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Value-added Services

Coverage that covers more. It’s all part of my plan. 

Superior delivers the quality health-care coverage that you deserve. Our commitment to your well-being extends far beyond the doctor’s office and into your everyday life. We are proud to offer extra services to keep our members healthy. As a member, you are able to get extra benefits and services in addition to your regular benefits. These are called Value-added Services (VAS)*. For questions or to learn how to get these benefits for you/your child, contact Member Services.

Value-added Services by Product

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services*. From extra vision care to cell phones and car seats, Superior is proud to offer many extra services to help keep our members healthy. For questions, contact Member Services.

Value-added Services

Benefit Description
24-Hour Nurse Advice Line Access to Superior’s 24-hour nurse advice line. Call 1-800-783-5386 to contact a registered nurse for health questions 24 hours a day, 7 days a week. 
Care Management Following Hospital Discharge CHIP members can earn a $20 rewards card for enrolling in Care Management, downloading the Wellframe app and participating in a care program for 30 days after discharge from the hospital. This reward is available one time every 6 months. Excludes hospitalizations for delivery or primary diagnosis of a behavioral health condition and CHIP Perinate members. Wellframe is a free mobile care program, accessible using Wi-Fi on a smartphone or tablet, which supports members in the management of their health.
Extra vision benefits Extra vision benefits, including a $150 retail allowance towards select prescription eyeglass frames, lenses or contact lenses not covered by CHIP, once every 12 months. Coverage is for frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any charges exceeding $150. Excludes CHIP Perinate members.
Healthy Play and Exercise Programs (Boys and Girls Clubs) Up to a $60 allowance for CHIP members to use towards a one-time club membership for members 6-18 years old or a one-time sports registration fee for members 6-12 years old through Superior’s partnerships with select Boys and Girls Clubs (BGC). Activities may vary by location. Members are subject to the rules and regulations of the participating BGC they choose to join. There must be a contracted BGC within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes BGC locations in Bexar, El Paso and Nueces service delivery areas and CHIP Perinate members.
Healthy Play and Exercise Programs (YMCA) Up to a $60 allowance for CHIP members to use towards one session of swim lessons for members up to 12 years old or a one-time sports registration for members 3 to 12 years old through Superior’s partnerships with select YMCAs. Activities may vary by location. Members are subject to the rules and regulations of the participating YMCA they choose to join. There must be a contracted YMCA within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes CHIP Perinate members.
Help for Members with Asthma Members enrolled in Superior’s Asthma Disease Management program are offered enhanced asthma care. This enhanced care provides support to help reduce asthma attacks. Participating members get an allergy-free mattress cover and pillow case once every 24 months. Excludes CHIP Perinate members.
Home Visits for Members with Asthma Members with asthma, or who are pregnant and have high risks, and who are enrolled in Superior’s Asthma Disease Management program or Service Management programs may receive a home visit and/or one-on-one comprehensive educational intervention to help address their special symptoms and identify ways to remove barriers and achieve their best health. Excludes CHIP Perinate members.
Inpatient Follow-up Incentive Program Members ages 6 to 18 who complete a follow-up doctor visit within 7 days of leaving the hospital for an inpatient behavioral health stay will receive a $20 gift card and journal. Members are eligible to receive the incentive one time per year. Excludes CHIP Perinate members.
My Health Pays® Rewards Program

Superior’s rewards program offers financial, non-cash incentives that reward pregnant members for completing healthy activities related to their pregnancy and delivery. Rewards are loaded onto a prepaid card. Pregnant members can receive awards for completing these activities following confirmation of the visit:

