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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 for health questions 24 hours a day, 7 days a week.
Care Management Following Hospital Discharge CHIP members can earn a $20 rewards card for enrolling in Care Management, downloading the Wellframe app and participating in a care program for 30 days after discharge from the hospital. Wellframe is a free mobile care program, accessible on a smartphone or tablet, which supports members in the management of their health. Excluded are hospitalizations for delivery or primary diagnosis of a behavioral health condition.
Extra vision benefits Extra vision benefits, including a $150 retail allowance towards select prescription eyeglass frames, lenses or contact lenses not covered by CHIP, once every 12 months. Coverage is for frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any charges exceeding $150. Excludes CHIP Perinate members.
Healthy Play and Exercise Programs (Boys and Girls Clubs) Up to a $60 allowance for CHIP members to use towards club membership for members 6-18 years old or a one-time sports registration fee for members 6-12 years old through Superior’s partnerships with select Boys and Girls Clubs (BGC). Activities may vary by location. Members are subject to the rules and regulations of the participating BGC they choose to join. There must be a contracted BGC within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes BGC locations in Bexar, El Paso and Nueces service delivery areas.
Healthy Play and Exercise Programs (YMCA) Up to a $60 allowance for CHIP members to use towards swim lessons for members up to 12 years of age or a 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 YMCA locations in Hidalgo and CHIP Perinate members. 
Help for Members with Asthma Members enrolled in Superior’s Asthma Disease Management program are offered an enhanced asthma care Value-added Services program. This program helps members understand asthma and its symptoms by providing additional tools and support to improve monitoring and home conditions that help reduce asthma attacks. Participating members get an allergy free mattress cover and pillow case once every 24 months. CHIP Perinate members are not eligible for the allergy-free mattress covers or pillow cases.
Home Visits for Members with Asthma Members with asthma or who are pregnant and have high risks and who are enrolled in Superior’s Asthma Disease Management program or Service Management programs may receive a home visit and/or one-on-one comprehensive educational intervention to help address their special symptoms and identify ways to remove barriers and achieve their best health. 
Inpatient Follow-up Incentive Program Members ages 6 to 20 who complete a follow-up doctor visit within 7 days of discharge from the hospital for an inpatient behavioral health stay will receive a $20 gift card and journal. Members are eligible to receive the gift one time in a 12-month period. Excludes CHIP Perinate members.
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.
Over-the-Counter (OTC) Items Up to $25 every calendar quarter, per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by CHIP. Members will select from a catalog of items supplied by Superior. Unused balances are not carried over from quarter to quarter and members are allowed only one order per quarter. The total cost of items must be less than or equal to the program allowance in order for the items to be shipped. Items may take up to two weeks for delivery. Products may not be returned. OTC items may be ordered for the member only. Excludes CHIP Perinate members.
Parenting Classes Parenting classes designed to enhance child-rearing skills for parents and foster the healthy development of their children through education and additional resources. This program is offered to members in a community setting. Only for CHIP members in the Bexar and El Paso service areas.
Pregnancy Literature An educational pregnancy book for teen pregnant members who are enrolled in Care Coordination and in their first trimester.
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. The member must have a high-risk diagnosis or disease state documented and approved by a Superior Care Manager to receive extended minutes on his/her Safelink phone. Connections Plus phone and monthly minutes are available for members who do not qualify for SafeLink and enroll in Care Management. Connections Plus phones come pre-programmed with phone numbers to your doctor, Care Manager and Superior’s Member Services number. 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.
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 an initial assessment. Excludes CHIP Perinate members.
Sports/School Physicals Annual sports physicals for children ages 4 through 18. This Value-added Service is restricted to one physical per calendar year with a maximum reimbursement of $35. The sports physical must be provided by a contracted Superior provider. Excludes CHIP Perinate members.
Start Smart® For Your Baby Program

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

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

Pregnant members can receive a convertible car seat by:

