Member
Rewards Program
Take care of your Health and Earn Rewards!
Explore more about health insurance rewards for members
Start Earning Rewards Today!
The MetroPlusHealth Member Rewards Program makes taking care of your health even more rewarding. Eligible members can earn rewards and incentives by completing important health activities like annual checkups, flu shots, and screenings. Designed to encourage preventive care and healthier living, this program helps members stay engaged in their wellness journey while enjoying meaningful rewards. Whether you’re scheduling your next primary care visit, getting active, or completing a health screening, MetroPlusHealth Member Rewards ensures that every healthy choice pays off — literally.
Follow these four easy steps to get started.
How to use the Member Rewards Program
Which plan do you have?
- Select a plan
- Enhanced (HARP) Plan
- Partnership In Care (PIC) HIV
- MetroPlusHealth Gold Plan 2025
- Essential Plan 2025
- Medicaid Managed Care 2025
- MetroPlus Advantage Plan (HMO D-SNP) 2026
- MetroPlusHealth Medicare Platinum Plan (HMO) – 2026
- MetroPlus UltraCare (HMO D-SNP) – 2026
Annual Dental Visit
$20 per calendar year
Age: 0-20
Complete annual dental checkup.
Annual PCP Visit
$75 per calendar year
Age 21+
Complete annual checkup.
Antipsychotic Medication Management
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max
Age: 21+
Refill your antipsychotic medication as prescribed.
Asthma Medication Management
$25 per 90-day fill,
$100 max
Age: 21-64
Refill asthma controller medication.
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of persistent asthma, for prescribed long-term controller medication only and does not include rescue medications.
Asthma Medication Management
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max
Age: 5-64
Refill asthma controller medication. To be eligible for this reward, the requirement is clinical eligibility – diagnosis of persistent asthma, for prescribed long-term controller medication only and does not include rescue medications.
Asthma Medication Management4
$5 per 30-day fill, $30 per 90-day fill, $120 dollar max
Age: 5-64 Members with a diagnosis of persistent asthma for at least a full year only
Refill asthma controller medication.
Breast Cancer Screening
$50 or $20
depending on screening in current year or within 2 years prior
Age: 50-74
Complete mammogram.
Breast Cancer Screening
$25 per calendar year.
Age: 50-74
Complete mammogram.
Breast Cancer Screening
$50 or $20, depending on screening in current year or within 2 years prior
Age: 50-74
Complete mammogram.
Breast Cancer Screening
$50 or $20 depending on screening in current year or within 2 years prior
Age: 50-74
Complete mammogram.
Cervical Cancer Screening
$25 per calendar year.
Age: 24-64
Complete cervical cancer screening.
Cervical Cancer Screening
$50 or $20
depending on screening in current year or within 4 years prior
Age: 24-64
Complete cervical cancer screening.
Cervical Cancer Screening
$50 or $20 depending on screening in current year or within 4 years prior
Age: 24-64
Complete cervical cancer screening.
Cervical Cancer Screening
$50 or $20, depending on screening in current year or within 4 years prior
Age: 24-64
Complete cervical cancer screening.
Child & Adolescent Well-Care Visit
$20 per calendar year
Age: 3-21
Complete annual check-up with a PCP or OB/GYN.
Chlamydia Screening
$25 per calendar year.
Age: 21-24
Complete chlamydia screening.
Chlamydia Screening
$30 per calendar year
Age: 21-24
Complete chlamydia screening.
Chlamydia Screening
$30 per calendar year
Age: 18+
Complete chlamydia screening.
Colon Cancer Screening
$100, $40, $20
depending on screening type and year screened
Age: 45-75
Complete colon cancer screening
$100 for colonoscopy in current year OR $20 for colonoscopy within 9 years prior. OR $40 for FIT-DNA in current year OR $20 for FIT-DNA within 2 years prior. OR $20 for FOBT, FIT.
Colon Cancer Screening
$50, $15, $10, $5 depending on screening type and year screened
Age: 45-75
Complete colon cancer screening. $50 for colonoscopy in current year OR $10 for colonoscopy within 9 years prior. OR $15 for FIT-DNA in current year OR $5 for FIT-DNA within 2 years prior. OR $10 for FOBT, FIT.
Colon Cancer Screening
$25 per calendar year.
Age: 45-75
Complete colon cancer screening.
