You're Eligible for a Monthly Wellness Kit at No Cost

It's Time to Reorder Your No Cost Monthly Wellness Kit!

Enjoy free, hassle-free delivery of essential health items to your doorstep every month, fully covered by Medi-Cal.

Let’s Get Your Wellness Kit – It’s Quick & Secure

(Takes about 2 minutes to complete)

(1/4)

First Name:

Last Name:

Female

Male

Prefer Not To Say

Please enter in MM-DD-YYYY format

Email:

Where Should We Send Your Kit?

(2/4)

Medicaid ID Number (Optional):

Picture of Medicaid ID Card (Optional):

Final Step: Finalize Your Wellness Kit Selection (4/4)

Wellness Kit Offer - NO COST:

We offer our Health Box, which contains up to 7 OTC products completely covered by Medi-Cal. These products are: (4) OTC COVID Tests, Acetaminophen, Bacitracin, Vitamin D / Calcium, Chest Congestion Reliever, Vitamin C, Magnesium Supplement

(You will NEVER pay out of pocket for this service).

Yes, send me a No-Cost Health Box

Before taking any medications or over-the-counter drugs, consult a physician for a thorough evaluation. Always seek the advice of a physician or other qualified healthcare provider with any questions regarding a medical condition. Do not take medication if you have a known allergy to it.

Text me order updates & reminders. Msg & data rates may apply. Frequency varies. Reply HELP for help, STOP to cancel. Consent isn’t required for care.

Text me occasional wellness tips & offers. Msg & data rates may apply. Up to 4 msgs/mo. Reply HELP for help, STOP to cancel. Consent isn’t required for care.

I agree to Terms and Conditions. By signing this form, I am authorizing Stay Well US's Preferred Pharmacy to fill and ship my prescriptions.

Clear

By signing this form, I authorize Stay Well US and its Preferred Pharmacy to use my information to fill and ship my prescriptions. I understand that my information will be protected under HIPAA and used only for the purposes stated above.

Your privacy is important to us. Under California law, you have the right to access, delete, or control your personal data. By submitting this form, you acknowledge that you have read and agree to our Privacy Policy. The information you provide is protected under HIPAA. By submitting this form, you authorize Stay Well US to use and disclose your Protected Health Information (PHI) solely for the purpose of processing your reorder and coordinating with our preferred pharmacy.

This form is securely encrypted, and your information is stored in compliance with HIPAA regulations.

How It Works

Step 1

Click the button below to complete a quick eligibility request.

Step 2

Our team will review your request and verify eligibility.

Step 3

If eligible, your wellness kit will be shipped directly to you.

Checking your eligibility takes just a minute!

Rest assured, your personal information is protected through our secure, HIPAA-compliant process.

What’s Included in the Wellness Kit?

Our Home Wellness Kit may include a selection of:

At-home health test kits

Over-the-counter wellness products

Essential health and symptom relief items

Eligibility required. No out-of-pocket costs for qualified participants.

Rest assured, your information is handled with strict privacy measures. We only use HIPAA-compliant forms to protect your data and ensure a safe and secure experience

STILL NOT SURE?

Frequently Asked Questions

We know you may have questions, and we’re here to help! Below are some of the most common questions about our program, how eligibility works, and what you can expect. If you need further assistance, feel free to reach out to our support team.

How Often Can I reorder?

You can reorder test kits and health boxes each month.

Who is eligible for this program?

Eligibility is based on residency and health coverage status. To determine if you qualify, simply complete our secure eligibility request form. It only takes a minute!

Does this program cost anything?

There is no out-of-pocket cost for eligible participants. Our wellness kits are available to qualified individuals through approved health program.

What’s included in the Home Wellness Kit?

The Home Wellness Kit includes a selection of essential health and wellness items, which may include at-home health test kits and over-the-counter wellness products. The exact contents may vary based on availability and eligibility

How do I check my eligibility?

Checking your eligibility is simple! Click the button below to complete our quick and secure HIPAA-compliant request form. Our team will review your information and notify you of the next steps.

How long does it take to receive my wellness kit?

Once your eligibility is confirmed, we will process your request as quickly as possible. Delivery times may vary based on processing and shipping availability.

How is my information protected?

Your privacy is our priority. We use a HIPAA-compliant system to securely process your information, ensuring that it is encrypted and handled with the highest standards of privacy and security. Your details will never be shared without your consent.