Earn a $15 reward card when you complete any of these screenings or exams:

Health Risk Assessment

Health risk assessments (HRAs) are used to help identify any health risks that could impact your health.

You answer each question. Your case manager at CareFirst Medicare Advantage uses this and other health information to create a care plan personalized to your health care needs.

CareFirst Medicare Advantage mails the care plan to you and your Primary Care Provider (PCP). The care plan includes goals and actions for you to improve your health. CareFirst Medicare Advantage encourages you to talk to your PCP about your care plan at every visit.

The HRA must be completed and returned to the plan within 90 days of your effective date with the plan in order to receive reward/incentive.

You complete this assessment in your own home. You do not have to go to the doctor to do it.

Take it over the phone by calling (844) 486-6762(TTY:711).

It’s quick and confidential.

Annual Wellness Visit

CareFirst Medicare Advantage encourages all members to get an annual wellness exam once every 12 months.

The visit is offered to all Medicare members one (1) time each year at no cost. This visit must be completed during 2021 in order for you to be eligible for a reward card.

During this visit, your doctor will check on your health. The doctor will work with you to develop a care plan made just for you.

During your annual wellness exam, remember to:

  • Educate yourself about the screenings you may need.
  • Ask questions about your health numbers (Blood Pressure/Body Mass Index).
  • Share information with your doctor about any pain you may have.
  • Inform your doctor about any physical or mental changes you are experiencing.
  • Engage your doctor in a talk about any over-the-counter drugs you take to check and see if they are safe to take along with any prescription medicine prescribed to you.
  • Reduce the risk of falls by talking about how to prevent them.
  • Discuss advance care planning with your doctor. Advance care planning is making decisions about the care you would want to receive if you become unable to speak for yourself.

Annual Wellness Visit Reward Form

Annual Flu Shot

What is influenza(also called Flu)?

The flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and lungs. It can cause mild to severe illness, and at times can lead to death. The best way to prevent the flu is by getting a flu vaccine each year. Everyone 6 months of age and older should get a flu vaccine by the end of October, if possible.

Download Flu Shot Reward Form | Learn more about FLU FAQ

Post-Hospitalization Physician Visit

The post-hospitalization visit is offered at no cost to Medicare members who were hospitalized. If you complete your post-hospitalization visit within five (5) days of leaving the hospital, you will be eligible to receive a reward card.

CareFirst Medicare Advantage understands that it can be tough going home after being in the hospital. You may have left the hospital with multiple follow-up instructions. You may have many medicines to take. You may also want more medical help and support in the weeks following your hospital stay.

This visit may be with a primary care provider or specialist. During this visit, your doctor will go over the instructions that you got at the hospital. Your doctor will see if you need to adjust any medication, follow-up on test results, and discuss future treatments.

Post-Hospitalization Physician Visit Reward Form

Colorectal Cancer Screening

The colorectal cancer screening is offered at no cost to all Medicare members between the age of 50 and 75. The screening must be completed within the recommended time frames in order for you to receive a reward card. According to the Centers for Disease Control and Prevention, regular screening is key to preventing colorectal cancer.

CareFirst Medicare Advantage encourages you to talk with your provider about when to begin screening for colorectal cancer, what test to have, and how often to have it.

Colorectal cancer screenings can detect problems before any symptoms occur. Your provider will take into account your age, medical history, family history, and general health to determine which screening is right for you.

It is recommended that individuals get an iFOBT stool-based tests every 12 months, a Flexible Sigmoidoscopy every five (5) years, or a Colonoscopy every 10 years.

Note: Members will only earn a reward card for completing one (1) of three (3) tests.

Colorectal Cancer Screening Reward Form

Mammogram

Mammograms are offered at no cost to all female Medicare members between 50 and 74 years old. This screening must be completed between October 1, 2019 and December 31, 2021 in order for you to be eligible to receive a reward card.

Mammograms check for breast cancer even if a woman does not have any signs or symptoms. During this screening x-ray images are taken of each breast. The x-ray images look for lumps or tumors that cannot be felt. Mammograms can also see other problems that may indicate breast problems.

Some imaging centers may require a referral. Be sure to ask when you call to make your appointment. If a referral is needed, your primary care provider will provide one for you. Talk with your provider if you have any questions.

Mammogram Reward Form

If you have diabetes, you are eligible for the following rewards as well.

Diabetes Screenings (HbA1c & Microalbumin)

HbA1c and Urine Protein Screening (Microalbumin) are recommended for members who have a diagnosis of diabetes.

These tests are offered at no cost to Medicare members who need them. These tests must be completed during 2021 in order for you to be eligible to receive a reward card.

If you have kidney disease and are under the care of a nephrologist, you may not need to have the urine protein test completed. In this case, you may provide evidence of a visit with your nephrologist during 2021.

Note: Members must complete both screenings to be eligible for a reward card.

Diabetic Screening Reward Form

Diabetic Retinal Eye Exam

It is recommended that members with diabetes have a retinal eye exam once a year.

According to the National Institute of Health, between 40 and 45 percent of Americans diagnosed with diabetes have some stage of diabetic retinopathy.

This eye exam is offered at no cost to Medicare members who need it. It must be completed during 2021 in order for you to be eligible to receive a reward card.

Diabetic Retinal Eye Exam Reward Form

Earning your reward is easy

Call your doctor to schedule the preventive screening, exam, or vaccination you need. If you prefer, we can assist you in scheduling your visit; just call our Member Services number.

During your appointment, ask the doctor or office staff to fill out, sign and date the form that relates to that appointment.

Ask the office staff to fax the completed form to CareFirst Medicare Advantage at 410-779-3957. (TTY users please call 711).

Take your rewards booklet with you to your appointment or print out the applicable form from the website.

Write your full name and member identification number (located on the front of your member ID card) on the form.