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.
Online Mental Health Resources Online, consumer-directed mental health resources for members through myStrength a website and mobile app that offers a range of resources to support mental health and overall well-being. Members can also engage in personalized e-Learning programs to help address depression, anxiety, stress, chronic pain, substance use and sleep issues.   
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.
Over-the-Counter (OTC) Items Up to $25 every calendar quarter per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by CHIP. Members will select from a catalog of items supplied by Superior. Orders can be placed with HomeScripts by calling a toll-free number, ordering via their mail order form or via the Superior member portal. Unused balances are not carried over from quarter to quarter and members are allowed only one order per quarter. The total cost of items must be less than or equal to the program allowance in order for the items to be shipped. Items may take up to two weeks for delivery. Products may not be returned. OTC items may be ordered for the member only. Excludes CHIP Perinate members.
Parenting Classes Parenting classes designed to enhance child-rearing skills for parents and foster the healthy development of their children through education and additional resources. This program is offered to members in a community setting. Only for CHIP members in the Bexar and El Paso service areas.
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. Connections Plus phone and monthly minutes are available for members who do not qualify for SafeLink and enroll in Care Management. Members are limited to one cell phone. Lost phones may be replaced at the discretion of the Care Manager. Members may keep the phone at the end of Care Management, but will be responsible for their own minutes thereafter. Excludes CHIP Perinate members.
Smoking Cessation Telephonic outreach, education and support services offered to reduce the health risks associated with smoking during pregnancy through Superior’s Puff-Free Pregnancy program. Members receive an individualized cessation plan, health kit to support smoking abstinence and materials that enhance understanding and compliance. Pregnant members receive a smoking cessation support kit upon enrolling in the program and completing initial assessment. Excludes CHIP Perinate members.
Sports/School Physicals Annual sports physicals for children ages 4 through 18. This Value-added Service is restricted to one physical per calendar year with a maximum reimbursement of $35. The sports physical must be provided by a contracted Superior provider. Excludes CHIP Perinate members.
Start Smart® For Your Baby Program

Superior’s award-winning program for pregnant women offers educational materials and gifts to CHIP members. Pregnant women can earn Value-added Services one time per pregnancy. Pregnant members can receive a diaper bag, starter supply of diapers and educational materials by:

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.

Pregnant members can receive a convertible car seat by:

  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days, and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior.

Pregnant CHIP members ages 13-18 enrolled in Care Coordination during their first trimester can also receive an age-appropriate book that covers topics including how to apply for Medicaid, the states of labor and economic, social, psychological and cultural issues in pregnancy.

Transportation Transportation assistance to behavioral health-related visits, on a case-by-case basis, for CHIP members ages 6-18. Members under age 18 must be accompanied by an adult. This Value-added Service must be prior authorized. Excludes CHIP RSA and CHIP Perinate members.

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services. For questions or to learn how to get these benefits, contact Member Services.

Value-added Services

Benefit Description
24-Hour Nurse Advice Line Access to Superior’s 24-hour nurse advice line. Call 1-800-783-5386 to contact a registered nurse for health questions 24 hours a day, 7 days a week.
Online Mental Health Resources Online and mobile accessible consumer-directed mental health resources for members through myStrength, a website that offers a range of resources to increase awareness of mental health needs and engage in personalized learning programs to help overcome depression and anxiety, stress, chronic pain, substance use and sleep issues. 
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.
Parenting Classes Parenting classes designed to enhance child-rearing skills for parents and foster the healthy development of their children through education and additional resources. This program is offered to members in a community setting. Only for CHIP members in the Bexar and El Paso service areas. 
Start Smart® For Your Baby Program

Superior’s award-winning program for pregnant women offers educational materials and gifts to CHIP members. Pregnant members can receive a diaper bag, starter supply of diapers and educational materials by:

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.
    Pregnant members can receive a convertible car seat by:
  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days, and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior.

Pregnant women can earn Value-added Services one time per pregnancy.

Superior’s My Health Pays® Rewards Program

The program offers financial, non-cash incentives that reward pregnant members for completing healthy activities related to their pregnancy and delivery. Rewards are loaded onto a prepaid card. Pregnant members can receive awards for completing these activities following confirmation of the visit:

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services*. From extra vision care to cell phones and car seats, Superior is proud to offer many extra services to help keep our members healthy. For questions, contact Member Services.

