Value-added Services
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 online resources and help getting a ride, Superior is proud to offer many extra services to help keep our members healthy. For questions, contact Member Services at 1-800-783-5386.
| 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. |
| Careopolis and Kiddopolis | Access to Careopolis or Kiddopolis private online communities, where members engage friends, family and caregivers in their healing, healthcare or pregnancy journey. Must be approved by Service Coordination upon member request. |
| Extra Help Getting a Ride | Rides for members to a Social Security Administration-approved physician for appointments requested by disability determination services. Rides must be pre-authorized and scheduled at least 2 business days before the appointment. Travel reimbursement, ambulance and emergency transport are excluded. Members under the age of 18 must be accompanied by a responsible adult. Excludes CHIP Perinate members. |
| 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 per year. Coverage is for frames and lenses and does not cover additional features such as tints and coating. This allowance may not be used toward replacement eyewear or sunglasses. The member will be responsible for any charges exceeding $150. Excludes CHIP Perinate members. |
| Healthy Play and Exercise Programs (Boys & Girls Clubs) | Up to $125 towards one Boys & Girls Club (BGC) activity per year for members 6 through 18 years old through Superior’s partnerships with select 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 to be eligible. Limit one membership or sports registration per member, per year. Excludes members in Bexar, El Paso and Travis service delivery areas and CHIP Perinate members. |
| Healthy Play and Exercise Programs (YMCA) | Members from birth through age 17 may receive a 6-month YMCA membership at locations included in the Texas State Alliance of YMCAs. YMCA requires that a minor be accompanied by an adult. Activities may vary by location. Members are subject to the rules and regulations of the participating YMCA they choose to join. 6-month membership must be consecutive and is available once per year. There must be a Texas State Alliance of YMCAs within the vicinity of the member’s residence to be eligible. Excludes members in Lubbock and Nueces service delivery areas and CHIP Perinate members. |
| Help for Members with Asthma | Members enrolled in Disease Management or Service Coordination 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 2 years. Excludes CHIP Perinate members. |
| Joy for All™ | Members 5 through 17 years old enrolled in Service Coordination for at least 30 days can receive a Joy for All™ battery-operated plush companion pet. Value-added Service must be authorized by Superior’s Service Coordination upon member’s request. Limited to one per member lifetime. Excludes CHIP Perinate members. |
| Nicotine Recovery Program | Online tool to support smoking and vaping cessation. |
| Online Mental Health Resources | Online tool to support mental health and overall well-being. |
| Over-the-Counter (OTC) Items | Up to $25 every quarter, per household for commonly-used OTC items mailed to a member’s home or purchased at participating stores. 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. The OTC brochure includes household, personal care, oral care, and children’s items. Members can place orders online at https://www.cvs.com/benefits, by calling the vendor’s toll-free number, or purchasing at participating stores. Unused balances are not carried over from quarter to quarter. The total cost of items must be less than or equal to the program allowance for the items to be shipped to the member’s home. For in-store purchases, the member may pay amounts in excess of the benefit. Products may not be returned. OTC items may be ordered for the member only. Excludes CHIP Perinate members. |
| Ride to Member Advisory Group (MAG) Meeting | Rides for members to participate in Superior's MAG meetings. When you RSVP to attend a MAG meeting, let the staff know you need help with a ride. Members 0 through 18 years old need to be accompanied by an adult. If the Superior member is a child, legally authorized representative (LAR) and siblings may accompany member. The number of riders is limited to the space available in the transportation vehicle provided. The most cost-effective method of transportation will be offered. Travel reimbursement, ambulance, and emergency transport are excluded. CHIP Perinate members are excluded. |
| Sports/School Physicals | Annual sports/school physicals for members 4 through 18 years old. This Value-added Service is restricted to one physical per year with a maximum reimbursement of $35. The sports physical must be provided by a contracted Superior provider. Excludes CHIP Perinate members. |
More services for pregnant members:
| Benefit | Description |
| Baby Showers | Superior’s award-winning Start Smart® for Your Baby Program offers extra support during pregnancy. Pregnant members can receive a $25 reward and educational materials by:
Reward available one time per pregnancy. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Home Visits During Pregnancy | Pregnant members who are high risk and enrolled in Service Coordination programs may receive a home visit to help address health concerns during their pregnancy. Includes members who missed care appointments or have unstable health. Excludes CHIP Perinate members. |
| Prenatal and Postpartum Rewards | 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:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Smoking Cessation | Telephonic health coaching to support smoking cessation efforts during pregnancy through Superior's Puff-Free Pregnancy program. Limited to current tobacco users with an interest in quitting in the next 30 days. Excludes CHIP Perinate members. |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-800-783-5386 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
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.
