In a standard Markov decision process (MDP), rewards are assumed to be precisely known and of quantitative nature. This can be a too strong hypothesis in some situations. When rewards can really be modeled numerically, specifying the reward function is often difficult as it is a cognitively-demanding and/or time-consuming task. Besides, rewards can sometimes be of qualitative nature as when they represent qualitative risk levels for instance. In those cases, it is problematic to use directly standard MDPs and we propose instead to resort to MDPs with ordinal rewards. Only a total order over rewards is assumed to be known. In this setting, we explain how an alternative way to define expressive and interpretable preferences using reference points can be exploited.