EmblemHealth Medicare
Member Rewards Program

Older couple smiling and going on a walk in the park

Get Rewards for Making the Right Health Care Choices

With the EmblemHealth Medicare Member Rewards Program, you can receive a reloadable rewards card for eligible services like annual wellness visits and preventive care screenings. The rewards period begins January 1 each year.

If you haven’t already, schedule your annual visit with your primary care provider (PCP). This is a great way to start taking care of your health – and start earning your rewards.

Great news: EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP) members who are eligible for the Medication Therapy Management Program (MTM) have an opportunity to earn more rewards.

How Can I Join the EmblemHealth Medicare Member Rewards Program?

If you are new to EmblemHealth as of Jan. 1, 2024, you can register* for the program on or after March 14, 2024.

NOTE: Registration for the program is required for you to earn your rewards.

  • Click the “Health and Wellness” tab and select “Get Started” in the wellness section.

Call EmblemHealth Medicare Connect Concierge at 877-344-7364 (TTY: 711) 8 a.m. to 8 p.m., seven days a week for help getting started.

Once you agree to terms and conditions and join the program, you’ll see what services and activities can earn you rewards. Then, talk to your doctor about scheduling the care that’s right for you.

 

*If you choose to register for the EmblemHealth Medicare Rewards Program over the phone, you must agree to the program’s terms and conditions during your call. To get a copy mailed to you, call 877-344-7364 (TTY: 711) from 8 a.m. to 8 p.m., seven days a week.

Getting Started

To activate your card:

1. Call NationsBenefits at 877-239-2942 (TTY: 711) (24 hours a day, seven days a week) or

 

2. Create an account and a password by visiting emblemhealth.nationsbenefits.com

  • Select the register button.
  • Enter your member ID to continue.
  • Then enter your name, member ID number, and date of birth. 
  • Choose your own personal password to use. 
  • Choose how to receive a password verification, either by email or text.
  • Complete the process by entering the verification code sent to you.

You can also call EmblemHealth Medicare Connect Concierge at 877-344-7364 (TTY: 711).

Helpful Tips

  • Sign in to the member portal to see your specific services, review reward dollar amounts, and receive your reloadable rewards card.**
  • Please allow eight to twelve weeks after EmblemHealth completes a claim for an eligible health service for your rewards card to arrive in the mail.
  • Remember to keep your reloadable card after each use. Please do not throw your card away. It will automatically reload each time you complete an eligible service or activity.

**To process your rewards card for an eligible health service, you must register for the program and complete the health service or activity. The claim or attestation must be received by December 31 of the calendar year. We will not be able to send you rewards for activities after December 31 of the calendar year. Only one reward can be earned for each health service. Your rewards card cannot be used at ATMs; for cash access or to make recurring payments; or for the purchase of alcohol, tobacco, or firearms. Purchase and merchant restrictions apply. 

Learn more about attestations.

Frequently Asked Questions

2024 Rewards

The program includes rewards for members who have completed the following health screenings or activities. Check your wellness portal account to see which rewards you qualify for:

 

Activity
 

Eligibility

Reward

Member portal registration

Register in the member portal.

Once a lifetime

$25

Sign up for paperless

Sign up to go paperless in the member portal.

Once a lifetime

$25

Initial Medicare annual well visit*

Complete your Medicare annual well visit within 90 days of your initial enrollment.

One-time only

$50

Initial health assessment

Complete your initial health assessment within 90 days of enrollment in the member portal. Go to the Health and Wellness section and select “Take Your Health Assessment” option.

One-time only

$50

Annual health assessment**

EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP) members complete a yearly health assessment.

Once a year

$50

Colorectal cancer screening

Complete a fecal occult blood test (FOBT), flexible sigmoidoscopy, colonoscopy, FIT DNA test, or colonography.

Once a year

$25

Mammogram exam

Complete a mammogram.

Once every two years

$50

Diabetes A1C test

Complete one A1C blood test.

Once a year

$25

Diabetes eye exam

Complete a retinal or dilated eye exam by an eye care professional.