| 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. |
| Baby Showers | Baby Showers. Superior’s award-winning Start Smart® For Your Baby offers extra support during pregnancy. Pregnant members can receive a $25 reward and educational materials by:
Reward available one time per pregnancy. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Careopolis and Kiddopolis | Access to Careopolis or Kiddopolis private online communities, where members engage friends, family and caregivers in their healing, healthcare or pregnancy journey. Must be approved by Service Coordination upon member request. |
| Prenatal and Postpartum Rewards | 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:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Nicotine Recovery Program | Online tool to support smoking and vaping cessation. |
| Online Mental Health Resources | Online tool to support mental health and overall well-being. |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-800-783-5386 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
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 online resources and help getting a ride, 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. |
| Careopolis and Kiddopolis | Access to Careopolis or Kiddopolis private online communities, where members engage friends, family and caregivers in their healing, healthcare or pregnancy journey. Must be approved by Service Coordination upon member request. |
| Extra Help Getting a Ride | Rides for members to a Social Security Administration-approved physician for appointments requested by disability determination services. Rides must be pre-authorized and scheduled at least 2 business days before the appointment. Travel reimbursement, ambulance and emergency transport are excluded. Members under the age of 18 must be accompanied by a responsible adult. |
| 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 2 years. Coverage is for frames and lenses and does not cover additional features such as tints and coating. This allowance may not be used toward replacement eyewear or sunglasses. The member will be responsible for any charges exceeding $150. |
| Flu Shot | Members can receive a $25 reward for completing the flu vaccine series by their 2nd birthday. Limited to members 6 months old to their 2nd birthday. Flu shot must be administered according to the CDC recommended child immunization schedule. Limited to one reward per member per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Healthy Play and Exercise Programs (Boys & Girls Clubs) | Up to $125 towards one Boys & Girls Club (BGC) activity per year for members 6 through 18 years old through Superior’s partnerships with select with 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 to be eligible. Limit one membership or sports registration per member, per year. Excludes members in Bexar, El Paso, MRSA Central, MRSA West and Travis service delivery areas. |
| Healthy Play and Exercise Programs (YMCA) | Members from birth through age 17 may receive a 6-month YMCA membership at locations included in the Texas State Alliance of YMCAs. YMCA requires that a minor be accompanied by an adult. Activities may vary by location. Members are subject to the rules and regulations of the participating YMCA they choose to join. 6-month membership must be consecutive and is available once per year. There must be a Texas State Alliance of YMCAs within the vicinity of the member’s residence to be eligible. Excludes members in the Hidalgo, Lubbock, Nueces and MRSA Northeast service delivery areas. |
| Help for Members with Asthma | Members enrolled in Service Coordination or Disease Management 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 2 years. |
| Joy for All™ | Members 5 through 17 years old who are enrolled in Service Coordination for at least 30 days can receive a Joy for All™ battery-operated plush companion pet. Value-added Service must be authorized by Superior’s Service Coordination upon member’s request. Limited to one per member lifetime. |
| Nicotine Recovery Program | Online support tool to support smoking and vaping cessation. |
| Nursing Facility Co-pay. | Up to $500 for nursing facility stay expenses. Members must participate in the Money Follows the Person (MFP) process for Medically Dependent Children Program (MDCP). Limited to one per lifetime. Approval from Service Management is required. |
| Online Mental Health Resources | Online tool to support mental health and overall well-being. |
| Over-the-Counter (OTC) Items | Up to $25 every quarter, per household for commonly-used OTC items mailed to a member’s home or purchased at participating stores. 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. The OTC brochure includes household, personal care, oral care, and children’s items. Members can place orders online at https://www.cvs.com/benefits, call the vendor’s toll-free number, or purchase at participating stores. Unused balances are not carried over from quarter to quarter. The total cost of items must be less than or equal to the program allowance for the items to be shipped to the member’s home. For in-store purchases, the member may pay amounts in excess of the benefit. Products may not be returned. OTC items may be ordered for the member only. |
| Ride to Member Advisory Group (MAG) Meeting | Rides for members to participate in Superior's MAG meetings. When you RSVP to attend a MAG meeting, let the staff know you need help with a ride. Members 0 through 18 years old need to be accompanied by an adult. If the Superior member is a child, legally authorized representative (LAR) and siblings may accompany member. The number of riders is limited to the space available in the transportation vehicle provided. The most cost-effective method of transportation will be offered. Travel reimbursement, ambulance, and emergency transport are excluded. |
| Sensory Items | Members 5 through 17 years old enrolled in Service Coordination for 30 days may receive one support bundle each year. Must be current with Texas Health Steps. Approval from Service Coordination is required. Limited to members in Lubbock, Nueces and MRSA West. |