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

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

Superior’s My Health Pays® Rewards Program

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

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.
Transportation Transportation assistance to behavioral health-related visits, on a case-by-case basis, for CHIP members ages 6-20. Members under age 18 must be accompanied by an adult. This Value-added Service must be approved in advance. Excludes CHIP RSA and CHIP Perinate members.
Weight Watchers® Program To promote weight management and improve health, nutrition and wellness, Superior will offer CHIP members a 3-month subscription for Weight Watchers® online program. Members must be 18 years and older, have a BMI value of 30 or higher and a primary diagnosis of diabetes 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. Limited to 3-month online access per year. Excludes CHIP Perinate members.

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

Value-added Services

Benefit Description
24-Hour Nurse Advice Line Access to Superior’s 24-hour nurse advice line. Call 1-800-783-5386 for health questions 24 hours a day, 7 days a week.
Care Management Following Hospital Discharge CHIP members can earn a $20 rewards card for enrolling in Care Management, downloading the Wellframe app and participating in a care program for 30 days after discharge from the hospital. Wellframe is a free mobile care program, accessible on a smartphone or tablet, which supports members in the management of their health. Excluded are hospitalizations for delivery or primary diagnosis of a behavioral health condition.
Healthy Play and Exercise Programs (Boys and Girls Clubs) Up to a $60 allowance for CHIP members to use towards club membership for members 6-18 years old or a one-time sports registration fee for members 6-12 years old through Superior’s partnerships with select Boys and Girls Clubs (BGC). Activities may vary by location. Members are subject to the rules and regulations of the participating BGC they choose to join. There must be a contracted BGC within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes BGC locations in Bexar, El Paso and Nueces service delivery areas.
Help for Members with Asthma Members enrolled in Superior’s Asthma Disease Management program are offered an enhanced asthma care Value-added Services program. This program helps members understand asthma and its symptoms by providing additional tools and support to improve monitoring   and home conditions that help reduce asthma attacks.
Online Mental Health Resources Online and mobile accessible consumer-directed mental health resources for members through myStrength, a website that offers a range of resources to increase awareness of mental health needs and engage in personalized learning programs to help overcome depression and anxiety, stress, chronic pain, substance use and sleep issues. 
Online Social Services Resource Directory Online social services resource directory for members through Superior to help locate community supports such as food and nutrition, housing, education and employment services.
Parenting Classes Parenting classes designed to enhance child-rearing skills for parents and foster the healthy development of their children through education and additional resources. This program is offered to members in a community setting. Only for CHIP members in the Bexar and El Paso service areas. 
Pregnancy Literature An educational pregnancy book for teen pregnant members who are enrolled in Care Coordination and in their first trimester.
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. The member must have a high-risk diagnosis or disease state documented and approved by a Superior Care Manager to receive extended minutes on his/her Safelink phone. Connections Plus phone and monthly minutes are available for members who do not qualify for SafeLink and enroll in Care Management. Connections Plus phones come pre-programmed with phone numbers to your doctor, Care Manager and Superior’s Member Services number. 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.
Start Smart® For Your Baby Program

