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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. 
Extra Help Getting a Ride Transportation for members who need rides to a Social Security Administration-approved physician for appointments requested by disability determination services. Rides must be pre-authorized and requested atleast two (2) business days before the appointment. Members 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. The member will be responsible for any charges exceeding $150. Excludes CHIP Perinate members.
Healthy Play and Exercise Programs (Boys & 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 & 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 Asthma Care 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 pillow case once every 2 years. Excludes CHIP Perinate members.
Home Visits for Members who are Pregnant Members who are enrolled in Service Management for high-risk pregnancy may receive a home visit to help address their special symptoms. 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 or substance abuse 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 7-84 days of delivery.
Nicotine Recovery Program Online, consumer-directed nicotine recovery program through myStrength, a web and mobile app that offers a wide variety of resources to help members meet their nicotine recovery goals. This online resource provides ideas, information and education such as expert videos, interactive activities and stories of hope.
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 quarter per household for commonly-used OTC items. 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 by calling the vendor's 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.
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. Net10 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 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 the Wellframe 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 the Wellframe 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.

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.
Nicotine Recovery Program Online, consumer-directed nicotine recovery program through myStrength, a web and mobile app that offers a wide variety of resources to help members meet their nicotine recovery goals. This online resource provides ideas, information and education such as expert videos, interactive activities and stories of hope.
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.
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 the Wellframe 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 the Wellframe 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.

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 7-84 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.
Extra Help Getting a Ride Transportation for members who need rides to a Social Security Administration-approved physician for appointments requested by disability determination services. Rides are provided through Superior’s Medical Ride Program vendor, SafeRide. Rides must be pre-authorized and requested at least two (2) business days before the appointment.
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. The member will be responsible for any charges exceeding $150. 
Healthy Play and Exercise Programs (Boys & 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 & 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 and Nueces 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 Asthma Care 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 24 months.
Home Visits for Members who are Pregnant Members who are pregnant, have elevated risk levels, and who are enrolled in Service Management programs may receive a home visit to help address their special symptoms and have a healthy pregnancy.
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 or substance abuse stay will receive a $20 gift card and journal. Members are eligible to receive the incentive one time per year.
Nicotine Recovery Program Online, consumer-directed nicotine recovery program through myStrength, a web and mobile app that offers a wide variety of resources to help members meet their nicotine recovery goals. This online resource provides ideas, information and education such as expert videos, interactive activities and stories of hope.
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 quarter per household for commonly-used OTC items. 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 by calling the vendor's 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. 
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. Net10 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 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 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, 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.