| Sports/School Physicals | Annual sports/school physicals for members 4 through 18 years old. This Value-added Service is restricted to one physical per year with a maximum reimbursement of $35. The sports physical must be provided by a contracted Superior provider. |
| Weight Watchers® Program | To promote weight management and improve health, nutrition and wellness, Superior will offer members a 6-month subscription for Weight Watchers® online program per year. Weight-loss support is also available with unlimited workshops both in-person and online. Members must be 18 through 70 years old and have a BMI value of 30 or higher. 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 |
|---|---|
| Baby Showers | Superior’s award-winning Start Smart® For Your Baby Program offers extra support during pregnancy. Pregnant members can receive a $25 reward and educational materials by:
Reward available one time per pregnancy. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Extra Dental Benefits | Extra dental benefits for pregnant members who are 21 and over. These members may receive up to $250 once per pregnancy for dental services, including a routine exam and cleanings, x-rays and fluoride application. |
| Extra Help Getting a Ride | Transportation to a prenatal or postpartum visit when a member has additional riders (limited to children), and no other options are available. Rides need to be pre-authorized and scheduled at least 2 business days before the appointment. Member must bring a car seat for children who need one. Travel reimbursement, ambulance, and emergency transport are excluded. |
| Home Visits During Pregnancy | Pregnant members who are high risk and enrolled in Service Coordination programs may receive a home visit to help address health concerns during their pregnancy. Includes members who missed care appointments or have unstable health. |
| Prenatal and Postpartum Rewards | 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:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Smoking Cessation | Telephonic health coaching to support smoking cessation efforts during pregnancy through Superior's Puff-Free Pregnancy program. Limited to current tobacco users with an interest in quitting in the next 30 days. |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-800-783-5386 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
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 the Foster Care TX website.
| Benefit | Description |
|---|---|
| Adolescent 2 Adult (a2A) Grant | $50 grant for members 18 through 20 years old. This reward is part of Superior's My Health Pays®, a rewards program that offers financial, non-cash incentives for eligible members. Grants can be used for non-Medicaid covered benefits and other items. A current STAR Health Transition Screening, completed within the past 12 months, must be in place before receiving an a2A grant. Members are eligible to receive this Value-added Service one time per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Adolescent 2 Adult (a2A) Rewards Program | The program offers financial, non-cash incentives that reward members for completing wellness visits, dental checkups and more for members 18 through 20 years old (see complete details below). Members can receive rewards through a prepaid card for completing these activities following confirmation of the visit/vaccine/exam:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Care Grant | $50 care grant for members 0 through 20 years old. Reward loaded onto a prepaid card that can be used for non-Medicaid covered benefits. A current STAR Health Individual Service Plan, completed within the past 12 months, must be in place prior to receiving a care grant. Members are eligible to receive this Value-added Service one time per year. |
| Extra Vision Services | Eligible members are entitled to receive a $150 retail allowance for choice of upgraded eyeglass frames and lenses or contact lenses, not covered by Medicaid, once per year. The allowance does not cover additional features such as tints and coating. The member will be responsible for any charges exceeding $150. |
| Inpatient Follow-up Incentive Program | Members, 6 through 20 years old, who have been hospitalized for a mental health or substance abuse episode are eligible to receive a $35 gift card upon attending a follow-up appointment within 7 days of hospital discharge. Members are eligible to receive the gift one time per year. |
| Over-the-Counter (OTC) Items | Up to $30 every quarter for commonly used over-the-counter (OTC) items. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid or available through DME. 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 household items, shampoo, deodorant, toothpaste, laundry detergent and other miscellaneous OTC products. Members can place orders online at https://www.cvs.com/benefits, call the vendor's toll-free number, or purchase at participating stores. Unused balances are not carried over from quarter to quarter. The total cost of items must be less than or equal to the program allowance for the items to be shipped to the member's home. For in-store purchases, members may pay amounts in excess of the benefit. Products may not be returned. OTC items may be ordered for the member only. |
| Postpartum Follow-up Incentive | $50 reward for members who complete a postpartum visit within 7-84 days of delivery. Members are eligible to receive rewards once per delivery. The reward is loaded onto a prepaid card. Eligible members may receive rewards up to a maximum allowance of $150 per year across all eligible My Health Pays® rewards.* |
| Sports/School Physicals | Sports or school physicals for members 4 through 18 years old. Members may receive one sports/school physical each 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. |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-866-912-6283 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
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.
