2020 Rewards Program
As a valued Passport member, we’ll reward you for taking steps to be healthy. Our focus is to ensure that you are living the healthiest life possible. Your reward will be a gift card from a retail store, drug store or restaurant of your choice!
You can receive rewards for the following activities:
- Diabetic Members – earn up to $60 for completing activities to manage your health
- Adult Women – earn $20 for a Pap test or $20 for a Mammogram
- Young Members – earn rewards for a well-child visit and/or immunization and dental cleanings
- Pregnant Members – earn rewards for prenatal, postnatal and C-section visits
- All Members – earn $20 for getting a flu shot
Please click the link below for detailed requirements for each of these rewards.
Please click the links below for a printable form to take to your Provider to fill out to redeem your reward. Completed form is required to redeem rewards for Diabetic foot exam and flu shot (if not received at your PCP office).
Forms to be filled out by Member + Provider:
- Adolescent Child Reward Form
- Adult Rewards Form
- Diabetes Care Rewards Form
- PostPartum Visit Reward Form
- Prenatal Visit Reward Form
For more details and to request your rewards, call us at 1-877-903-0082 or download the forms above and have your Physician completely fill out the form and fax back to us at 1-888-492-2854.
**Gift card rewards are available while supplies last only – first come, first served!