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 and fillings.
Entra Help Getting a Ride Transportation to a prenatal or postpartum visit when member has additional riders (limited to child/children) and no other options are available. Rides are provided through Superior’s Medical Ride Program vendor, SafeRide. Rides must be pre-authorized and scheduled at least two (2) business days before the appointment. Member must bring car seat(s) for children who need one. Only applies to members in Bexar, El Paso, MRSA Northeast and Travis service areas
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 7-84 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 the Wellframe 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 the Wellframe 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 & Girls Club in major metropolitan areas. All members participating are subject to the rules and regulations of the respective Boys & Girls Club they choose to join. There must be an established Boys & 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 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. 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. Members can place orders by calling the vendor’s toll-free number, by using their app 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 school physicals for members ages 4 to 18 years old. Members may receive 1 sports/school physical per 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. Limited to non-MDCP members.
Community-Based Specialty Services Community-based specialty services offered each month that may include music, art, or 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 Vision Benefit Extra vision benefits, including a $100 retail allowance towards select prescription eyeglass frames, lenses or contact lenses not covered by Medicaid, once every two years. 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 $100.
Help for Members with Asthma Members enrolled in Asthma Care Management pare 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 per year.
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). Members must 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 Members ages 6 to 20 who complete a follow-up doctor visit within 7 days of leaving the hospital for an inpatient behavioral health or substance abuse stay will receive a $20 rewards card and journal. Members are eligible to receive this Value-added Service 1 time per year.
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 7-84 days of delivery.
Nicotine Recovery Program Online, consumer-directed nicotine recovery program through myStrength, a web and mobile app that offers a wide variety of resources to help members meet their nicotine recovery goals. This online resource provides ideas, information and education such as expert videos, interactive activities and stories of hope.
Notary Rewards $15 rewards card for STAR Kids members ages 17 and older upon successful completion and submission of proper notarized guardianship paperwork. This Value-added Service is a one-time benefit.
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 quarter, per member for commonly-used OTC items. 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 by calling the vendor’s toll-free number, by using their app 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. 
Sports/School Physicals Annual sports/school 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/school physical must be provided by a contracted Superior provider.
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 the Wellframe 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 the Wellframe 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 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.
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-IID residential home.
Behavioral Health Emergency Room (ER) Follow-up Incentive Program $20 rewards card for members 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 per year. Excludes STAR+PLUS members who are dual-eligible.
Cervical Cancer Screening Incentive Program $25 reward for female STAR+PLUS members ages 21-64, at average risk for cervical cancer, who complete a recommended cervical cancer screening. Limited to one $25 reward per year. Excludes STAR+PLUS members who are dual-eligible.
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 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.
Extra Dental Benefits
  • Non-dual, non-HCBS Waiver STAR+PLUS members in Dallas and Nueces may receive $500 annually towards exams and cleanings, x-rays, fluoride treatments or a simple extraction.
  • Non-dual, non-HCBS Waiver STAR+PLUS members may receive $250 annually in dental services towards exams, x-rays, cleanings and fluoride treatments. Excludes members in Dallas and Nueces.
Extra Foot Doctor (Podiatry) Services Members are eligible to receive extra podiatry services in addition to what is available through Medicaid to include upto 4 additional podiatry services every year. 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 community supports and services. This is only available for members 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-IID residential home. This Value-added Service must receive prior authorization from Service Coordination/Care Management.
  • Rides for non dual-eligible members enrolled in health education classes including diabetes self-management education and “A Matter of Balance” fall prevention classes. Travel must be within the Service Delivery Area and not to exceed 30 miles, one way. This is for members who do not reside in a nursing facility. Service Coordination/Care Management must approve utilization.
  • Rides for STAR+PLUS dual-eligible members enrolled “A Matter of Balance” fall prevention classes. Travel must be within the Service Delivery Area and not to exceed 30 miles, one way. This is for members who do not reside in a nursing facility. Service Coordination/Care Management must approve utilization.
  • Rides for members enrolled in H-E-B nutritional counseling program. Rides are provided to non-dual STAR+PLUS members in Bexar, Hidalgo and Lubbock Service Delivery Areas who do not reside in a nursing facility. Service Coordination/Care Management must approve utilization.
Extra Vision Services Members are eligible to receive a $100 allowance 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 $100. Excludes STAR+PLUS members who are dual-eligible.
Fall Prevention Program Graduation Incentive STAR+PLUS members not residing in an ICF-IID 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 who do not reside in an ICF-IID 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 who do not reside in an ICF-IID residential home. Services must be preauthorized by Superior’s Service Coordination Department.
Inpatient Follow-up Incentive Program $20 rewards card for members 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 per year. 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 7-84 days of delivery.
Nicotine Recovery Program Online, consumer-directed nicotine recovery program through myStrength, a web and mobile app that offers a wide variety of resources to help members meet their nicotine recovery goals. This online resource provides ideas, information and education such as expert videos, interactive activities and stories of hope.
Nutritional Services
Non-dual STAR+PLUS members who do not reside in an ICF-IID residential home or nursing facility have access to up to 4 nutritional visits per year 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. Participating members are subject to the rules and regulations set forth by the program and its sponsor organization, as applicable. 
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-IID residential home can get up to $30 every quarter, per member for commonly-used OTC items. 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 by calling the vendor’s toll-free number, by using their app 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.
Remote Medication Monitoring Services Non-HCBS Waiver members who do not reside in an ICF-IID residential home, and are enrolled in Care Management can receive up to 6 months of remote medication monitoring services. Members must have a recent inpatient discharge and a diagnosis of diabetes, asthma, COPD, or heart failure (CHF). This Value-added Service is not offered by a telehealth provider. Care Management must approve utilization. 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 Net10 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 the Wellframe 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 the Wellframe 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. 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. 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.
Nicotine Recovery Program Online, consumer-directed nicotine recovery program through myStrength, a web and mobile app that offers a wide variety of resources to help members meet their nicotine recovery goals. This online resource provides ideas, information and education such as expert videos, interactive activities and stories of hope.
Nursing Facility Welcome Kit

Welcome kit for all dual and non-dual members who are entering a nursing facility for the first time. Welcome kits will include personal items to help the member transition to a long term care facility, including: 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
Cervical Cancer Screening Incentive Program $25 reward for female STAR+PLUS members ages 21-64, at average risk for cervical cancer, who complete a recommended cervical cancer screening. Limited to one $25 reward per year. Excludes STAR+PLUS members who are dual-eligible.
Enhanced Dental Benefits Non-dual, non-HCBS Waiver STAR+PLUS members in Dallas and Nueces may receive $500 annually towards exams and cleanings, x-rays, fluoride treatments or a simple extraction.
Extra Dental Benefits

Non-dual, non-HCBS Waiver STAR+PLUS members may receive $250 annually in dental services towards exams, x-rays, cleanings and fluoride treatments. Excludes members in Dallas and Nueces.

Extra Foot Doctor (Podiatry) Services

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

Extra Vision Services Members are eligible to receive a $100 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 exceeding $100.

* Value-added Services may have restrictions and limitations. These services are effective 9/1/21-8/31/22.