| Benefit | Description |
|---|---|
| ADHD Medication Follow-Up Visit Reward | $20 reward for members 6 through 12 years old newly diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) who follow up with a prescribing provider within 30 days after getting their initial ADHD medication. Members are eligible to receive this Value-added Service one time per year. |
| Baby Shower | $25 reward and educational materials for pregnant members attending a virtual educational baby shower hosted by Superior. Pregnant members can also participate in Superior’s award-winning Start Smart for Your Baby® Program, which offers extra support during and after pregnancy. Pregnant women can earn this Value-added Service one time per pregnancy. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Behavioral Health Emergency Room (ER) Follow-up Incentive Program | Up to a $30 reward ($10 per visit) for members 6 through 17 years old, who have a follow up visit for a mental health illness and see a doctor within 7 days of the emergency room visit. Members are eligible to receive this $10 Value-added Service three times per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Careopolis and Kiddopolis | An online “caring community” enabling members to engage friends, family and caregivers as it relates to their healing or healthcare journey. Members create and manage private online accounts through Careopolis and Kiddopolis to enhance connections with friends and loved ones. |
| Disease Management Support | $50 reward for members who complete any of our Disease Management programs. Programs include ADHD, depression, diabetes, Intellectual and Developmental Disability (IDD), pregnancy SUD and sickle cell support. Members can earn rewards for each program they complete. This Value-added Service is limited to one per member lifetime. Excludes asthma program. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Extra-curricular activities | Up to $150 each year for members to enroll in an approved extra-curricular activity. Extra-curricular activities can include, but are not limited to seasonal camps, private lessons, recreational and sports leagues. This Value-added Service is subject to need and must be authorized by Superior’s Service Coordination Department 90 days prior to the start date. Participating members are subject to the rules and regulations set forth by the organization, as applicable. This Value-added Service is not to exceed $150 per member, per year. Allowance will be paid directly to the event organizer. Limited to non-MDCP members. |
| Extra Help Getting a Ride | Ride assistance for members when Medicaid transportation is not available. This is limited to help getting to the Social Security Administration office or local food pantry. Limited to 2 round trip rides per year. Service Coordination must approve utilization. Travel must be within the service delivery area and not to exceed 25 miles round trip. Members 0 through 18 years old must be accompanied by an adult. The number of riders is limited to space in the most cost-effective method of transportation vehicle provided. Rides must be pre-authorized and scheduled at least 2 business days before the appointment. Travel reimbursement, ambulance and emergency transport are excluded. Limited to a max benefit of $100 per round trip. Members cannot pay for amounts more than the max benefit. . |
| Extra Vision Benefits | A $150 retail allowance towards select prescription eyeglass frames, lenses or contact lenses not covered by Medicaid, once every 2 years. Coverage is for frames and lenses and does not cover additional features such as tints and coating. This allowance may not be used towards replacement eyewear or sunglasses. The member will be responsible for any charges exceeding $150. |
| GED Support Services | Superior supports IDD waiver members 18 through 20 years old 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 one per member lifetime. |
| Guardianship Documentation | $15 reward for members 18 through 20 years old upon successful completion and submission of proper guardianship paperwork. Paperwork must be notarized and approved by Superior. Members are eligible to receive this Value-added Service one time per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Help for Members with Asthma | $50 reward for members who complete our Asthma Disease Management program. This Value-added Service is limited to one per member lifetime. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Home-delivered Meals | Superior offers 15 home-delivered prepared meals per year for the household following a member's discharge from an acute inpatient hospital stay. Home-delivered meals must be requested within 7 days from discharge and pre-authorized by Superior's Service Coordination Department. |
| In-home Respite Services | 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) Narrative. Members must also be up to date with their Texas Health Steps checkups. Services must be pre-authorized by Superior's Service Coordination Department.
