With the EmblemHealth Medicare Member Rewards Program, you can receive a reloadable reward card for getting eligible services like 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.
NOTE: Registration for the program is required for you to earn your rewards.
Call EmblemHealth Medicare Connect Concierge at 877-344-7364 (TTY: 711). From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday.
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 Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday.
Once you receive your reward card, please follow the steps below to activate it:
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.
You can also call EmblemHealth Medicare Connect Concierge at 877-344-7364 (TTY: 711).
**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 Dec. 31 of the calendar year. We will not be able to send you rewards for 2024 completed activities after Dec. 31, 2024. The Centers for Medicare and Medicaid Services (CMS) requires that all eligible members who opt in to participate and earn rewards in a Medicare Advantage rewards program must redeem all rewards no later than December 31 of the current year and therefore any unredeemed rewards earned in 2024 will not be eligible for redemption in 2025. 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 gift cards, alcohol, tobacco, or firearms. Purchase and merchant restrictions apply.
2025 Rewards
If you are new to EmblemHealth as of Jan. 1, 2025, you can register* for the program on or after Jan. 1, 2025.
If you are new to EmblemHealth as of Feb. 1, 2025 and monthly thereafter, you can register* for the program 4-6 weeks after your effective date.
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 |
|
|---|---|---|---|
EmblemHealth member portal registration |
Register in the EmblemHealth member portal. |
One-time only |
$25 |
Sign up for paperless in the EmblemHealth member portal |
Sign up to go paperless in the EmblemHealth member portal. |
One-time only |
$50 |
Initial Medicare annual well visit* |
Complete your Medicare annual well visit within 90 days of your initial enrollment. |
One-time only |
$100 |
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), EmblemHealth VIP Dual Enhanced (HMO D-SNP), and EmblemHealth VIP Dual Reserve (HMO D-SNP) members complete a yearly health assessment. |
Once a year |
$50 |
Colorectal health screening |
Complete a fecal occult blood test (FOBT), flexible sigmoidoscopy, colonoscopy, FIT DNA test, or colonography. |
Once a year |
$50 |
Breast health screening (Mammogram) |
Complete a mammogram. |
Once every two years |
$100 |
Diabetes A1C test |
Complete one A1C blood test. |
Once a year |
$50 |
Diabetes eye exam |
Complete a retinal or dilated eye exam by an eye care professional. |
Once a year |
$50 |
Diabetes kidney health evaluation |
Complete an estimated glomerular filtration rate (eGFR) test and a urine albumin-creative ratio within the calendar year. |
Once a year |
$50 |
| NEW! Diabetes care completion bonus |
Complete a Diabetes A1C test, Diabetes eye exam, and Diabetes kidney health evaluation within the calendar year. |
Once a year |
$25 |
Bone Mineral Density (BMD) test |
Complete a test to check for osteoporosis in women within six months of the fracture. |
Once a year |
$100 |
* New member only.
** Existing member only in EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Dual Enhanced (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP) plans.
EmblemHealth reserves the right to modify rewardable activities, retailers, or retail categories at any time and without notice.
2024 Rewards
If you are new to EmblemHealth as of Jan. 1, 2024, you can register* for the program on or after Jan. 1, 2024.
If you are new to EmblemHealth as of Feb. 1, 2024 and monthly thereafter, you can register* for the program 4-6 weeks after your effective date.
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 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 in women 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:
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 Enhanced (HMO D-SNP), and EmblemHealth VIP Dual Reserve (HMO D-SNP) 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). From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday.
Last Updated: 10/01/2024
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