers. It is not a member-facing material and should not be distributed or left behind in a sales presentation.
Are all the benefits available to all members?
The availability of these benefits is subject to the member’s specific plan. Some plans cover all the benefits listed, others
only some. MyChoice cards (debit cards for members) vary significantly from plan to plan in terms of availability, what
they can pay for, and how much they pay. A member’s Summary of Benefits will provide the most information on what
is covered.
How do members receive this material?
Members can receive this material during a sales presentation and/or at the beginning of the plan year. Depending on
other information in their profile, they will receive this via print mail or email. The Molina store will have an infographic
version for emailing and print available for members.
How do members activate the MyChoice card?
Give members the following information:
• New Members: Activate your new card by calling (866) 898-9795. Returning Members: No action needed.
• Visit [[Link]] or call (800) 665-0898 (TTY: 711), 7 days a week from 8 a.m. to 8 p.m. local
time to track your balance.
• Your location matters when using MyChoice card in any store. Use [Link] to check for
stores near you.
What kind of dental benefits are available?
Dental benefits are different based on the member’s specific plan. A member may have a dental network such as
DentaQuest, SKYGEN or Delta Dental that can be used in addition to the MyChoice card.
Other members may have to use their MyChoice card only if they do not have a network. It is important to have the
member reference their summary of benefits for specifics on the dental benefit.
What kind of over-the-counter benefits are available?
Qualifying items can be bought at a store that accepts the MyChoice card or online at [Link]. Shipping
is at no cost. Be sure to tell the member to check their summary of benefits.
What kind of vision benefits are available with the MyChoice card?
Vision benefits are no longer available through MyChoice. Inform members that if they have vision it will be through
their network.
What kind of transportation costs does the MyChoice card cover?
The MyChoice card can cover ride share services (Uber, Lyft), taxis, or public transportation. Covering transportation
costs makes it easier for members to get to doctor’s appointments or pharmacy visits. Not all plans are the same, so be
sure to check the member’s Summary of Benefits to see if the member has the transportation benefit. There are also
infographic materials available for MyChoice benefits. Check the Molina Store for these documents.
How do members access the Special Supplemental Benefit for the Chronically Ill (SSBCI) benefits?
The MyChoice card may be used for special services if a member qualifies for SSBCI benefits and has certain chronic
conditions. Their Case Manager can help, or they can call Molina using the number on their member ID card.
SSBCI consists of benefits like Food and Produce. Members should check online for a list of qualifying healthy foods and
for participating stores and purchasing online. There are other SSBCI benefits available, but they may not be available to
all members.
Member should check their benefits to see what benefits are available to them.
Member incentives rewards in the chart below:
Some members may qualify for rewards and should check their summary of benefits.
Program Impact:
Member Incentives Quality
Risk
Satisfaction
Member Incen�ves
All Medicare and MMP member incen�ve programs will be run na�onally by the MEI team and funded by the
Medicare Stars Team. Health plans should not execute separate contracts or run separate programs.
Program Overview Medicare MMP
All Medicare contracts All MMP contracts
Incen�ve
Quality and Risk Adjustment AWV Incen�ve
MMP Measures MMP Plan
Amount
Medicare Measures
programs will be combined for a Amount
Colon Cancer Screen MI, SC*
MI = $35
seamless member experience. Breast Cancer Screen $35
SC = $10
Controlling Blood $35
All
Colon Cancer Screen $50 Pressure SC = $10
$35
Vendor Selec�on: Liberty Controlling Blood Pressure $35 Diabetes Blood Test (A1c) OH, SC
SC = $10
Diabetes Blood Test (A1c) $35 Diabetes Eye Exam SC $10
Diabetes Kidney Exam SC $10
Measures: ADV, BCS, COL, CBP, KED, Diabetes Eye Exam $35
OH = $35
HBD, EED, OMW, AWV Diabetes Kidney Exam $35
Breast Cancer Screening SC*, OH*
SC = $10
Annual Dental Visit MI* $35
Osteoporosis Management $50
$35
Timeline: Early April Launch Annual Wellness Visit All
Annual Wellness Visit $35 SC = $15
Are there any additional resources for member?
