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Benefits Overview

Sunflower Health Plan offers KanCare (Kansas Medicaid) plans with comprehensive healthcare services that suit the needs of families and individuals throughout Kansas.

View some of Sunflower Health Plan's Kansas Medicaid benefits below. You can also view more information in our Member Handbook.

Learn how to enroll in Kansas Medicaid with Sunflower Health Plan as your plan provider. Then you can access these benefits too!     

Get rewarded for focusing on your health!

Earn My Health Pays® Kansas Medicaid rewards when you complete healthy activities like a yearly wellness exam, annual screenings, tests and other ways to protect your health.

Use Your My Health Pays® rewards to help pay for:

  • Utilities
  • Transportation
  • Telecommunications
  • Childcare services
  • Education
  • Rent

Or, you can use them to:

  • Shop at Walmart for everyday items**

**This card may not be used to buy alcohol, tobacco, or firearms products.

Find more information on this program for Sunflower Kansas Medicaid members by visiting the My Health Pays® rewards page.

As part of your Kansas Medicaid benefits and coverage, Sunflower Health Plan can help you find a provider, find local resources, plan an appointment and find transportation. Call Customer Service toll free 1-877-644-4623 (TTY: 711).

Care coordination and disease coaching are part of your health benefits and are provided to you at no cost. Sunflower Health Plan pays for these services. We provide services for many conditions, such as asthma, diabetes, COPD, high-risk pregnancy and many more. Call Customer Service toll free 1-877-644-4623 (TTY: 711).

Interested in quitting a tobacco habit? We have resources available to help. For KanCare members, there is now an expanded benefit available, just for you.

SafeLink offers a LifeLine program for those who qualify. This program provides 350 minutes, unlimited texts and 4.5GB of data per month. As a member of Sunflower Health Plan, you can contact our customer service line without using your minutes.

For more information or to apply for SafeLink:

As a Kansas Medicaid member enrolled with Sunflower Health Plan, one benefit is that you can choose who you see for your healthcare needs from our network of providers. We have many for you to choose from. If you need help choosing a doctor, call Customer Service toll free 1-877-644-4623 (TTY: 711).

Sunflower Health Plan covers dental services like fillings, crowns, fluoride treatments and dentures for members who need them.. Some services may vary by members' age.

For adults age 21 and older, Sunflower Health Plan provides one dental checkup every six months, which includes the exams and cleanings, bitewing x-rays and a panoramic x-ray every 36 months. Adult members have a maximum benefit of $500 per calendar year.

Preventative care visits are covered by Sunflower Health Plan for Kansas Medicaid members. This means visiting the doctor for a regular check-up, rather than waiting until you are sick. 

Sunflower Health Plan covers an annual physical for adults.

Regular child check-ups are also covered for those under the age of 21. These doctor visits should occur at the below ages. Children also need a blood lead test at 12 and 24 months of age. We cover this. After that, if they are high risk, they need the blood lead test each year age 3 to 6. 

  • Birth
  • 3 to 5 days
  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • 3 years
  • 4 years
  • Every year until age 21

Search for a provider in our network.

Our Nurse Advice Line is ready to answer your health questions 24 hours a day – every day of the year. It is staffed with Registered Nurses. These nurses have spent lots of time caring for people. Now they are ready and eager to help you. Call toll free 1-877-644-4623 to be directly connected. Please have your Sunflower ID card number handy.

Through our MemberConnections program, we can help you get the support you need. A MemberConnections team member can talk to you over the phone. They can also visit your home. They can talk to you about things like how to choose a doctor, plan benefits and living healthy. They can also connect you to community social service programs. These programs will help you with food, housing and clothing.

Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant and for those moms who just had a baby.  We want to help you take care of yourself and your baby every step of the way. If you are pregnant, please let us know by completing a Notification of Pregnancy form. After completing this form you will be enrolled in Start Smart. You will receive information in mail and over the phone. You can also get information in the Health & Wellness section.