Colon Cancer Screening
$100, $40, $20 depending on screening type and year screened
Age: 45-75
Complete colon cancer screening. $100 for colonoscopy in current year or $20 for colonoscopy within 9 years prior, or $40 for FIT-DNA in current year or $20 for FIT-DNA within 2 years prior or $20 for FOBT, FIT.
Comprehensive Care for People Living with HIV3
* HIV Comprehensive Care (for people with HIV only)
$225 for visit(s) in the first half of the year, $225 for visit(s) in the second half of the year, $450 dollar max
Age: 2+ Members with an HIV diagnosis only. To qualify for the $225 in each half of the year:
Virally suppressed members must have 1 visit
Virally unsuppressed or missing VL members must have 2 visits
Complete PCP checkups that support viral load suppression.
Diabetes Eye Exam
$50 per calendar year
Age: 18-75
Completion of diabetic retinal eye exam
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes.
Diabetes Eye Exam
$25 per calendar year.
Age: 21-75
Completion of diabetic retinal eye exam.
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes.
Diabetes Eye Exam5
$50 per calendar year
Age: 18-75 Members diagnosed with diabetes who are on prescribed diabetes medication
Complete diabetic retinal eye exam.
Diabetes Screening for People Using Antipsychotic Medications
$30 per calendar year
Age: 21-64
Complete glucose or HbA1c testing.
To be eligible for this reward, the requirement is clinical eligibility – presribed Antipsychotic Medications.
Flu Shot
$10 per calendar year
Age: 6 months+
Complete annual flu vaccine.
Flu Shot
$25 per calendar year.
Age: 21+
Complete annual flu vaccine.
Flu Shot
$30 per calendar year
Age: 6 + months
Complete annual flu vaccine.
Flu Shot5
$30 per calendar year
Age: 6 months+
Complete annual flu vaccine.
Kidney Health Checkup (for people with diabetes)5
$30 per calendar year
Age: 18-85 Members diagnosed with diabetes who are on prescribed diabetes medication
Complete eGFR and uACR testing.
Kidney Health Monitoring
$30 per calendar year
Age: 18-85
Complete eGFR and uACR testing.
Kidney Health Monitoring
$25 per calendar year.
Age: 21 – 85
Complete eGFR and uACR testing.
New Member PCP Visit
$25 per calendar year.
Age: 21+
Complete visit with PCP within 90 days of enrollment.
New Member PCP Visit
$75 per calendar year
Age: 21+
Complete visit with PCP within 90 days of enrollment.
New Member PCP Visit
$50 per calendar year
Age: 31 months+
Complete visit with PCP within 90 days of enrollment.
Postpartum Visit
$20 per calendar year
Age: Any
Complete postpartum visit 7-84 days after delivery.
Semi-Annual PCP Visit
$25 in each half of the year
Age: 21+
Complete primary care physician (PCP) visits.
$25 in each half of the year. A minimum of 3 months must occur between semi-annual visits and/or any new member visit.
Statin Medication Management
$25 per 90-day fill
$100 dollar max
Age Males: 21-75
Age Females: 40-75
Refill your statin medication as prescribed.
Statin Medication Management
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max
Age Males: 21-75
Age Females: 40-75
Refill your statin medication as prescribed.
Statin Medication Management4
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max
Age Males: 21-75
Age Females: 40-75
Members identified as having atherosclerotic
cardiovascular disease (ASCVD)
Refill statin medication as prescribed.
Well-Baby 30-Month Checkup
$60 or $20 depending on completion of 6 visits by 15 months or 6 visits between 16 and 30 months.
Age: birth through 30 months
Complete all well-baby checkups.
6 visits by 15 months.
2 visits between 15 and 30 months.
Annual PCP Visit
$50 Per Calendar Year
No Age Restriction
Complete Annual Checkup
Flu Shot
$25 per calendar year
No Age Restriction
Received a flu shot between September 1, 2025 and December 31, 2025.
Annual Dental Visit
$25 per calendar year
No age restriction
Complete annual checkup.
Movement
$25 per calendar year
No Age Restriction
Walked at least 8,000 steps a day most days each month
Breast Cancer Screening
$50 per calendar year
Age: 40-74
Received a mammogram this year or last year.
Mental Health Screening
$50 per calendar year
No Age Restriction
Screened for Depression/Anxiety at least once this year.