Value-added Services 

Benefit Description
24-Hour Nurse Advice Line Access to Superior’s 24-hour nurse advice line. Call 1-800-783-5386 to contact a registered nurse for health questions 24 hours a day, 7 days a week.
Care Management Following Hospital Discharge STAR members can earn a $20 rewards card for enrolling in Care Management, downloading the Wellframe app and participating in a care program for 30 days after discharge from the hospital. This reward is available one time every 6 months. Hospitalizations for delivery or primary diagnosis of a behavioral health condition are excluded. Wellframe is a free mobile care program, accessible using Wi-Fi on a smartphone or tablet, which supports members in the management of their health.
Extra Help Getting a Ride Transportation for members within 48 hours of the request for PCP, Specialist or pharmacy within a 30-day period following hospital discharge. Limited to 4 round trip rides per member. Only for STAR members in the Bexar and MRSA Central service areas.
Extra Vision Benefits Extra vision benefits, including a $150 retail allowance towards select prescription eyeglass frames, lenses or contact lenses not covered by Medicaid, once every 24 months. Coverage is for frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any charges exceeding $150. 
Healthy Play and Exercise Programs (Boys and Girls Clubs) Up to a $60 allowance for STAR members to use towards a one-time club membership for members 6-18 years old or a one-time sports registration fee for members 6-12 years old through Superior’s partnerships with select Boys and Girls Clubs (BGC). Activities may vary by location. Members are subject to the rules and regulations of the participating BGC they choose to join. There must be a contracted BGC within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes members in Bexar, El Paso, Nueces and MRSA Central service delivery areas.
Healthy Play and Exercise Programs (YMCA) Up to a $60 allowance for STAR members to use towards one session of swim lessons for members up to 12 years old or a one-time sports registration for members 3 to 12 years old through Superior’s partnerships with select YMCAs. Activities may vary by location. Members are subject to the rules and regulations of the participating YMCA they choose to join. There must be a contracted YMCA within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes members in the Hidalgo and MRSA Northeast service delivery areas.
Help for Members with Asthma Members enrolled in Superior’s Asthma Disease Management program are offered enhanced asthma care. This enhanced care provides support to help reduce asthma attacks. Participating members get an allergy-free mattress cover and pillowcase once every 24 months.
Home Visits for Members with Asthma Members with asthma, or who are pregnant and have elevated risk levels, and who are enrolled in Superior’s Asthma Disease Management program or Service Management programs may receive a home visit and/or one-on-one comprehensive educational intervention to help address their special symptoms and identify ways to remove barriers and achieve their best health.
Inpatient Follow-up Incentive Program Members, ages 6 to 20, who complete a follow-up doctor visit within 7 days of leaving the hospital for an inpatient behavioral health stay will receive a $20 gift card and journal. Members are eligible to receive the incentive one time per year.
Online Mental Health Resources Online, consumer-directed mental health resources for members through myStrength a website and mobile app that offers a range of resources to support mental health and overall well-being. Members can also engage in personalized e-Learning programs to help address depression, anxiety, stress, chronic pain, substance use and sleep issues.  
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.
Over-the-Counter (OTC) Items Up to $25 every calendar quarter per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Members will select from a catalog of items supplied by Superior. Orders can be placed with HomeScripts by calling a toll-free number, ordering via their mail order form or via the Superior member portal. Unused balances are not carried over from quarter to quarter and members are allowed only one order per quarter. The total cost of items must be less than or equal to the program allowance in order for the items to be shipped. Items may take up to two weeks for delivery. Products may not be returned. OTC items may be ordered for the member only. 
Parenting Classes Parenting classes designed to enhance child-rearing skills for parents and foster the healthy development of their children through education and additional resources. This program is offered to members in a community setting. Only for STAR members in the Bexar and El Paso service areas. 
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. Connections Plus phone and monthly minutes are available for members who do not qualify for SafeLink and enroll in Care Management. Members are limited to one cell phone. Lost phones may be replaced at the discretion of the Care Manager. Members may keep the phone at the end of Care Management, but will be responsible for their own minutes thereafter. 
Sports/School Physicals Annual sports physicals for children ages 4 through 18. This Value-added Service is restricted to one physical per calendar year with a maximum reimbursement of $35. The sports physical must be provided by a contracted Superior provider.
Transportation Transportation assistance to behavioral health-related doctor visits, on a case-by-case basis, for STAR members ages 6 and older. Members under age 18 must be accompanied by an adult. This Value-added Service must be prior authorized. Excludes members in MRSA Central, MRSA Northeast and MRSA West service delivery areas.
Weight Watchers® Program To promote weight management and improve health, nutrition and wellness, Superior will offer STAR members a 3-month limited subscription for Weight Watchers® online program per year. Members must be 18 years and older, have a BMI value of 30 or higher and a primary diagnosis of diabetes or prediabetes to qualify. BMI and diagnosis must be verified to be eligible. Members who are pregnant or have a diagnosis of bulimia nervosa are not eligible. Member must have online access.


