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Complete the form below to receive your reward.
Member Incentive Type
Take the online pain medication safety course. (Ages 21 and older)
Member Information
Dentist Information
Complete the following quiz to claim your gift card. Answers are not shared and will not affect qualifying for your gift card.
Answers: 1.A, 2.A, 3.C
Earn your $20 Amazon Gift Card!
Complete the following Oral Evaluation or Preventive Services for Children (Under 21) Quiz. Answers are not shared and will not affect qualifying for your gift card. To be completed by child under age 21.
Answers: 1.D, 2.B, 3.D, 4.A, 5.C
Complete the following quiz to claim your gift card.
Answers: 1.A, 2.C, 3.C, 4.C, 5.A (if B [no], please make an appointment with your dentist as soon as possible)
Emergency Department Information
Earn your $20 Roblox Gift Card!
Earn your Bluetooth speaker!
While actively enrolled with the plan. Once per member per calendar year. Member may earn other Healthy Behavior rewards, but the total dollar amount of combined rewards cannot exceed $50 dollars in the calendar year. Rewards cannot be transferred. If you leave the plan for more than 180 days, you may not receive the reward.