Member Resources
Member Resources:
- Member Tip Sheet [PDF]
- Find Doctors, Dentists, Specialists, Hospitals
- Pharmacy Services
- Health Library
- Grievance Procedures
- Immunization Information – Shots
- Medicaid Renewal Process
- Newsletters
Member Handbooks:
We provide all covered services. But they must be medically necessary. Some services may be limited. Some need a doctor’s order. Some need prior approval. Some Medicaid members may not have all the benefits listed.
Member Handbook (Broward, Clay, Duval Counties):
Member Handbook (All other Florida Counties):
- View Member Handbook (PDF)
- Over-the-Counter Medication Listing [PDF]
- Mail-Order Over-the-Counter Program [PDF]
Value Added Benefits:
Sunshine Health has developed a package of Value Added Services for Medicaid eligible. These services will enhance member benefits beyond the Medicaid Covered Services. The Value Added Services exceed Medicaid benefits. They were designed to improve members well being and encourage responsible and prudent use of healthcare benefits. They also enhance the cost effectiveness of the Florida Medicaid Program. You will find a description of Value Added Services in the Member Handbook.
For a list of programs and services available to you, visit the Stay Healthy Section.
Helpful Links:
Sunshine Health offers a lot of resources. Some of our resources are related to health information. Some are community resources. Sunshine Health has a relationship with a lot of community groups that help our members. These groups help with:
- The Agency for Health Care Administration
Agency responsible for Florida’s Medicaid program. - The Florida Department of Children and Families
Public Assistance - MyFlorida.Com
Official Portal of The State of Florida - Agency for Health Care Administration
Medicaid Area Child Health Check-Up Coordinators - Social Security Adminstration
The Official Site of Social Security - Public Housing
Division of Housing and Community Development - http://www.healthychildren.org
- http://www.babycenter.com/baby
- http://www.marchofdimes.com/
- http://www.thehotline.org/
- http://www.mayoclinic.com/health/infant-and-toddler-health
- www.cdc.gov/diabetes
- www.cdc.gov
- www.choosemyplate.gov
- www.healthfinder.gov
- www.lung.org
- www.yourdiseaserisk.wustl.edu
- www.cancer.org
- www.aarp.org
- www.mentalhealth.va.gov
- http://ww5.komen.org/BreastCancer/UnderstandingBreastCancer.html
- www.heart.org
- http://kidshealth.org/
- http://www.nutrition.gov/
- www.eatright.org
- www.sicklecelldisease.org
- www.sicklecellkids.org
- www.sicklecelldisease.net
- http://sicklecelldisease.org/
- http://ahca.myflorida.com/Medicaid/medicaid_reform/beneficiary/index.shtml
- http://www.fdhc.state.fl.us/medicaid/medicaid_reform/enhab_ben/enhanced_benefits.shtml
- http://www.tobaccofreeflorida.com/
- http://www.greattowait.com/
- http://www.doh.state.fl.us/Family/mch/hs/hs.html
Sunshine State Health