More services for pregnant members:

Benefit Description
Extra Dental Benefits Extra dental benefits for pregnant members who are 21 and older. These members may receive up to $250 for dental services, including a routine exam and cleanings, x-rays, fillings and extractions.
My Health Pays® Rewards Program Superior’s rewards program offers financial, non-cash incentives that reward pregnant members for completing healthy activities related to their pregnancy and delivery. Rewards are loaded onto a prepaid card. Pregnant members can receive awards for completing these activities following confirmation of the visit:
  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.
Smoking Cessation Telephonic outreach, education and support services offered to reduce the health risks associated with smoking during pregnancy through Superior’s Puff-Free Pregnancy program. Members receive an individualized cessation plan, health kit to support smoking abstinence and materials that enhance understanding and compliance. Pregnant members receive a smoking cessation support kit upon enrolling in the program and completing the initial assessment. 
Start Smart® For Your Baby Program

Superior’s award-winning program for pregnant women offers educational materials and gifts to CHIP members. Pregnant women can earn Value-added Services one time per pregnancy. Pregnant members can receive a diaper bag, starter supply of diapers and educational materials by:

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.

Pregnant members can receive a convertible car seat by:

  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days, and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior.

Pregnant STAR members ages 13-19 enrolled in Care Coordination during their first trimester can also receive an age-appropriate book that covers topics including how to apply for Medicaid, the states of labor and economic, social, psychological and cultural issues in pregnancy.

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services. For questions or to learn how to get these benefits for you/your child, call Member Services at 1-866-912-6283 or visit www.FosterCareTX.com

Value-added Services

Benefit Description
a2A My Health Pays® Rewards Program

The program offers financial, non-cash incentives that reward members for completing wellness visits, dental checkups and more for members ages 18 through 20 years old (see complete details below). Members can receive rewards for completing these activities following confirmation of the visit/vaccine/exam: 