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

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

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

Superior’s My Health Pays® Rewards Program

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

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

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

Value-added Services

Benefit Description
24-Hour Nurse Advice Line Access to Superior’s 24-hour nurse advice line. Call 1-800-783-5386 for health questions 24 hours a day, 7 days a week.
Care Management Following Hospital Discharge STAR members can earn a $20 rewards card for enrolling in Care Management, downloading the Wellframe app and participating in a care program for 30 days after discharge from the hospital. Wellframe is a free mobile care program, accessible on a smartphone or tablet, which supports members in the management of their health. Excluded are hospitalizations for delivery or primary diagnosis of a behavioral health condition.
Extra Dental Benefits Extra dental benefits for pregnant members who are 21 and over. These members may receive up to $250 annually for dental services, including a routine exam and cleanings, x-rays, fillings and extractions. 
Extra Vision Benefits Extra vision benefits, including a $150 retail allowance towards select prescription eyeglass frames, lenses or contact lenses not covered by Medicaid, once every 24 months. Coverage is for frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any charges exceeding $150. 
Healthy Play and Exercise Programs (Boys and Girls Clubs) Up to a $60 allowance for STAR members to use towards club membership for members 6-18 years old or a one-time sports registration fee for members 6-12 years old through Superior’s partnerships with select Boys and Girls Clubs (BGC). Activities may vary by location. Members are subject to the rules and regulations of the participating BGC they choose to join. There must be a contracted BGC within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60. Excludes members in Bexar, El Paso, Nueces and MRSA Central service delivery areas. 
Healthy Play and Exercise Programs (YMCA) Up to a $60 allowance for STAR members to use towards swim lessons for members up to 12 years of age or a sports registration for members 3 to 12 years old through Superior’s partnerships with select YMCAs. Activities may vary by location. Members are subject to the rules and regulations of the participating YMCA they choose to join. There must be a contracted YMCA within the area of the member’s residence in order to be eligible. Limit one per member, per year, not to exceed $60.Excludes members in the Hidalgo and MRSA Northeast service delivery areas. 
Help for Members with Asthma Members enrolled in Superior’s Asthma Disease Management program are offered an enhanced asthma care Value-added Services program. This program helps members understand asthma and its symptoms by providing additional tools and support to improve monitoring and home conditions that help reduce asthma attacks. Participating members get an allergy free mattress cover and pillow case once every 24 months.
Home Visits for Members with Asthma Members with asthma or who are pregnant and have high risks and who are enrolled in Superior’s Asthma Disease Management program or Service Management programs may receive a home visit and/or one-on-one comprehensive educational intervention to help address their special symptoms and identify ways to remove barriers and achieve their best health. 
Inpatient Follow-up Incentive ProgramInpatient Follow-up Incentive Program Members ages 6 to 20 who complete a follow-up doctor visit within 7 days of discharge from the hospital for an inpatient behavioral health stay will receive a $20 gift card and journal. Members are eligible to receive the gift one time in a 12-month period. 
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.
Over-the-Counter (OTC) Items Up to $25 every calendar quarter, per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by  Medicaid. Members will select from a catalog of items supplied by Superior. Unused balances are not carried over from quarter to quarter and members are allowed only one order per quarter. The total cost of items must be less than or equal to the program allowance in order for the items to be shipped. Items may take up to two weeks for delivery. Products may not be returned. OTC items may be ordered for the member only. 
Parenting Classes Parenting classes designed to enhance child-rearing skills for parents and foster the healthy development of their children through education and additional resources. This program is offered to members in a community setting. Only for STAR members in the Bexar and El Paso service areas.
Pregnancy Literature An educational pregnancy book for teen pregnant members who are enrolled in Care Coordination and in their first trimester.
Short-Term Phone Assistance Up to 750 extra minutes per month for SafeLink phone users who are enrolled in Care Management. The member must have a high-risk diagnosis or disease state documented and approved by a Superior Care Manager to receive extended minutes on his/her Safelink phone. Connections Plus phone and monthly minutes are available for members who do not qualify for SafeLink and enroll in Care Management. Connections Plus phones come pre-programmed with phone numbers to your doctor, Care Manager and Superior’s Member Services number. 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.
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 an initial assessment.
Sports/School Physicals Annual sports physicals for children ages 4 through 18. This Value-added Service is restricted to one physical per calendar year with a maximum reimbursement of $35. The sports physical must be provided by a contracted Superior provider. 
Start Smart® For Your Baby Program

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

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.
    Pregnant members can receive a convertible car seat by:
  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days, and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior. Pregnant women can earn Value-added Services one time per pregnancy.
Superior’s My Health Pays® Rewards Program

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

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.
Transportation Transportation assistance to behavioral health-related visits, on a case-by-case basis, for STAR members ages 6-20. Members under age 18 must be accompanied by an adult. This Value-added Service must be approved in advance. 
Weight Watchers® Program To promote weight management and improve health, nutrition and wellness, Superior will offer STAR members a 3-month subscription for Weight Watchers® online program. Members must be 18 years and older, have a BMI value of 30 or higher and a primary diagnosis of diabetes 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. Limited to 3-month online access per year. 

