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:

  1. GA Foods, online at gafoods.com/connecticare or call (888) 446-2836 for healthy food and produce; or
  2. FarmBoxRx, online farmboxrx.com/connecticare or call (888) 416-3589 for 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.

  • Home Delivery

    Get covered OTC items delivered to your door with CVS Home Delivery (New for 2024!)  or ConveyBenefits 

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 items by 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 to NationsOTC.

Catalog of covered OTC items by mail, phone and online and mail order form.

 

Call NationsOTC at

 877-239-2942 (TTY: 711),

Monday to Friday, 8 a.m. to 8 p.m.


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.

Reimbursement 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 call ConnectiCare Medicare Connect Concierge at 800-224-2273 (TTY: 711), 8 am. to 8 p.m., seven days a week.