  • $25 for completing a Texas Health Steps visit within 30 days of 18th birthday
  • $30 for completing an initial dental checkup
  • $30 for a sixth month dental checkup
  • $20 for receiving a flu shot during flu season
  • $20 for completing an annual well woman exam (for female members)
Boys & Girls Club Membership Members, ages 6 through 17, can receive $25 per year towards a membership to the local Boys and Girls Club in major metropolitan areas. All members participating are subject to the rules and regulations of the respective Boys and Girls Club they choose to join. There must be an established Boys and Girls Club within the vicinity of the member’s placement in order to be eligible for this Value-added Service. 
Care Grants Small cash grants, called Care Grants, which may be used for non-Medicaid covered items like art supplies, clothing or other personal items up to $50 per member, per year.
Extra Vision Services Eligible members are entitled to receive a $100 retail allowance for choice of upgraded eyeglass frames and lenses not covered by Medicaid or contact lenses every year. The allowance does not cover additional features such as tints and coating. The member will be responsible for any charges exceeding $100.
Inpatient Follow-up Incentive Program Members, ages 6 to 20, who have been hospitalized for a mental health or substance abuse episode are eligible to receive a $20 gift card and journal upon attending a follow-up appointment within 7 days of hospital discharge. Members are eligible to receive the gift 1 time in a 12-month period.
Over-the-Counter (OTC) Items Up to $30 every calendar quarter for commonly-used over-the-counter (OTC) items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Members will select from a catalog of items supplied by Superior, up to the program specific dollar limit per quarter, per member. Items on the list include, but are not limited to common topical products, first aid supplies, hygiene items and other miscellaneous OTC products. Orders will be placed with HomeScripts by calling a toll-free number, ordering via their mail order form or via the Superior member portal. Unused balances are not carried over from quarter to quarter and members are allowed only 1 order per quarter. The total cost of items must be less than or equal to the program allowance in order for the items to be shipped. Items may take up to 2 weeks for delivery. Products may not be returned. OTC items may be ordered for the member only.
Sports/School Physicals Sports or camp physicals for members ages 4 to 18 years old. Members may receive 1 sports/camp physical per calendar year with a maximum fee of $35. Any in-network provider can provide this service. Superior encourages members to use their PCP, but it is not required.

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services*. For questions or to learn how to get these benefits for you/your child, call Member Services at 1-844-590-4883. 

Value-added Services

Benefit Description
Camp Up to $150 each year for members to enroll in an approved camp. This Value-added Service is subject to need and must be authorized by Superior’s Service Coordination Department. Eligible members must identify the camp they would like to attend and submit a request to the Service Coordination Department for approval 90 days prior to the camp start date. Participating members are subject to the rules and regulations set forth by the camp and its sponsor organization, as applicable. This Value-added Service is not to exceed $150 per member, per year. Allowance will be paid directly to the camp provider.
Community-Based Specialty Services Community-based specialty services offered each month that may include music, art, and play therapy. Each Service Area (SA) will offer 1 specialty service per month and specialty services may vary across SA’s. Specialty services are available on a first come/first served basis and are subject to provider availability. Members may attend a community-based specialty service 1 time per month. Participating members are subject to the rules and regulations set forth by the community-based specialty service provider.
Extra Help Getting a Ride Transportation is available for members who need a ride to be seen by a PCP or specialist within 48 hours of the request. Transportation is also available for members to pick up prescriptions needed within 48 hours of the request and within a 30-day period following a hospital discharge. Limited to 4 round trip rides per member. For members in the Bexar service delivery area only.
Help for Members with Asthma Members enrolled in Superior’s Asthma Care Management program are offered enhanced asthma care. This enhanced care provides support to help reduce asthma attacks. Participating members get an allergy-free mattress cover and pillowcase once every 12 months.
Home-delivered Meals STAR Kids members have access to 10 home-delivered meals per year following discharge from an acute inpatient hospital stay. Home-delivered meals must be pre-authorized by Superior’s Service Coordination Department.
In-home Respite Services Up to 8 hours annually of in-home respite services for members not in the Medically Dependent Children Program (MDCP). Members are eligible for respite services upon completion of the annual STAR Kids Screening and Assessment (SAI) and return of the signed Individual Service Plan (ISP). Services must be pre-authorized by Superior’s Service Coordination Department.
Inpatient Follow-up Incentive Program Members ages 6 to 20 who complete a follow-up doctor visit within 7 days of leaving the hospital for an inpatient behavioral health stay will receive a $20 rewards card and journal. Members are eligible to receive this Value-added Service 1 time in a 12-month period.
My Health Pays® Rewards Program

Superior’s My Health Pays® is a rewards program that offers financial, non-cash incentives for members. Members are limited to 1 reward per health-related activity per year. Rewards include: 

  • $20 for members who get their Texas Health Steps checkup within 90 days of joining Superior. Limited to 1 reward per member per year.
  • $120 for members birth to 15 months that get all 6 Texas Health Steps checkups on schedule.
  • $20 per checkup for members ages 3-6 years and 12-20 years who get their annual Texas Health Steps checkup each year.
  • $20 for female members 18-20 years who get their annual well woman exam.
  • $10 for members 18-20 years who get their annual flu shot.