Members can watch a video on the MyChoice card at [[Link]].
Healthy You
What is this material for?
This material is intended to teach members about how to use their Healthy You card and the benefits that Healthy You
offers.
Are all the benefits available to all members?
The availability of these benefits is subject to the member’s specific plan. Some plans cover all the benefits listed, others
only some. Healthy You cards (debit cards for members) vary significantly from plan to plan in terms of availability, what
they can pay for, and how much they pay. A member’s summary of benefits will provide the most information on what is
covered.
How do members receive this material?
Members can receive this material at the beginning of the plan year. Depending on other information in their profile,
they will receive this via print mail or email. The Molina store will have an infographic version for emailing and print
available for members.
How do members activate the Healthy You card?
Give members the following information:
• No activation needed, your card arrives active and ready to use.
• Visit the new portal for 2024, [[Link]] to check your balance.
• Call member services at (888) 794-7268 (TTY: 711), Monday-Friday from 8 a.m. to 8 p.m. for any questions or
issues.
What kind of dental benefits are available?
DentaQuest is the only network available to Senior Whole Health members for preventative care. However, if the
member needs any other services, you can stay with your network or choose any dentist you want.
What kind of over-the-counter benefits are available?
Qualifying items can be bought at a store that accepts the Healthy You card or online at [Link]/card.
Shipping is at no cost. Be sure to tell the member to check their summary of benefits.
What kind of vision benefits are available with the Healthy You card?
Vision benefits are no longer available through Healthy You. Inform members that if they have vision it will be through
their network.
What kind of transportation costs does the MyChoice card cover?
The Healthy You card can cover ride share services (Uber, Lyft), taxis, or public transportation. Covering transportation
costs makes it easier for members to get to doctor’s appointments or pharmacy visits. Not all plans are the same, so be
sure to check the member’s summary of benefits to see if the member has the transportation benefit. There are also
infographic materials available for Healthy You benefits. Check the Molina Store for these documents.
How do members access the Special Supplemental Benefit for the Chronically Ill (SSBCI) benefits?
The Healthy You card may be used for special services if a member qualifies for SSBCI benefits and have certain chronic
conditions. Their Case Manager can help, or they can call Molina using the number on their member ID card.
SSBCI consists of benefits like Food and Produce. Members should check online for a list of qualifying healthy foods and
for participating stores and purchasing online. There are other SSBCI benefits available, but they may not be available to
all members.
Member should check their benefits to see what benefits are available to them.
Member incentives rewards in the chart below:
Some members may qualify for rewards and should check their summary of benefits.
Program Impact:
Member Incentives Quality
Risk
Satisfaction
Member Incen�ves
All Medicare and MMP member incen�ve programs will be run na�onally by the MEI team and funded by the
Medicare Stars Team. Health plans should not execute separate contracts or run separate programs.
Program Overview Medicare MMP
All Medicare contracts All MMP contracts
Incen�ve
Quality and Risk Adjustment AWV Incen�ve
MMP Measures MMP Plan
Amount
Medicare Measures
programs will be combined for a Amount
Colon Cancer Screen MI, SC*
MI = $35
seamless member experience. Breast Cancer Screen $35
SC = $10
Controlling Blood $35
All
Colon Cancer Screen $50 Pressure SC = $10
$35
Vendor Selec�on: Liberty Controlling Blood Pressure $35 Diabetes Blood Test (A1c) OH, SC
SC = $10
Diabetes Blood Test (A1c) $35 Diabetes Eye Exam SC $10
Diabetes Kidney Exam SC $10
Measures: ADV, BCS, COL, CBP, KED, Diabetes Eye Exam $35
OH = $35
HBD, EED, OMW, AWV Diabetes Kidney Exam $35
Breast Cancer Screening SC*, OH*
SC = $10
Annual Dental Visit MI* $35
Osteoporosis Management $50 $35
Annual Wellness Visit All
Timeline: Early April Launch Annual Wellness Visit $35 SC = $15
Are there any additional resources for member?
Members can watch a video on the MyChoice card at [Link].
