SCFHP Wellness Rewards*
Santa Clara Family Health Plan (SCFHP) rewards its Medi-Cal members for taking steps to a healthier life.
Why is preventative care important?
Regular health exams and tests can help your Primary Care Provider (PCP) find problems before they start. They also can help to improve your health. By getting the right health services, screenings, and treatments, you are taking steps that help your chances for living a longer, healthier life.
How does SCFHP reward me for taking care of my health?
Your health is important to us. Below is a list of rewards we offer eligible members for completing routine well visits, vaccines, and health screenings. Once you complete a qualifying activity, your reward will be sent to you in the mail.
Wellness Rewards Activities in 2023
SCFHP Medi-Cal Eligibility Criteria
|Baby Well-care visits||Babies ages 0 - 15 months who complete six (6) well visits with their Primary Care Provider before 15 months old.||$30 reward|
|Toddler Well-care visits||Toddlers ages 15 - 30 months who complete two (2) or more well visits with their Primary Care Provider before 30 months old.||$30 reward|
|Childhood Immunization Flu Shot||Children turning 2 years old who receive one (1) flu shot by their 2nd birthday||$20 reward|
|Lead Screening||Children turning 2 years old who complete one (1) venous or capillary blood lead screening by their 2nd birthday||$30 reward|
|Adolescent Well-care visits||Children ages 6 - 16 who complete one (1) well visit with a Primary Care Provider.||$30 reward|
If you are eligible to participate in the Wellness Reward Program, SCFHP will send you a letter in the mail to remind you to schedule your routine health exam(s). You can request transportation to appointments for Medi-Cal covered services by logging in to the mySCFHP member portal or by calling Customer Service.
*Kaiser members do not qualify. If you’re a KP member, visit kp.org for reward opportunities. Members with SCFHP as secondary insurance do not qualify. You must be currently enrolled in the SCFHP Medi-Cal plan to be eligible for the rewards listed above. Members who term with SCFHP are not eligible for rewards regardless of when their visit was completed. Other terms and conditions may apply. Eligibility subject to change. Your Primary Care Provider must code and bill correctly in order for you to be eligible for the reward. List of rewards are offered for 2023 dates of service only.
How do I get my reward*?
To get your reward, all you have to do is:
- Schedule an appointment with your Primary Care Provider.
- Complete the applicable visit or screening by the date listed in the table above. Your PCP will tell us when you completed the screening or visit. You do not need to notify SCFHP that you completed this visit. If you are eligible, we will mail your reward to the mailing address we have on file within 90 days of receiving the claim from your PCP.
*Reward cannot be used for purchase of tobacco, alcohol, or firearms.
It's that easy!
If you change your mailing address, have questions or need a ride to your medical appointment, please call SCFHP Customer Service at 1-800-260-2055, 8:30 a.m. to 5 p.m., Monday through Friday. For TTY users, please call 711. The call is free.