There are also rewards for pregnant members for completing healthy activities related to their pregnancy and delivery. Pregnant members can receive rewards for completing these activities following confirmation of the visit:

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.
Online Mental Health Resources Online, consumer-directed mental health resources for members through myStrength, a website and mobile app that offers a range of resources to support mental health and overall well-being. Members can also engage in personalized e-Learning programs to help address depression, anxiety, stress, chronic pain, substance use and sleep issues.
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.
Over-the-Counter (OTC) Items Up to $30 every calendar quarter per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Members will select from a catalog of items supplied by Superior. Orders will be placed with HomeScripts by calling a toll-free number, ordering via their mail order form or via the Superior member portal. Unused balances are not carried over from quarter to quarter and members are allowed only 1 order per quarter. The total cost of items must be less than or equal to the allowance in order for the items to be shipped. Items may take up to 2 weeks for delivery. Products may not be returned. OTC items may be ordered for the member only. 
Start Smart® For Your Baby Program

Superior’s award-winning Start Smart® program for pregnant women. This program offers educational materials and gifts for STAR Kids members. Pregnant women can earn Value-added Services 1 time per pregnancy. Pregnant members can receive a diaper bag, starter supply of diapers, and educational materials by: 

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.

Pregnant members can receive a convertible car seat by:

  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days, and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior.

Pregnant STAR Kids members ages 13-19 enrolled in Care Coordination during their first trimester can also receive an age-appropriate book that covers topics including how to apply for Medicaid, the states of labor and economic, social, psychological and cultural issues in pregnancy.

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services*. For questions or to learn how to get these benefits, call Member Services at 1-877-277-9772. 