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 other health screenings 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:

  • $25 for completing a Texas Health Steps visit within 30 days of 18th birthday
  • $30 for completing an initial dental checkup
  • $30 for a sixth month dental checkup
  • $20 for receiving a flu shot during flu season
  • $20 for completing an annual well woman exam (for female members)
Boys & Girls Club Membership Members, ages 6 through 17, can receive $25 per year towards a membership to the local Boys and Girls Club in major metropolitan areas. All members participating are subject to the rules and regulations of the respective Boys and Girls Club they choose to join. There must be an established Boys and Girls Club within the vicinity of the member's placement in order to be eligible for this Value-added Service.
Care Grants Small cash grants, called Care Grants, which may be used for non-Medicaid items like art supplies, clothing or other personal items up to $100 per member, per year.
Extra Vision Services Eligible members, regardless of age, 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 may not be used toward replacement eyewear or sunglasses and 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 seven (7) days of hospital discharge. Members are eligible to receive the gift one time in a 12-month period. 
Over-the-Counter (OTC) Items $30 every calendar quarter for commonly-used over-the-counter (OTC) items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Members will select from a catalog of items supplied by Superior, up to the program specific dollar limit per quarter, per household. Items on the list include, but are not limited to: common topical products, first aid supplies and other miscellaneous OTC products. Orders will be placed with HomeScripts by calling a toll-free number or ordering via their mail order form. Unused balances are not carried over from quarter to quarter and members are allowed only one order per quarter. Caregivers and members may contact HomeScripts to obtain information about their account balance. 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. Medications and products may not be returned. OTC items may be ordered for the member only. 
Sports/School Physicals Sports or camp physicals for members ages 4 to 18 years old. Members may receive one sports/camp physical per calendar year with a maximum fee of $35.

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

Value-added Services

Benefit Description
Camp Up to $150 each year for members to enroll in an approved camp. This Value-added Service is subject to need and must be authorized by Superior’s Service Coordination Department. Eligible members must identify the camp they would like to attend and submit a request to the Service Coordination Department for approval 90 days prior to the camp start date. Participating members are subject to the rules and regulations set forth by the camp and its sponsor organization, as applicable. This Value-added Service is not to exceed $150 per member, per year. Allowance will be paid directly to the camp provider.
Community-Based Specialty Services Community-based specialty services offered each month that may include music therapy, art therapy, garden therapy or pet therapy. Each Service Area (SA) will offer one 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 one time per month. Participating members are subject to the rules set forth by the community-based specialty service provider. 
Home-delivered Meals STAR Kids members have access to 10 home-delivered meals per year at the time of discharge from an acute inpatient hospital stay. Home-delivered meals must be preauthorized by Superior’s Service Coordination Department. 
Inpatient Follow-up Incentive Program Members ages 6 to 20 who complete a follow-up doctor visit within 7 days of leaving the hospital for an inpatient behavioral health stay will receive a $20 gift card and journal. Members are eligible to receive the gift one time in a 12-month period.
My Health Pays® Rewards Program

My Health Pays®, a rewards program for members ages 18 through 20. Rewards include:

  • $20 for Texas Health Steps medical checkup (up to age 20)
  • $20 for well-woman exam (for females)
  • $10 for receiving a flu shot
  • $10 for specified screening
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.
Over-the-Counter (OTC) Items Up to $30 every calendar quarter per household for commonly-used OTC items through HomeScripts. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Members will select from a catalog of items supplied by Superior. Orders will be placed with HomeScripts by calling a toll-free number or ordering via their mail order form. 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 allowance in order for the items to be shipped. Items may take up to two weeks for delivery. Medications and products may not be returned. OTC items may be ordered for the member only.
Respite Care Services Up to 8 hours annually of respite care services for members not in the Medically Dependent Children Program (MDCP). Members are eligible for respite care services, upon completion of the annual STAR Kids Screening and Assessment (SAI) and return of the signed Individual Service Plan (ISP). Services must be pre-authorized by Superior’s Service Coordination Department. 

