Sunshine Health is a Florida health plan offering Medicaid coverage and other plan resources. If you need your account, benefits or a doctor, first identify the program shown on your member ID card. Medicaid, Ambetter Marketplace and Wellcare Medicare resources are not interchangeable.
Independent guide: HealthyLife Remedy is not affiliated with Sunshine Health. This page explains public member information and links to official resources. It cannot access your account or confirm individual coverage.
Information checked October 9, 2026. Benefits and program rules can change.
Find the Sunshine Health Resource You Need
| Your question | Where to start |
|---|---|
| Which program am I enrolled in? | Sunshine Health member program directory |
| Where is the member login? | Official portal selection page |
| How do I use OTC benefits? | Medicaid OTC instructions and catalogue |
| How do rewards work? | Medicaid My Health Pays rewards page |
| Who handles dental care? | Medicaid dental coverage information |
| Who can help with my coverage? | Medicaid Member Services, or the contact on your plan's ID card |
What Is Sunshine Health? Is It Medicaid?
Sunshine Health offers a Florida Medicaid health plan. Its member directory also routes people to long-term care, specialty programs, Children's Medical Services Health Plan, Ambetter Marketplace coverage and Wellcare Medicare resources.
That means the answer to “Is Sunshine Health Medicaid?” is yes for its Medicaid program, but the name alone does not identify your particular coverage. Use your member ID card and current plan documents.
Do not apply an OTC allowance, rewards rule or customer-service number from one program to another. If you are unsure which program you have, use the official member directory to find the appropriate contact.
If you want to enroll, start with the insurer's Get Insured information, reached through its official website. A guide cannot determine eligibility or enroll you.
Sunshine Health Login: How to Find Your Member Account
Start at Sunshine Health's official login page. Select your role and plan to reach the correct portal. Members and caregivers should use the member route; healthcare offices should use the provider route.
The insurer lists member account functions including changing a primary care doctor, requesting a replacement member ID card, updating personal information and sending messages.
- Check the program name on your member ID card.
- Open the official portal selection page.
- Choose the matching role and plan.
- Follow the portal's sign-in, registration or account-recovery instructions.
This article does not provide a login form. Enter credentials only through the official service. Keep passwords and member identification details out of public comments.
Sunshine Health Phone Number for Medicaid Member Help
The official Medicaid Member Services number is 1-866-796-0530. The listed TTY number is 1-800-955-8770. Regular hours are Monday through Friday, 8 a.m. to 8 p.m. Eastern, excluding state-approved holidays.
Member Services can help with provider selection, coverage questions, referrals and lost ID cards. The same main number also connects Medicaid members with the 24-hour Nurse Advice Line. For an emergency, call 911 rather than waiting for routine account support.
For another Sunshine Health program, use the number on your own ID card. Check the official Member Services page before relying on a saved number or hours.
Sunshine Health OTC Benefits: What Changed in 2026?
Sunshine Health's Medicaid benefit update states that the OTC allowance became $25 per month per household effective July 1, 2026. This is a program-specific update, not a promise that every Sunshine Health member has the same benefit.
The official 2026 benefits announcement explains the change. If an older article lists a different amount, check the effective date and program before using it to plan an order.
How can you order eligible OTC items?
The Medicaid OTC page offers online ordering through OTC Health Solutions, its mobile app, phone ordering and shopping at participating CVS locations. Use the current OTC page and catalogue to check eligible items and ordering rules.
Before checkout, confirm your available balance, the exact item and any order limits. Do not assume every product at a participating retailer is eligible. An OTC allowance is also different from money earned through My Health Pays.
Sunshine Health Rewards Card: Where Can You Use It?
My Health Pays is a rewards program for completing qualifying health activities. The Medicaid page describes uses including eligible utilities, transportation, telecommunications, childcare, education and rent, plus everyday shopping at Walmart. It excludes alcohol, tobacco and firearms.
The card cannot be used everywhere Visa debit cards are accepted. Confirm payment instructions before trying to pay a particular bill or merchant.
How do you check rewards or activate the card?
Use your member account to check the rewards balance, and follow the activation sticker on the card. The insurer says rewards are added after it pays the provider's claim for a qualifying activity, so completing a visit does not imply immediate credit.
See the official My Health Pays page for current activities, restrictions and expiration rules. These rewards are separate from OTC benefits.
Does Sunshine Health Cover Dental Care?
Sunshine Health's Medicaid dental page says Medicaid includes dental benefits, but those benefits are not administered by Sunshine Health. It currently lists DentaQuest and Liberty as statewide dental plan options.
Check which dental plan you are enrolled in before choosing a dentist. The available services depend on factors such as age, the requested treatment and authorization requirements.
Ask your dental plan whether the dentist participates, whether the treatment is covered and whether approval is needed before the appointment. Do not assume every adult service has the same coverage as children's dental care.
Source: Sunshine Health Medicaid dental information.
Before an Appointment, Confirm These Details
- The exact program and current coverage shown on your member documents.
- Whether the provider participates in that program.
- Whether a primary care assignment, referral or authorization is needed.
- Whether the specific service is covered, rather than assuming the whole visit is covered.
- The effective date of any provider or plan change.
Keep a record of whom you spoke with and any reference number. Confirmation helps you follow up if the office and plan give different answers.
Frequently Asked Questions
Is Sunshine Health the same as Ambetter?
The official directory identifies Ambetter as its Marketplace coverage route. Do not apply Sunshine Health Medicaid benefits to an Ambetter policy; use the documents and support for your own program.
Can I use my Sunshine Health rewards card anywhere?
No. My Health Pays has spending restrictions. Check the official rewards rules before paying a merchant or bill.
Are OTC benefits and rewards the same balance?
They are different programs. Check the OTC ordering service for your allowance and the member account for your rewards.
Can this website confirm my eligibility or claim?
No. Contact the insurer or appropriate enrollment authority for a decision about your own eligibility, coverage or claim.