|
| Inpatient Follow-up Incentive Program | Up to $30 reward ($10 per visit) for members 6 through 20 years old who complete a follow-up doctor visit within 7 days of leaving the hospital for an inpatient behavioral health or substance abuse stay. Members can earn $10 per visit and are eligible to receive this Value-added Service three times per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Job Preparation Assistance | $50 reward for members 16 through 20 years old to help prepare for a job or vocational interview. Reward can be used for professional clothing, footwear, interview preparation materials, or other interview-related items. This Value-added Service is limited to one per member lifetime. Members must:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Joy for All™ | Eligible members enrolled in Behavioral Health Disease Management for at least 30 days can receive a Joy for All™ battery-operated plush companion pet. Value-added Service must be authorized by Superior’s Service Coordination Department. Limited to one per member lifetime. |
| Nicotine Recovery Program | Online tool to support smoking and vaping cessation. |
| Non-Medical Drivers of Health | $25 reward to non-MDCP members in MRSA West and Lubbock service delivery areas, after 90-days of continuous enrollment who:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Nursing Facility Expense Coverage | Up to $500 towards nursing facility stay expenses. Eligible members must participate in the Money Follows the Person (MFP) process for Medically Dependent Children Program (MDCP). Value-added Service must be authorized by Superior’s Service Management Department. Limited to one per member lifetime. |
| Online Mental Health Resources | Online tool to support mental health and overall well-being. |
| Over-the-Counter (OTC) Items | · $120 yearly allowance ($30 per quarter) for members for commonly-used OTC items mailed to a member's home or purchased at participating stores. 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. Members can purchase items in store, order online at https://www.cvs.com/benefits, call the vendor's toll-free number, or purchase at participating stores. Unused balances are not carried over from quarter to quarter. The total cost of items must be less than or equal to the allowance for the items to be shipped to the member's home. For in-store purchases, members may pay amounts in excess of the benefit. Products may not be returned. OTC items may be ordered for the member only. |
| Phone Assistance | A Connections Plus pre-programmed phone with unlimited talk and text is available for qualifying members enrolled in Care Management, who do not have access to a phone and do not qualify for the federal Lifeline program. |
| Prenatal and Postpartum Rewards | 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 rewards for completing these activities following confirmation of the visit:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Ride to Superior Events | Ride assistance for members when Medicaid transportation is not available. This is limited to help getting to a Superior HealthPlan event. For example, Member Advisory Group (MAG) meetings, sensory movies events, or transition fairs. Limited to 2 round trip rides to a Superior event per year. Service Coordination must approve utilization. Travel must be within the service delivery area and not to exceed 25 miles, round trip. Members 0 through 18 years old must be accompanied by an adult. The number of riders is limited to space in the most cost-effective method of transportation vehicle provided. Rides must be pre-authorized and scheduled at least two (2) business days before the appointment. Travel reimbursement, ambulance and emergency transport are excluded. Limited to a max benefit of $100 per round trip. Members cannot pay for amounts in excess of the max benefit. |
| Sensory Toys Bundle | Eligible members 4 through 16 years old may receive a free age-appropriate learning bundle to promote focus and engagement during tasks. Members in Lubbock, Nueces, and MRSA West service delivery areas are eligible to receive this Value-added Service one time per year and must:
|
| Sports/School Physicals | Annual sports/school physicals for children 4 through 18 years old. This Value-added Service is restricted to one physical per year with a maximum reimbursement of $35 paid to the provider. The sports/school physical must be provided by a contracted Superior provider. |
| Telehealth Visit | $10 reward for completing one telehealth visit through Teladoc or NormanMD. Members must create an account prior to scheduling a telehealth visit. Excludes behavioral health-related visits. Members are eligible to receive this Value-added Service one time per year. |
| Texas ID | $16 reward for eligible members 16 through 20 years old who obtain a Texas identification card. Identification card must be obtained within the current fiscal year. Members must submit proof of identification received and fees paid to obtain the reward. Documents received must be approved by Superior. Fees for a driver’s license is not eligible. Limited to one per member lifetime. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Transition Assessment | $15 reward for members 16 through 20 years old who successfully complete their transition assessment on time and are up to date with Texas Health Steps checkup. A transition assessment helps members as they prepare to age out of STAR Kids. Members are eligible to receive this Value-added Service one time per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Wellness Activity | $25 reward for members 11 through 16 years old who participate in a wellness activity, non-school sports program or successful participation in a community physical activity. Members must provide documentation of completion and documents received must be approved by Superior. Members in Nueces and Hidalgo service delivery areas are eligible to receive this Value-added Service one time per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Wellness Rewards | Superior’s rewards program offers financial, non-cash incentives for eligible members. Members are limited to one reward per health-related activity per year. Rewards include:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-844-590-4883 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
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.
