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Medicare Advantage and OTC Benefits
According to the consumer healthcare products association, the average American makes 26 trips per year to buy over-the-counter (OTC) products and this number may increase as you age. Some agents still do not realize that in a lot of situations with Medicare Advantage, OTC benefits may be one of the determining factors for clients when deciding which plan to go with.
OTC benefits will cover things like OTC medications and Health & Wellness items. Most carriers such as UnitedHealthcare, Humana, Aetna to name a few, will give the clients a card to use that works like a credit card or gift card. In most instances, clients can shop right from home and order out of a catalog or on a website such as Health Benefits. They can also use these cards in-store at that carrier’s preferred pharmacies such as CVS or Walgreens.
Some things to note:
- OTC items may be purchased only for the enrollee, not for family members or friends
- The OTC card is not a debit or credit card and cannot be converted to cash
- It cannot be used to purchase Part B or Part D prescription drugs
- Any unused balances may automatically expire at the end of each month, quarter, or upon disenrollment from the plan
Medicare Advantage and OTC benefits: How it works
Local sales tax is added to your order total and deducted from your credit balance. Categories of covered items include generic and name brand products for allergy, sinus, cold and flu, pain relief, home health care, and daily living, braces and wraps, dental and oral health, eye and ear care, smoking cessation, diabetes care, foot care, digestive health, incontinence, skincare, sleep aids and vitamins. Some of the most popular items for clients are things such as pain relief drugs, bath safety items, different braces, supports or heating pads, and different types of health monitors such as blood pressure monitors or thermometers. Most plans with this benefit included an average of $50-$100/month so be sure to pay attention to these details when evaluating the best plan for your client.
Learn more about Medicare Advantage and OTC benefits
Want to learn more about OTC benefits on the plans specific to your market? Speak to your Marketer today!
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
Nick Palo
Assistant Vice President - Health
Contact a Pinnacle Representative if you have any questions.
1 (800) 772-6881
support@pfsinsurance.com