Sunscreen Use
$25 per calendar year
No Age Restriction
Wear sunscreen (at least SPF 15) when I plan to be outdoors in the sun for greater than 15 minutes.
Semi-Annual PCP Visit
$25 every 6 months
Age: 21+
Complete primary care physician (PCP) visit in the first half of the year.
Asthma Medication 90-Day Fill
$25 in rewards per 90-day fill
Age: 21-64
$25 in rewards per 90-day refill.
Overlapping refills are not eligible.
Breast Cancer Screening
$25 per calendar year
Age: 50-74
Received a mammogram this year or last year.
Cervical Cancer Screening
$25 per calendar year
Age: 24-64
Complete a cervical cancer screening in the current year.
Chlamydia Screening
$25 per calendar year
Women: 21-24
You can earn $25 in rewards for completing a chlamydia screening.
Colon Cancer Screening
$25
Age: 45-75
You are eligible to earn $25 in rewards for a completed colonoscopy, FIT-DNA, fecal occult blood test (FOBT), fecal immunochemical test (FIT), or stool-based (fecal) test.
Diabetes Eye Exam
$25 per calendar year
Age: 21-75
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes. This reward is available once per calendar year.
Flu Shot
$25 per calendar year.
Age: 21+
This reward is available once every calendar year
Kidney Health Monitoring
$25 per calendar year
Age: 21 – 85
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes. This reward is available once per calendar year.
New Member PCP Visit
$25
Age: 21+
Complete a checkup with your primary care physician (PCP) within 90 days of enrolling with MetroPlusHealth and earn $25 in rewards.
Statin Medication 90-Day Fill
$25 in rewards per 90-day fill
Age Males: 21-75
Age Females: 40-75
This reward is for a 90-day refill. Overlapping refills are not eligible.
Child & Adolescent Annual Dental Visit
$20 per eligible child per calendar year
Age: 0-20
One reward per eligible child per calendar year.
Asthma Medication 30-Day Fill
$5 in rewards per 30-day refill
Age: 5-64
$5 in rewards per 30-day refill. Overlapping refills are not eligible. You can only earn either the 30-day fill or 90-day fill in a given time period.
Asthma Medication 90-Day Fill
$30 in rewards per 90-day refill
Age: 5-64
$30 in rewards per 90-day refill.
Overlapping refills are not eligible.
Breast Cancer Screening
$50 per calendar year
Age: 50-74
Received a mammogram this year.
Cervical Cancer Screening
$50 per calendar year
Age: 24-64
Complete a cervical cancer screening in the current year.
Colon Cancer FOBT/FIT Screening
$10 per calendar year
Age: 45-75
$10 in rewards for a fecal occult blood test (FOBT), fecal immunochemical test (FIT).
Colon Cancer FIT-DNA Screening
$15 per calendar year
Age: 45-75
Members can earn $15 in rewards for a fecal occult blood test, FIT-DNA test, or fecal immunochemical test once per calendar year.
Colon Cancer Screening
$50
Age: 45-75
The colonoscopy screening reward can be earned once every 10 years.
Flu Shot
$10 per calendar year
Age: 6 months +
This reward is available once every calendar year.
New Member PCP Visit
$50
Age: 31 months +
Complete a checkup with your primary care physician (PCP) within 90 days of enrolling with MetroPlusHealth.
Postpartum Visit
$20
Age: All ages
Complete a postpartum visit with your health care provider between 7 and 84 days after you deliver your baby.
Well-Baby 15-Month Checkup
$60, 6 visits in 15 months
Age: 0 to 15 months
Complete six well-baby checkups with your child’s primary care provider (PCP) and earn $60 in rewards.
Well-Baby 30-Month Checkup
$20, 2 visits between 16 and 30 months of life
Age: 16 to 30 months
Complete two well-baby checkups with your child’s primary care provider (PCP) and earn $20 in rewards.
Child & Adolescent Well-Care Visit
$20 per calendar year
Age: 3-21
Bring your child or adolescent to an annual checkup with a primary care provider or OB/GYN and earn $20 in rewards.
Annual PCP Visit
$30 per calendar year
Any
Complete PCP visit during the year.
Breast Cancer Screening
$30 or $10 depending on screening in current year or within 2 years prior
Age: 50-74
Complete mammogram.