| 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 non-HCBS Waiver and non-CFC members who do not reside in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). ERS must be preauthorized by Superior’s Service Coordination Department. Includes STAR+PLUS members who are dual eligible (non-AIP). |
| Baby Shower | Pregnant members can receive a $25 reward and educational materials by:
Pregnant members can also participate in Superior’s award-winning Start Smart for Your Baby® Program, which offers extra support during and after pregnancy. Includes STAR+PLUS members who are dual eligible (non-AIP). Reward available one time per pregnancy. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Behavioral Health Emergency Room (ER) Follow-up Incentive Program | $20 reward for members who complete a follow-up visit with a health care professional within 7 days of an ER visit for substance use disorder. Members are eligible to receive this Value-added Service one time per year. Excludes STAR+PLUS members who are dual-eligible. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Careopolis and Kiddopolis | An online “caring community” enabling members to engage friends, family and caregivers as it relates to their healing or healthcare journey. Members create and manage private online accounts through Careopolis and Kiddopolis to enhance connections with friends and loved ones. |
| Cervical Cancer Screening Incentive Program | $50 reward for current Superior female STAR+PLUS members 21 to 64 years old, at average risk for cervical cancer, who complete a recommended cervical cancer screening. Limited to one $50 reward per year. Excludes STAR+PLUS members who are dual-eligible. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Diabetes Testing Incentive Program | $20 reward every 6 months for STAR+PLUS members with diabetes who do not reside in an ICF-IID residential home or nursing facility. Members must complete a blood sugar test (HbA1c) with a result of less than 8 to receive rewards. This Value-added Service is limited to two $20 rewards per year. Excludes STAR+PLUS members who are dual-eligible. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Drug Store $0 Co-pay. | $0 copay on all Part-D formulary-approved prescription drugs. Members must be:
This Value-added Service has additional restrictions and limitations. |
| Extra Dental Benefits | Superior offers additional dental benefits, including:
|
| Extra Help Getting a Ride | Ride assistance for members when Medicaid transportation is not available. Rides for members who need assistance in getting to dental, health, or behavioral health appointments; safety and education classes; as well as to a local benefit office. Limited to a total of 6 roundtrip rides per year. Rides must be pre-authorized and scheduled at least 3 business days before the appointment. Travel must be within the service delivery area and not to exceed 30 miles, one way. Travel reimbursement, ambulance and emergency transport are excluded. Includes STAR+PLUS members who are dual eligible (non-AIP). Excludes AIP members. Excludes dental transportation for dual aligned (non-AIP) members. |
| Extra Vision Services | Members are eligible to receive a $150 allowance once per year 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 $150. Excludes STAR+PLUS members who are dual-eligible. |
| Fall Prevention Program Graduation Incentive | Members not residing in an ICF-IID residential home or nursing facility can earn a $50 reward upon attending and verified graduation 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. 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 one per member lifetime. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| General Educational Development (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 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 one per member lifetime. |
| Help for members with Asthma | Members enrolled in Asthma Disease Management are offered enhanced asthma care. Participating members get an allergy-free mattress cover and pillowcase to help control asthma and chronic obstructive pulmonary disease (COPD) symptoms when enrolled in Disease Management for 60 days. Members are eligible to receive this Value-added Service one time per year. Excludes STAR+PLUS members who are dual-eligible. |
| Healthy Play and Exercise Programs (YMCA) | A 3-month YMCA membership for members in the Travis SDA with high blood pressure to encourage physical activity and maintain a healthy lifestyle. Members must have a history of hypertension, and a physician documented BMI of 30 or greater. 3-month membership must be consecutive and at locations included in the Texas State Alliance of YMCAs. Members are subject to the rules and regulations of the participating YMCA they choose to join. There must be a Texas State Alliance of YMCAs within the vicinity of the member’s residence to be eligible. Members are eligible to receive this Value-added Service one time per year. Excludes STAR+PLUS members who are dual-eligible. |
| Home-delivered Meals | Eligible members have access to 10 home-delivered prepared meals per year following discharge from an acute inpatient hospital stay or from a nursing facility back into the community setting. Available to non-HCBS Waiver members who do not reside in an ICF-IID residential home. Home-delivered meals must be preauthorized by Superior’s Service Coordination Department. Includes STAR+PLUS members who are dual eligible (non-AIP). |
