Sunflower Health Plan is a managed care organization that provides healthcare services to individuals and families in Kansas. As a Medicaid contractor, Sunflower Health Plan works with the state of Kansas to deliver high-quality, cost-effective healthcare to its members. With a strong focus on preventive care, disease management, and community outreach, Sunflower Health Plan aims to improve the health and well-being of its members and the communities it serves.
History and Overview of Sunflower Health Plan
Sunflower Health Plan was established in 1997 as a subsidiary of Centene Corporation, a leading multi-national healthcare enterprise. Over the years, Sunflower Health Plan has grown to become one of the largest Medicaid managed care organizations in Kansas, serving over 130,000 members across the state. The plan offers a range of healthcare services, including doctor visits, hospital stays, prescription medications, and mental health and substance abuse treatment.
Benefits and Services Offered by Sunflower Health Plan
Sunflower Health Plan offers a comprehensive range of benefits and services to its members, including:
- Primary and specialty care services, including doctor visits and hospital stays
- Prescription medication coverage, including generic and brand-name medications
- Mental health and substance abuse treatment services, including counseling and therapy
- Dental and vision care services, including routine check-ups and procedures
- Transportation services, including non-emergency medical transportation
In addition to these benefits, Sunflower Health Plan also offers a range of value-added services, including disease management programs, health education classes, and community outreach initiatives. These services are designed to help members manage their health and wellness, and to provide them with the support and resources they need to live healthy, active lives.
Key Points
- Sunflower Health Plan is a Medicaid managed care organization that serves over 130,000 members in Kansas
- The plan offers a comprehensive range of benefits and services, including primary and specialty care, prescription medication coverage, and mental health and substance abuse treatment
- Sunflower Health Plan has a strong focus on preventive care, disease management, and community outreach
- The plan offers a range of value-added services, including disease management programs, health education classes, and community outreach initiatives
- Sunflower Health Plan is committed to improving the health and well-being of its members and the communities it serves
Eligibility and Enrollment
To be eligible for Sunflower Health Plan, individuals must meet certain requirements, including:
- Being a resident of Kansas
- Meeting certain income and resource requirements
- Being eligible for Medicaid or the Children’s Health Insurance Program (CHIP)
Individuals who are eligible for Sunflower Health Plan can enroll in the plan through a variety of channels, including:
- Online enrollment through the Sunflower Health Plan website
- Phone enrollment by calling the Sunflower Health Plan customer service hotline
- In-person enrollment at a local Sunflower Health Plan office or outreach event
Provider Network and Care Coordination
Sunflower Health Plan has a large and diverse provider network, including primary care physicians, specialists, hospitals, and other healthcare providers. The plan's care coordination team works closely with members and their providers to ensure that they receive the care and services they need to manage their health and wellness.
Sunflower Health Plan's provider network includes:
| Provider Type | Number of Providers |
|---|---|
| Primary Care Physicians | 1,200+ |
| Specialty Care Physicians | 2,500+ |
| Hospitals | 50+ |
| Other Healthcare Providers | 1,000+ |
Quality Improvement and Accountability
Sunflower Health Plan is committed to delivering high-quality, cost-effective healthcare to its members. The plan has a range of quality improvement initiatives in place, including:
- Disease management programs to help members manage chronic conditions
- Health education classes to help members learn about healthy habits and disease prevention
- Community outreach initiatives to help members access care and services in their communities
Sunflower Health Plan is also accountable to its members and the state of Kansas for the quality of care it provides. The plan is subject to regular audits and reviews to ensure that it is meeting its contractual obligations and delivering high-quality care to its members.
What is Sunflower Health Plan?
+Sunflower Health Plan is a Medicaid managed care organization that provides healthcare services to individuals and families in Kansas.
What benefits and services does Sunflower Health Plan offer?
+Sunflower Health Plan offers a comprehensive range of benefits and services, including primary and specialty care, prescription medication coverage, and mental health and substance abuse treatment.
How do I enroll in Sunflower Health Plan?
+Individuals who are eligible for Sunflower Health Plan can enroll in the plan through a variety of channels, including online enrollment, phone enrollment, and in-person enrollment at a local office or outreach event.
Sunflower Health Plan is a vital part of the healthcare system in Kansas, providing essential healthcare services to thousands of individuals and families across the state. By offering a comprehensive range of benefits and services, and by working closely with providers and members to coordinate care, Sunflower Health Plan is helping to improve the health and well-being of its members and the communities it serves.