Value-added Services

Benefit Description
24-hour Emergency Response Services Superior will provide round-the-clock emergency response services (ERS) for up to 6 months when a member is discharged from a hospital, resulting from an acute inpatient hospital stay, or from a nursing facility back into the community setting. This is a Value-added Service for all Superior STAR+PLUS non-HCBS Waiver and non-CFC members, ages 21 and older, who do not reside in an Intermediate Care Facility for persons with Intellectual and Developmental Disabilities (ICF/IDD). ERS must be preauthorized by Superior’s Service Coordination Department.
24-hour Nurse Advice Line Access Superior’s 24-hour nurse advice line. Call 1-877-277-9772 to contact a registered nurse for health questions 24 hours a day, 7 days a week. This service is not available to members who reside in an ICF-IDD residential home.
Behavioral Health Emergency Room (ER) Follow-up Incentive Program $20 rewards card for members ages 21 and older who go to a follow-up doctor visit within 7 days of a substance use disorder ER visit. Members are eligible to receive this Value-added Service 1 time in a 12-month period. Excludes STAR+PLUS members who are dual-eligible.
Extra Dental Benefits Non-dual, non-HCBS Waiver STAR+PLUS members and pregnant women, ages 21 and older, may receive $250 annually in dental services towards exams, x-rays, cleanings and fluoride treatments.
Extra Foot Doctor (Podiatry) Services Members, ages 21 and older, are eligible to receive extra podiatry services in addition to what is available through Medicaid to include up to 4 additional podiatry services every 12 months. These podiatry services must be authorized and medically necessary. Excludes STAR+PLUS members who are dual-eligible.
Extra Help Getting a Ride
  • Rides to behavioral health doctor visits and community supports and services. This is for members ages 21 and older and is only available when Medicaid transportation is not available. Rides are provided on a case-by-case basis to non-dual STAR+PLUS members who do not reside in an ICF-IDD residential home. This VAS must receive prior authorization.
  • Rides to PCP, specialist or pharmacy within a 30-day period following a hospital discharge. Limited to 4 round trip rides per member, 30 miles one-way and only when Medicaid transportation is not available. Rides are provided to non-dual STAR+PLUS members in Bexar and MRSA Central service delivery areas only who do not reside in a nursing facility.
  • Rides for members enrolled in health education classes including diabetes self-management education, H-E-B nutritional counseling program or “A Matter of Balance” fall prevention classes. This is for STAR+PLUS members in Bexar and MRSA Central service delivery areas only who do not reside in a nursing facility.
Extra Vision Services Members, ages 21 and older, are eligible to receive a $100 allowance every 12 months towards a choice of upgraded eyeglass frames and lenses or contact lenses not covered by Medicaid. This allowance may not be used towards replacement eyewear or sunglasses. Coverage is for new frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any Medicaid non-covered vision charges over $100. Excludes STAR+PLUS members who are dual-eligible.
Fall Prevention Program Graduation Incentive STAR+PLUS members not residing in an ICF-IDD residential home or nursing facility can earn a $50 rewards card upon attending and graduating from an 8-week fall prevention program called “A Matter of Balance.” Members will learn to control their fear of falling, set goals to increase exercise to promote strength and balance and change their environment to reduce fall risk factors. The program may be offered by Superior or a community support service agency. Participating members are subject to the rules and regulations set forth by the program and its sponsor organization, as applicable. Members must provide verification of graduation to be eligible. Limited to 1 per member lifetime. 
GED Support Services Superior supports members with an IDD diagnosis in achieving goals that improve their quality of life by offering access to resources to help pass the General Educational Development (GED) test. Superior will assist all interested members by providing GED preparatory materials and identifying available testing centers close to the member. Members must be enrolled with Superior for at least 60 days to be eligible. This Value-added Service is limited to 1 per member lifetime.  
Home-delivered Meals Non-HCBS Waiver members ages 21 and older who do not reside in an ICF-IDD residential home have access to 10 home-delivered meals per year following discharge from an acute inpatient hospital stay or from a nursing facility back into the community setting. Home-delivered meals must be preauthorized by Superior’s Service Coordination Department. 
In-home Respite Care Non-HCBS Waiver members with certain complex and chronic conditions will have access to up to 8 hours of in-home respite services each year. This is available to STAR+PLUS non-HCBS waiver members, ages 21 and older, who do not reside in an ICF-IDD residential home. Services must be preauthorized by Superior’s Service Coordination Department.
Inpatient Follow-up Incentive Program $20 rewards card for all members ages 21 and older who have been admitted to an inpatient psychiatric facility for a mental health or substance abuse diagnosis and go to a follow up doctor visit within 7 days of leaving the hospital. Members are eligible to receive this Value-added Service 1 time in a 12-month period. Excludes STAR+PLUS members who are dual-eligible.
My Health Pays®  Rewards Program

Superior’s My Health Pays® is a rewards program that offers financial, non-cash incentives that reward pregnant members for completing healthy activities related to their pregnancy and delivery. Excludes STAR+PLUS members who are dual-eligible. Pregnant members can receive rewards for completing these activities following confirmation of the visit:

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.

 

Nutritional Services Non-dual STAR+PLUS members who do not reside in an ICF-IDD residential home or nursing facility have access to up to 4 nutritional visits with a registered dietitian. This is available to members who have a BMI value of 32 or higher, an ER or hospital discharge in the last 6 months and a diagnosis of diabetes, cardiovascular disease or COPD. This Value-added Service is only available at H-E-B stores that offer nutritional services. Participating members are subject to the rules and regulations set forth by the program and its sponsor organization, as applicable. Excludes members in Dallas, Lubbock, Nueces, MRSA Central and MRSA West service delivery areas.
Online Mental Health Resources Online, consumer-directed mental health resources for members through myStrength, a website and mobile app that offers a range of resources to support mental health and overall well-being. Members can also engage in personalized e-Learning programs to help address depression, anxiety, stress, chronic pain, substance use and sleep issues. 
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.
Over-the-Counter (OTC) Items STAR+PLUS members who do not reside in an ICF-IDD residential home can get up to $30 every calendar quarter per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Members will select from a catalog of items supplied by Superior. Orders will be placed with HomeScripts by calling a toll-free number, ordering via their mail order form or via the Superior member portal. Unused balances are not carried over from quarter to quarter and members are allowed only 1 order per quarter. The total cost of items must be less than or equal to the program allowance in order for the items to be shipped. Items may take up to 2 weeks for delivery. Products may not be returned. OTC items may be ordered for the member only. Excludes STAR+PLUS members who are dual-eligible.
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. A Connections Plus pre-programmed phone and monthly minutes are available for members who do notqualify for a SafeLink phone and are enrolled in Care Management. Superior Service Coordination must approve requests for phones and minutes. 
Start Smart® For Your Baby Program