| In-home Respite Services | · Up to 16 hours of in-home respite services each year. Available to STAR+PLUS members who have certain complex and chronic conditions and are anon-HCBS waiver member who do not reside in an ICF-IID residential home. Services must be preauthorized by Superior’s Service Coordination Department. Includes STAR+PLUS members who are dual eligible (non-AIP). |
| Intellectual and Developmental Disabilities (IDD) Camp Allowance | · Up to $100 each year for members not residing in an ICF-IID residential home or nursing facility to enroll in a camp. To help promote opportunity and increased independence members are eligible to receive this Value-added Service one time per year. Participating members are subject to the rules and regulations set forth by the camp. Value-added Service must be authorized by Superior’s Service Coordination Department 90 days prior to the start date. Member is responsible for the remaining balance to be paid to the organization/camp. Includes STAR+PLUS members who are dual eligible (non-AIP). |
| Inpatient Follow-up Incentive Program | $20 reward for members who have been admitted to an inpatient 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 one time per year. Excludes STAR+PLUS members who are dual-eligible. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Joy for All™ | Eligible STAR+PLUS non-dual members can receive a Joy for All™ battery-operated plush companion pet. Members must:
Value-added Service must be authorized by Superior’s Care Management Department. Limited to one per member lifetime. |
| Superior’s rewards program 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:
Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Medical Identification Bracelet | Personalized medical identification bracelet for members with an Intellectual and Developmental Disabilities (IDD) diagnosis. The member must complete an in-home assessment with their Superior Service Coordinator to qualify. Limited to members in Lubbock, Nueces and Travis services delivery areas. Excludes STAR+PLUS members who are dual-eligible. This Value-added Service has additional restrictions and limitations. Limited to one per member lifetime. |
| Nicotine Recovery Program | Online tool to support smoking and vaping cessation. |
| Nutritional Services | Up to 4 nutritional visits per year with a registered dietitian for members who do not reside in an ICF-IID residential home or nursing facility. This is available to members who have had an ER or hospital discharge in the last 6 months and have:
Includes STAR+PLUS members who are dual eligible (non-AIP). This Value-added Service has additional restrictions and limitations. |
| Online Mental Health Resources | Online tool to support mental health and overall well-being. |
| Over-the-Counter (OTC) Items | $120 yearly allowance ($30 per quarter) for STAR+PLUS members who do not reside in an ICF-IID residential home for commonly-used OTC items mailed to a member's home or purchased at participating stores. 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. Members can place orders online at https://www.cvs.com/benefits, call the vendor’s toll-free number, or purchase at participating stores. Unused balances are not carried over from quarter to quarter. The total cost of items must be less than or equal to the program allowance for the items to be shipped to the member’s home. For in-store purchases, member may pay amounts in excess of the benefit. Products may not be returned. OTC items may be ordered for the member only. Excludes STAR+PLUS members who are dual-eligible. |
| Pest Control | 2 pest repeller plug-ins to help control asthma and chronic obstructive pulmonary disease (COPD) symptoms. Members must be enrolled in Asthma or COPD Disease Management for 60 continuous days. This Value-added Service is available once per year. Excludes SSBCI members. |
| Rides to a "Matter of Balance" Classes | Ride assistance for members when Medicaid transportation is not available. Rides are for STAR+PLUS members enrolled in “A Matter of Balance” fall prevention classes and are limited to 8 roundtrip rides per lifetime. Rides should be scheduled at least 3 business days before the appointment and preauthorized by Superior’s Service Coordination Department. Travel must be within the service delivery area and not to exceed 30 miles, one way. Travel reimbursement, ambulance and emergency transport are excluded. |
| Short-Term Phone Assistance | A Connections Plus pre-programmed phone with unlimited talk and text is available for qualifying members enrolled in Care Management, who do not have access to a phone and do not qualify for the federal Lifeline program. Superior Service Coordination must approve requests for Connections Plus. Includes STAR+PLUS members who are dual eligible (non-AIP). |
| Weight Watchers® Program | · To promote weight management and improve health, nutrition and wellness, Superior will offer members a 3-month subscription for Weight Watchers® online program. Members must have a BMI value of 30 or higher and a primary diagnosis of diabetes, prediabetes, hypertension or heart disease 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. Includes STAR+PLUS members who are dual eligible (non-AIP). |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-877-277-9772 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
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.