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

Value-added Services

Benefit Description
24-hour Emergency Response Services Superior will provide round-the-clock emergency response services (ERS) for up to 6 months when a member is discharged from a hospital, resulting from an acute inpatient hospital stay, or from a nursing facility back into the community setting. This is a Value-added Service for all Superior STAR+PLUS non-HCBS Waiver and non-CFC members, ages 21- 115, who do not reside in an Intermediate Care Facility for persons with Intellectual and Developmental Disabilities (ICF/IDD). ERS must be preauthorized by Superior’s Service Coordination Department.
A 24-hour Nurse Advice Line Members can access Superior’s 24-hour nurse advice line by calling 1-877- 277-9772. This service is not available to members who reside in an ICF-IDD residential home.
Extra Foot Doctor (Podiatry) Services Members, ages 21-115, are eligible to receive extra podiatry services in addition to what is available through Medicaid to include up to 4 additional podiatry services every calendar year. These podiatry services must be authorized and medically necessary. Excludes STAR+PLUS members who are dual-eligible.
Extra Vision Services Members, ages 21-115, are eligible to receive a $100 retail allowance each year towards prescription eyewear, for a choice of eyeglass frames and lenses or contact lenses not covered by Medicaid. This allowance may not be used towards replacement eyewear or sunglasses. Coverage is for new frames and lenses and does not cover additional features such as tints and coating. The member will be responsible for any Medicaid non-covered vision charges over $100. Excludes STAR+PLUS members who are dual-eligible.
Fall Prevention Program Graduation Incentive STAR+PLUS members not residing in an ICF-IDD residential home or nursing facility can earn a $50 rewards card upon attending and graduating from an 8-week fall prevention program called “A Matter of Balance.” Members will learn to control their fear of falling, set goals to increase exercise to promote strength and balance and change their environment to reduce fall risk factors. The program may be offered by Superior or a community support service agency. Participating members are subject to the rules and regulations set forth by the program and its sponsor organization, as applicable. Members must provide verification of graduation to be eligible. Limited to one per member lifetime.
GED Support Services Superior supports members with primary 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 STAR+PLUS 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. Value-added Service limited to one per member lifetime.
Help for Members with Asthma Members enrolled in Superior’s Asthma Disease Management program are offered an enhanced asthma care Value-added Services program. This program helps members understand asthma and its symptoms by providing additional tools and support to improve monitoring and home conditions that will help reduce asthma attacks. Participating members get an allergy-free mattress cover and pillow case once every 24 months. Excludes STAR+PLUS members who are dual-eligible.
Home-delivered Meals Non-HCBS Waiver members ages 21-115 have access to 10 home-delivered meals per year at the time of discharge from an acute inpatient hospital stay or from a nursing facility back into the community setting. Nutritional Dietary Support is available for members who do not live in ICF-IDD residential homes. 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 8 hours of in-home respite care services each year. This is available to all STAR+PLUS non-HCBS waiver members, ages 21-115, who do not reside in an ICF-IDD residential home. In-home respite care must be preauthorized by Superior’s Service Coordination Department.
Inpatient Follow-up Incentive $10 rewards card for all STAR+PLUS members ages 21-115 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 discharge from their first hospital stay of the year. Members are eligible to receive the gift one time in a 12-month period. Excludes STAR+PLUS members who are dual-eligible.
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.
Over-the-Counter (OTC) Items STAR+PLUS members who do not reside in an ICF-IDD residential home can get up to a $30 discount every quarter for over-the-counter (OTC) items. This benefit covers items that do not need a prescription and are not otherwise covered by Medicaid. Unused balances are not carried over from quarter to quarter and members are allowed only one order per quarter. The total cost of balances 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. Medications and products may not be returned. OTC items may only be ordered for the member. 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. The member must have a high-risk diagnosis or disease state documented and approved by a Superior Care Manager to receive extended minutes on his/her Safelink phone. A Connections Plus phone and monthly minutes are available for members who do not qualify for SafeLink and enroll in Care Management. Connections Plus phones come pre-programmed with phone numbers to your doctor, Care Manager and Superior’s Member Services number. Members are limited to one cell phone. 
Start Smart® For Your Baby Program