Superior’s award-winning Start Smart® program for pregnant women. This program offers educational materials and gifts for STAR+PLUS members. Pregnant members can receive a diaper bag, starter supply of diapers, and educational materials by: 

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.

Pregnant members can receive a convertible car seat by:

  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days, and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior.

Pregnant women can earn Value-added Services 1 time per pregnancy. Excludes STAR+PLUS members who are dual-eligible.

Weight Watchers® Program To promote weight management and improve health, nutrition and wellness, Superior will offer STAR+PLUS members a 3-month subscription for Weight Watchers® online program or 1 set of vouchers for local meetings per year. Members must have a BMI value of 30 or higher and a primary diagnosis of diabetes or prediabetes to qualify. BMI and diagnosis must be verified to be eligible. Members who are pregnant or have a diagnosis of bulimia nervosa are not eligible. Excludes STAR+PLUS members who are dual-eligible.

At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services. For questions or to learn how to get these benefits, call Member Services at 1-877-277-9772. 

Value-added Services

Benefit Description
24-hour Nurse Advice Line

Access Superior’s 24-hour nurse advice line. Call 1-877-277-9772 to contact a registered nurse for health questions 24 hours a day, 7 days a week.

GED Support Services Superior supports members with an IDD diagnosis in achieving goals that improve their quality of life by offering access to resources to help pass the General Educational Development (GED) test. Superior will assist interested members by providing GED preparatory materials and identifying available testing centers close to the member. Members must be enrolled with Superior for at least 60 days to be eligible. This Value-added Service is limited to 1 per member lifetime. 
Nursing Facility Welcome Kit

Welcome kit for all dual and non-dual members ages 21 and older who are entering a nursing facility for the first time. Welcome kits will include personal items to help the member transition in to residing at a long term care facility such as: a shower cap, blanket, non-slip socks, coffee cup, water bottle, lighted magnifying glass, tote bag, Sudoku game and crossword puzzles. Members will receive the welcome kit within 30 days of entering the facility.

Online Mental Health Resources Online, consumer-directed mental health resources for members through myStrength, a website and mobile app that offers a range of resources to support mental health and overall well-being. Members can also engage in personalized e-Learning programs to help address depression, anxiety, stress, chronic pain, substance use and sleep issues.
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.

The Value-added Services listed below do not apply to dual-eligible members.

Benefit Description
Extra Dental Benefits

Non-dual, non-HCBS Waiver STAR+PLUS members and pregnant women, ages 21 and older, may receive $250 annually in dental services towards exams, x-rays, cleanings and fluoride treatments.

Extra Foot Doctor (Podiatry) Services

Members, ages 21 and older, are eligible to receive extra podiatry services in addition to what is available through Medicaid to include up to 4 additional podiatry services every 12 months. These podiatry services must be authorized and medically necessary.

Extra Vision Services Members, ages 21 and older, are eligible to receive a $100 allowance every 12 months towards a choice of upgraded eyeglass frames and lenses or contact lenses not covered by Medicaid. This allowance may not be used towards replacement eyewear or sunglasses. Coverage is for new frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any Medicaid non-covered vision charges exceeding $100.

* Value-added Services may have restrictions and limitations. These services are effective 9/1/20-8/31/21.