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 $50 for completing activities to manage your health
  • Adult Women – earn $25 for a Pap test or $20 for a Mammogram
  • Young Members – earn rewards for a well-child visit and/or immunization and 2nd dental cleaning of the year
  • Pregnant Members – earn rewards for prenatal, postnatal and C-section visits
  • All Members – earn $20 for getting a flu shot
  • Adult Members – earn $30 for refilling your antidepressant medications on time

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.

Forms to be filled out by Member + Provider:

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.

All visits must be completed by Dec. 31, 2019 and rewards must be submitted by Jan. 15, 2020.

**Gift card rewards are available while supplies last only – first come, first served!