| Benefit | Description |
|---|---|
| Careopolis and Kiddopoolis | An online “caring community” enabling members to engage friends, family and caregivers as it relates to their healing or healthcare journey. Members create and manage private online accounts through Careopolis and Kiddopolis to enhance connections with friends and loved ones. |
| General Educational Development (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 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 60 days to be eligible. This Value-added Service is limited to one per member lifetime |
| Joy for All™ | Eligible members can receive a Joy for All™ battery-operated plush companion pet. Members must be enrolled in Cognitive Adaptation Training Care Management for 60 days. Limited to members in Dallas, MRSA Central and Travis. Value-added Service must be authorized by Superior’s Care Management Department. Limited to one per member lifetime. |
| Nicotine Recovery Program | Online tool to support smoking and vaping cessation. |
| Nursing Facility Welcome Kit | Welcome kit for all dual and non-dual members who qualify. Welcome kits will include personal items such as a blanket, non-slip socks, coffee cup, water bottle, bag, activity books, and more. Limited to one per member lifetime. |
| Online Mental Health Resources | Online tool to support mental health and overall well-being. |
The Value-added Services listed below do not apply to dual-eligible members.
| Benefit | Description |
|---|---|
| Behavioral Health Emergency Room (ER) Follow-up Incentive Program | $20 reward for members who complete a follow-up visit with a health care professional within 7 days of an ER visit for substance use disorder. Members are eligible to receive this Value-added Service 1 time per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Cervical Cancer Screening Incentive Program | $50 reward for female STAR+PLUS members ages 21 through 64, at average risk for cervical cancer, who complete a recommended cervical cancer screening. Limited to one $50 reward per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
| Diabetes Testing Incentive Program | $20 reward every 6 months for STAR+PLUS members with diabetes. Members must complete a blood sugar test (HbA1c) with a result less than 8 to receive rewards. This Value-added Service is limited to two $20 rewards per year. |
| Extra Dental Benefits | Superior offers additional dental benefits, including:
|
| Extra Vision Services | Members are eligible to receive a $150 allowance once per year towards a choice of upgraded eyeglass frames and lenses or contact lenses not covered by Medicaid. Coverage is for new frames and lenses and does not cover additional features such as tints and coating. This allowance may not be used towards replacement eyewear or sunglasses. The member will be responsible for any Medicaid non-covered vision charges exceeding $150. |
| Inpatient Follow-up Incentive Program | $20 reward for members 21 through 64 years old who have been admitted to an inpatient 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 one time per year. Eligible members may receive up to a maximum of $150 per year across My Health Pays® rewards.* |
*Please note: Beginning January 1, 2027, members must enroll in the My Health Pays® program to earn rewards. Visit our Rewards Program webpage or call Member Services at 1-877-277-9772 to enroll. If you complete eligible reward activities on or after September 1, 2026, before enrollment begins on January 1, 2027, you will still receive those rewards. Once you enroll, any eligible rewards earned before enrollment will be added to your My Health Pays® card.
*Value-added Services may have restrictions and limitations. These services are effective 9/1/26 - 8/31/27.