Once a year

$25

Kidney Health Evaluation

Complete an estimated glomerular filtration rate (eGFR) test and a urine albumin-creative ratio within the calendar year.

Once a year

$25

Bone Mineral Density (BMD) Test

Complete a test to check for osteoporosis within six months of the fracture.

Once a year

$100

Comprehensive medication review (CMR)***

Complete a CMR with EmblemHealth’s Medication Therapy Management program. If you are eligible for the program, you will receive a welcome letter in the mail on how to get started. By completing the CMR, you will be eligible for medicine refill reward incentives below.

Once a year

$10

Cholesterol medicine refill***

Fill a 30-day, 60-day, or 90-day supply of a prescribed cholesterol medicine after you complete a comprehensive medication review.

Once a fill

$10-$100

Diabetes medicine refill***

Fill a 30-day, 60-day, or 90-day supply of a prescribed oral diabetes medicine after you complete a comprehensive medication review.

Once a fill

$10-$100

Hypertension medicine refill***

Fill a 30-day, 60-day, or 90-day supply of a prescribed blood pressure medicine after you complete a comprehensive medication review.

Once a fill

$10-$100

Note: Reward for Annual visit with primary care provider (PCP) is not available in 2024.

* New member only.

** Existing member only in EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP) plans.

*** EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP) members who are eligible for the Medication Therapy Management Program (MTM).

EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP) members can earn additional rewards after completing a consultation with a clinical pharmacist in our Medication Therapy Management Program (MTM) for getting monthly diabetes, hypertension, or cholesterol prescriptions (Tier 6 on our formulary).

a.    $10 for a 30-day fill (monthly; maximum 10 times a year).

b.    $20 for a 60-day fill (bi-monthly; maximum five times a year).

c.     $30 for a 90-day fill (quarterly; maximum three times a year).

Eligible reward items include:

  • Healthy foods:
    • Cereal (hot and cold).
    • Dairy products (milk, cheese, butter).
    • Dry foods (beans, fruit, pasta).
    • Eggs and egg substitutes.
    • Fresh food boxes (mixed produce, all vegetable, diabetic, and other choices).
    • Frozen food.
    • Fruits and vegetables.
    • Juice.
    • Meat (poultry, beef, sausage, lunch meat).
    • Rice and whole grains.
  • Health necessities:
    • Bathroom safety items such as a bathmat.
    • Fall prevention items such as a gait belt.
    • Home diagnostic items such as a blood pressure monitor.
  • Transportation services such as Uber, Lyft, taxis, buses, trains, and others.
  • Utilities.
  • And more!

You can shop for eligible items online, over the phone, or at a participating retail location.

Participating retail locations include Acme Markets, CVS, King Food Markets, Rite Aid, Walgreens, and Walmart. Check participating locations at emblemhealth.nationsbenefits.com or call NationsBenefits at 877-239-2942 (TTY: 711), 24 hours a day, seven days a week, 365 days a year.

 

Visit emblemhealth.nationsbenefits.com to select your covered items and complete the checkout process online. You should receive mail-order items within two to five business days after your order is received. If the purchase amount is more than the available funds on your card, you will need to pay the balance with another form of payment.

 

Attention EmblemHealth VIP Rx Saver (HMO), EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Dual Reserve (HMO D-SNP), and EmblemHealth VIP Reserve Classic (HMO) members: Your OTC benefit amount must be used within the benefit month and will not roll over.  So please be sure to use up any over-the-counter (OTC) funds before using your member rewards.

Sign in to emblemhealth.nationsbenefits.com and select the drop down by “My Account” and see your rewards balance.

If you have any questions regarding your plan benefits, please see your Evidence of Coverage or call EmblemHealth Medicare Connect Concierge at 877-344-7364 (TTY: 711), 8 a.m. to 8 p.m., seven days a week.

Questions?

Please see your Evidence of Coverage or call EmblemHealth Medicare Connect Concierge at 877-344-7364 (TTY: 711), 8 a.m. to 8 p.m., seven days a week.

Senior couple in garden

Join the Member Rewards Program Today!

Last Updated: 01/01/2024
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