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

  • Completing a Notification of Pregnancy (NOP) form and
  • Receiving pregnancy-related education and information by attending a community baby shower, or
  • Downloading a pregnancy program mobile app and engaging for 30 days.
    Pregnant members can receive a convertible car seat by:
  • Completing a NOP form and;
  • Attending a community baby shower or downloading a pregnancy program mobile app and engaging for 30 days and;
  • Completing one prenatal visit within their first trimester or 42 days of enrollment with Superior. Pregnant women can earn Value-added Services one time per pregnancy. Excludes STAR+PLUS members who are dual-eligible.
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. Excludes STAR+PLUS members who are dual-eligible. Rewards are loaded onto a prepaid card. Pregnant members can receive rewards for completing these activities following confirmation of the visit:

  • $20 for prenatal visit within the first trimester or 42 days of enrollment with Superior.
  • $20 for 3rd prenatal visit.
  • $20 for 6th prenatal visit.
  • $20 for 9th prenatal visit.
  • $20 for postpartum visit within 21-56 days of delivery.
Transportation Help This is for members ages 21-115 who need a ride to behavioral health doctor visits and community supports and services. This benefit is only available when Medicaid transportation is not available. This is provided on a case-by-case basis to non-dual STAR+PLUS members who do not reside in an ICF-IDD residential home. This VAS must be approved in advance.
Weight Watchers® Program To promote weight management and improve health, nutrition and wellness, Superior will offer STAR+PLUS members a 3-month subscription for Weight Watchers® online program or one set of vouchers for 12 face-to-face, local meetings per year. Members must have a BMI value of 30 or higher and a primary diagnosis of diabetes or prediabetes to qualify. BMI and diagnosis must be verified to be eligible. Members who are pregnant or have a diagnosis of bulimia nervosa are not eligible. Excludes STAR+PLUS members who are dual-eligible.

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

Value-added Services

Benefit Description
A 24-hour Nurse Advice Line Members can access Superior’s 24-hour nurse advice line by calling 1-877-277-9772.
GED Support Services Superior supports members with primary 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 60 days to be eligible. Value-added Service limited to one per member lifetime.
Nursing Facility Welcome Kit Welcome kit for all dual and non-dual members 21 and older who are entering a nursing facility for the first time. Welcome kits will include the following personal items such as to help the member transition in to residing at a long term care facility: shower cap, blanket, non-slip socks, coffee cup, water bottle, lighted magnifying glass, tote bag, Soduku game and crossword puzzles. Members will receive the welcome kit within 30 days of entering the facility.
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.

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

Benefit Description
Extra Dental Benefits Non-dual, non-STAR+PLUS HCBS Waiver members, ages 21-115, may receive $250 in dental services per benefit year, limited to diagnostic and preventive services only. This includes exams, x-rays, cleanings and fluoride treatments.
Extra Foot Doctor (Podiatry) Services Members, ages 21-115, are eligible to receive extra podiatry services in addition to what is available through Medicaid to include up to four additional podiatry services every calendar year. These podiatry services must be authorized and medically necessary.

* Value-added Services may have restrictions and limitations. These services are effective 9/1/19-8/31/20.