When your ConnectiCare Medicare Advantage plan includes the over-the-counter (OTC) benefit, you can get covered for the OTC items below. Your benefit amount and how you get your OTC items and supplies depends on the plan you join.
Which over-the-counter (OTC) items does ConnectiCare cover?
Our plan covers CMS-approved over-the-counter (OTC) health-related items. Certain brands are included. Eligible health categories include:
- Allergy, sinus, and combination liquids and tablets.
- Cough, cold, and flu liquids and tablets.
- Denture/dental care (floss, toothbrush, toothpaste, and denture care).
- Elevated toilet seats and accessories.
- Instant hand sanitizer.
- Masks (respiratory, barrier, etc.)
- Protective gloves
- And more!
Our plandoes not coverover-the-counter (OTC) items in these categories (note: non-covered items can change):
- Covid Tests
- Diabetes care (blood glucose testing, continuous glucose monitoring devices, insulin, syringes and delivery systems). Diabetes supplies are covered by your plan as a medical benefit.
- Foot care (foot grooming, foot moisturizers, exfoliators and cleansers, odor and wetness treatment, insoles/inserts)
- Non-prescription hearing aids;
- Oral care (mouthwash and breath remedies)
Please note the above product lists are subject to change. Items, quantities, sizes, and brands change depending on availability at the retailer.
Take a look at the chart below to find your plan and information on how to use your OTC benefit:
- 2024
Plan | Frequency | OTC items by mail order | OTC items in retail store | OTC items and Healthy Foods | OTC Card |
|---|---|---|---|---|---|
ConnectiCare Passage Plan 1 (HMO-POS) | Every month | ✔ | |||
ConnectiCare Choice Plan 2 (HMO-POS) | Every month | ✔ | |||
ConnectiCare Choice Plan 3 (HMO-POS) | Every month | ✔ | |||
ConnectiCare Flex Plan 3 (HMO-POS) | Every three months | ✔ | |||
ConnectiCare Choice Dual Vista (HMO-POS D-SNP) | Every month | ✔ | ✔ | ||
ConnectiCare Choice Dual (HMO-POS D-SNP) | Every month | ✔ | ✔ | ✔ | ✔ |
See your Evidence of Coverage or Cost Sharing Guide for the OTC amount you get with your plan or call ConnectiCare Medicare Connect Concierge for help. OTC benefit amounts must be used within your benefit frequency and will not roll over.
2024 ConnectiCare Choice Dual (HMO D-SNP) Members
Eligible OTC and Healthy Food Benefit
Eligible food categories include:
- Cereal (hot and cold).
- Dairy products (milk, cheese, butter).
- Dry foods (beans, fruit, pasta).
- Eggs and egg substitutes.
- Fresh food boxes (mixed produce, all vegetable, diabetic and other choices).
- Frozen food.
- Fruits and vegetables.
- Juice.
- Meat (poultry, beef, sausage, lunch meat).
- Rice and whole grains.
- Soup.
- And more!
2024 ConnectiCare Healthy Foods and Participating Stores
Ways to get healthy food eligible items:
- GA Foods, online at gafoods.com/connecticare or call(888) 446-2836for healthy food and produce; or
- FarmBoxRx, online farmboxrx.com/connecticare or call(888) 416-3589for fresh food box choices include mixed produce, all vegetable, and diabetic choices.
How to Get Your Covered Eligible Items*
-
Retail Locations
Shop for covered items at participating retail locations.
Learn More
-
Home Delivery
Get covered OTC items delivered to your door with CVS Home Delivery (New for 2024!) or ConveyBenefits
Learn More
How to Get Your Covered Eligible Items
- You can shop for covered items at CVS, Rite Aid, Walgreens, Walmart, and more.
- Search for participating locations at myBenefitsCenter.com or on the app.
- Retail list of covered OTC items
- Download PDF
How to Get Your Covered Eligible Items
ConveyBenefits | CVS OTC Home Delivery |
|---|---|
Three ways to order:
ConveyBenefits Home Delivery Catalog(Including Mail Order Form) | Two ways to order:
|
2024 ConnectiCare Choice Dual Vista, 2024 ConnectiCare Passage Plan 1*, 2024 ConnectiCare Choice Plan 2*, 2024 ConnectiCare Choice Plan 3*, and 2024 ConnectiCare Flex Plan 3* plan members get covered OTC itemsby mail-order only and do not receive an OTC card.
*OTC benefits do not include healthy foods
Here are ways to order your items for your mail order only OTC benefit:
Visit connecticare.com/mailOTC to select your covered items and complete the checkout process.
By mail – just fill out and send the mail-order form below toNationsOTC.
Catalog of covered OTC items by mail, phone and online and mail order form.
Mail order items should be received in the mail within seven business days from the time of receipt of your order. If the total amount of your order is more than your OTC balance, you will be asked for an alternate method of payment. You can use a credit card online or over the phone, and a check when using mail order.
How to get reimbursed:
We ask that you use your benefit in one of the ways listed above. If you are unable, you can request a refund using the below form. Simply mail your completed paper claim form to us with a copy of the receipt(s) for the covered item(s) you bought. We will send you a refund check in the mail.
Reimbursem*nt Form
If you have any questions, please see your Evidence of Coverage or Cost Sharing Guide for the OTC allowance amount you get with your plan or callConnectiCare Medicare Connect Conciergeat800-224-2273(TTY: 711), 8 am. to 8 p.m., seven days a week.
We're Here for You
If not currently enrolled call877-224-8221(TTY:711)
From Oct. 1 to March 31, you can call us seven days a week from 8 a.m. to 8 p.m. From April 1 to Sept. 30, you can call us Monday through Friday from 8 a.m. to 8 p.m.
Medicare members call800-224-2273(TTY: 711)
From Oct. 1 to March 31, you can call us seven days a week from 8 a.m. to 8 p.m. From April 1 to Sept. 30, you can call us Monday through Saturday from 8 a.m. to 8 p.m.
Last Update 01/01/2024
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