Tips for Pregnancy
If you are pregnant or want to become pregnant, keep these things in mind:

  • Go before you show! Go to the doctor as soon as you think you are pregnant. It is important for you and your baby to see a doctor as early as possible. It will keep both of you healthy. It will also help your baby get off to a good start. It is even better to see a doctor before you are pregnant. This is so you can get your body ready for pregnancy.
  • Maintain healthy lifestyle habits. This includes exercising, eating balanced and healthy meals, and resting for 8-10 hours every night.
  • Do not use tobacco, alcohol or drugs now or while you’re pregnant.

Breastfeeding
Doctors and health organizations agree that breastfeeding is best.  You may already know that breast milk is packed with the perfect mix of nutrients your baby needs. Did you know that it is also more than just food?  Breast milk has special ingredients, like antibodies, that only you can provide.  Breast pumps are helpful if you are breastfeeding and have to be away from your baby. Call us after you deliver to see if breast pumps are offered.

Are You Pregnant? Tell Us Right Away!
Call us. Or, you can login to your Sunflower Health Plan account and fill out the Notification of Pregnancy form.

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation.

If you need something translated into a language other than English, please call Sunflower Health Plan. We can also provide materials in other formats such as Braille, CD or large print.

If you need an interpreter for your medical appointment, contact Sunflower Health Plan 24 hours a day, 7 days a week before your appointment. We will arrange for one to be at your appointment.

NEMT stands for Non-Emergency Medical Transportation. NEMT can be used when you do not have a way to get to your healthcare appointment without charge.

How do I use the NEMT program?

Call Sunflower transportation vendor, SafeRide, at 1-877-917-8162 or visit their website for other options to book a ride. You must call at least three days before the day of the appointment or you may not get NEMT. You may be able to get a ride sooner if your healthcare provider gives you an urgent care appointment. If the appointment is urgent, you must say this when calling to schedule your trip.

Visit our Transportation and Gas Reimbursement page to learn more.

Emergency Transportation

If you have an emergency, dial 911, or the local emergency phone number.

Sunflower Health Plan covers ambulance transportation to the nearest hospital for emergency situations. You do not need to contact Sunflower Health Plan before using an ambulance for emergencies. 

Ambulance transportation to the hospital emergency room in non-emergency situations is not covered by Sunflower Health Plan.

Ambulance transportation from a healthcare facility to another healthcare facility is covered only when it is medically necessary. It also has to be arranged and approved by Sunflower Health Plan's network provider.

Value-Added Transportation Benefits

See more details about each of these benefits the Extra Services page.

  • Transportation to WIC Appointments - Sunflower makes rides available to pregnant moms and their babies. This value-added benefit gives moms and babies 8 one-way trips per year to their Women, Infants, and Children (WIC) office using our transportation vendor, LogistiCare.

    Even if the mom is no longer a KanCare member, the baby (Sunflower member) still gets this service, allowing mom to use available WIC services. Schedule rides by calling 1-877-917-8162.
  • Transportation to Community & Social Events (F/E & PD Waivers) - This enhanced transportation to local community events and social activities is for members receiving F/E and PD waiver benefits. Sunflower also assists members with finding events and activities. This benefit includes three round trips a year.
  • GROW (GED, Rides, Opportunities, Work) - This is an employment support resource program. Benefits include enhanced transportation coverage when seeking employment.

Need help getting to your healthcare appointments? Gas reimbursement can help you get there.

  • If you have a car, you can receive $0.40 per mile to get to and from your healthcare appointments.
  • The same amount can be paid to your friend, relative, or neighbor who drives you.
  • Must call prior to the appointment for a trip voucher. Requests made after your appointment are not payable.

Visit our Transportation and Gas Reimbursement page to learn more.

Sunflower Health Plan's Kansas Medicaid benefits cover vision services, including eye exams. Sunflower Health Plan members 21 years and older receive one complete eye exam and, if needed, one pair of eyeglasses each year. For member under age 21, Sunflower provides exams, eyeglasses and repairs as needed, and up to three pairs of eyeglasses each calendar year.