Colon Cancer Screening
$50, $15, $10, $5 depending on screening type and year screened
Age: 45-75
Complete colon cancer screening $50 for colonoscopy in current year OR $10 for colonoscopy within 9 years prior. OR $15 for FIT-DNA in current year OR $5 for FIT-DNA within 2 years prior. OR $10 for FOBT, FIT.
Diabetes Eye Exam
$30 per calendar year
Age: 18+
Completion of diabetic retinal eye exam. To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes.
Flu Shot
$10 per calendar year
Age: 18+
Complete annual flu vaccine.
Health Assessment (HRA-MA)
$10 per calendar year
Age: Any
Complete a MPH Medicare Health Assessment (Medicare) for CMS compliance.
Medicare Personal Health Assessment
$50 per calendar year
Age: 21 – 85
Complete a Personal Health Assessment and earn $50 in rewards (eligible members only). This reward is available once per calendar year.
New Member PCP Visit
$20 per calendar year
Age: Any
Complete visit with PCP within 90 days of enrollment.
Annual PCP Visit
$30 per calendar year
Any
Complete PCP visit during the year.
Breast Cancer Screening
$30 or $10 depending on screening in current year or within 2 years prior
Age: 50-74
Complete mammogram.
Colon Cancer Screening
$50, $15, $10, $5 depending on screening type and year screened
Age: 45-75
Complete colon cancer screening $50 for colonoscopy in current year OR $10 for colonoscopy within 9 years prior. OR $15 for FIT-DNA in current year OR $5 for FIT-DNA within 2 years prior. OR $10 for FOBT, FIT.
Diabetes Eye Exam
$50 per calendar year
Age: 18-75
Completion of diabetic retinal eye exam
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes.
Flu Shot
$10 per calendar year
Age: 18+
Complete annual flu vaccine.
Health Assessment (HRA-MA)
$10 per calendar year
Age: Any
Complete a MPH Medicare Health Assessment (Medicare) for CMS compliance.
Medicare Personal Health Assessment
$50 per calendar year
Age: 21 – 85
Complete a Personal Health Assessment and earn $50 in rewards (eligible members only). This reward is available once per calendar year.
New Member PCP Visit
$20 per calendar year
Age: Any
Complete visit with PCP within 90 days of enrollment.
Annual PCP Visit
$30 per calendar year
Any
Complete PCP visit during the year.
Breast Cancer Screening
$30 or $10 depending on screening in current year or within 2 years prior
Age: 50-74
Complete mammogram.
Colon Cancer Screening
$50, $15, $10, $5 depending on screening type and year screened
Age: 45-75
Complete colon cancer screening $50 for colonoscopy in current year OR $10 for colonoscopy within 9 years prior. OR $15 for FIT-DNA in current year OR $5 for FIT-DNA within 2 years prior. OR $10 for FOBT, FIT.
Diabetes Eye Exam
$30 per calendar year
Age: 18+
Completion of diabetic retinal eye exam. To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes.
Flu Shot
$10 per calendar year
Age: 18+
Complete annual flu vaccine.
Health Assessment (HRA-MA)
$10 per calendar year
Age: Any
Complete a MPH Medicare Health Assessment (Medicare) for CMS compliance.
Medicare Personal Health Assessment
$50 per calendar year
Age: 21 – 85
Complete a Personal Health Assessment and earn $50 in rewards (eligible members only). This reward is available once per calendar year.
New Member PCP Visit
$20 per calendar year
Age: Any
Complete visit with PCP within 90 days of enrollment.
We’re Here to Help.
Still have questions? We may have your answer here
How do I register?
Registration is simple—enroll in the MetroPlusHealth member portal and click on the “My Rewards” tab. Complete a quick registration and you will automatically be connected to the Rewards portal.
How do I earn rewards?
Each plan (Medicaid, Essential Plan, Medicare, etc.) has several eligible rewards. Read through the rewards that you are eligible for under your plan. Once you complete these healthy rewards activities (for example, completing an annual PCP visit or completing a preventive screening such as a breast cancer screening) your rewards earning will be automatically added to the Rewards portal.
How do I redeem rewards?
As soon as you register on the portal and have completed your first activity, you are eligible to receive a Visa debit card. This debit card will need to be activated and will be yours for as long as you remain a MetroPlusHealth member. This card will automatically update every time you complete an eligible activity and dollars will be added that are yours to spend.
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