Childhood Immunization Incentive Program
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Childhood Immunization Incentive Program - 8/1/2022

Vaccines are the easiest way to protect your child against serious diseases.




If your child is turning two years old in 2022 and has received all of their recommended vaccines (see right) on or before their 2nd birthday, you are eligible for a $50 Amazon gift card! You can receive the gift card via mail or email by filling out the form below.





Please have your child’s Subscriber ID number (see right) on hand before beginning the survey.



Recommended vaccines to complete before 24 months

  • Hepatitis B (HepB) – 3 doses
  • Diphtheria, tetanus, and pertussis (DTaP) – 4 doses
  • Haemophilus influenzae type b (Hib) – 3 doses
  • Pneumococcal conjugate (PCV13) – 4 doses
  • Inactivated poliovirus (IPV) – 3 doses
  • Measles, mumps, rubella (MMR) – 1 dose
  • Varicella (VAR) – 1 dose


Example Subscriber ID Card, member ID number highlightedSubscriber ID Card



We thank you for putting your child’s health first!

Please keep in mind that by clicking the link below, you will be directed to a third-party website (Smartsheet) to complete the survey. Certain pieces of protected health information (PHI) will be requested to complete the survey. Smartsheet may retain the data you submit to complete the survey. You can view Smartsheet’s Privacy Policy Smartsheet Privacy Notice | Smartsheet. Information entered into this survey will be shared with EOCCO. You can view EOCCO’s privacy policy at If you prefer to share this information directly with EOCCO, please call Customer Service at 1-888-788-9821 to complete the survey over the phone.

By completing the survey, you acknowledge that you have read and consent to the privacy policies listed above.

Incentive Survey Links:

Questionnaire in English: Immunization Incentive Program (

Cuestionario en español: Programa de Incentivos de Inmunización (

Need another copy of the flyer you received?

English - Childhood Immunization Member Incentive Flyer.pdf

Español - Folleto para el Incentivo de las Inmunizaciones Infantiles.pdf