Benefits, Perks & Member Handouts

Additional & Supplemental Benefits: Connect and Connect + Medicare (Revised 2/9/2024)
Additional & Supplemental Benefits: MSC+ and MSHO (Revised 2/9/2024)
Connect to Wellness Kits
Coverage Overview: Connect
Coverage Overview: Connect + Medicare
Coverage Overview: MSC+
Coverage Overview: MSHO
CVS Over-the-Counter (OTC) Catalog (New 1/1/2024)
Dental Benefits
Fitness and Wellness
Health Management: Diabetes, Falls Prevention, Mental Health & SUD, Quit Smoking & Vaping, My Health Decisions, Medication Therapy Mgt (MTM)
Healthy Benefits Food Allowance Catalog: MSHO and Connect + Medicare (New 2/19/2024)
One Pass Fitness
Rewards & Incentives

Asthma Education Program Referral Form
Care Coordination Referral Form
Cecelia Health Virtual Support Program Referral Form (New 5/22/2023)
Health Coaching Disease Management Referral Form
Health Connect 360 Referral Form: MSHO/Connect + Medicare
Intensive Community Based Services (ICBS) Referral Form (Revised 11/10/2023)
Medtronic Disease Management Referral Form
Mental Health & Substance Use Disorder Case Management Referral Form
Transitions of Care Pharmacist Referral Form
Transportation Email Request Form (Revised 2/9/2024)

Adult Dental Kit Order Form
Connect + Medicare AA/NA Transportation Authorization Request Form (New 1/25/23) 
Healthy Benefits Grocery Ride Authorization Form (Revised 2/9/2024)
Medication Toolkit Order Form
Reemo Smartwatch Order Form (Revised 2/29/24)

Adult Dental Kit Order Form
GrandPad Order Form (Revised 2/23/2024)
Healthy Benefits Grocery Ride Authorization Form (Revised 2/9/2024)
LSS Healthy Transitions Authorization Form - PDF (Revised 2/17/2023)
LSS Healthy Transitions Authorization Form - Word (Revised 2/17/2023)
Medication Toolkit Order Form
Memory Kit Order Form (Revised 1/26/2023)
Mom's Meals Authorization Form
MSHO AA/NA Ride Request Form
MSHO Supplemental Benefit Authorization Form
Reemo Smartwatch and/or Blood Pressure Monitor Order Form (Revised 1/1/2024)
Stress & Anxiety Kit Order Form (Revised 1/25/2023)
Strong & Stable Kit Order Form

2024 Comparison: Connect and Connect + Medicare (New 1/1/2024)
2024 Comparison: Connect and Medicaid (New 1/1/2024)
2024 Comparison: MSHO and MSC+ (New 1/1/2024)
2024 Your Guide to MSC+ (New 1/1/2024)
2024 Your Guide to MSHO (New 1/1/2024)
2024 Your Guide to UCare Connect (New 1/1/2024)
2024 Your Guide to UCare Connect + Medicare (New 1/1/2024)
Care Coordination Appointment Reminder Form (Revised 1/12/2023)
Caregiver Assurance Program Flyer (New 1/1/2024)
Follow Up After Hospitalization for Mental Illness Handout
GrandPad Flyer - MSHO (New 1/17/23)
Health Care Directive Information - MSC+, Connect, Connect + Medicare
Health Care Directive Information - MSHO
Health Journals (Health Tracking Forms and Checklists)
Helping You Be Your Best Self: MHSUD Access/Triage (New 5/11/2022)
How to Safely Dispose of Medication (New 1/1/2022)
How to Safely Dispose of Medication - Hmong (New 1/1/2024)
How to Safely Dispose of Medication - Somali (New 1/1/2024)
How to Safely Dispose of Medication - Spanish (New 1/1/2024)
Keep Your Coverage Flyer (MA renewal assistance) (New 8/9/2022)
Numbers to Know: Connect and Connect + Medicare (New 6/1/2023)
Numbers to Know: MSC+ and MSHO (New 1/16/24)
Reemo Smartwatch and/or Blood Pressure Monitor Order Form (Revised 12/14/2023)
Reemo Smartwatch Flyer (Revised 12/14/2023)
Transition of Care Member Handout (New 2/1/2024)
When to Contact Your Care Coordinator (New 7/27/2022)
Where to Go For Care
Where to Go For Care - Hmong (New 1/1/2024)
Where to Go For Care - Somali (New 1/1/2024)
Where to Go For Care - Spanish (New 1/1/2024)