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.
  • Protective gloves
  • And more!

Our plan does not cover over-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).
  • Food items.
  • 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:

Plan Amount Frequency OTC items by mail order OTC items in retail store OTC Card
ConnectiCare Passage Plan 1 (HMO-POS) $75 Every month ✔    
ConnectiCare Choice Plan 2 (HMO-POS) $50 Every month ✔    
ConnectiCare Choice Plan 3 (HMO-POS) $50 Every month ✔    
ConnectiCare Flex Plan 3 (HMO-POS) $50 Every three months ✔    
ConnectiCare Choice Dual (HMO-POS D-SNP) $60 Every month ✔ ✔ ✔

OTC benefit amounts must be used within your benefit frequency and will not roll over.

How to Get Your Covered Eligible Items

Ways to order your items for your mail order only OTC benefit:

ConnectiCare Passage Plan 1, ConnectiCare Choice Plan 2, ConnectiCare Choice Plan 3, and ConnectiCare Flex Plan 3 plan members get covered OTC items by mail-order only and do not receive an OTC card.

  • 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.

Items, quantities, sizes, and values may change depending on availability. Items may vary based on the manufacturer and availability. If an item is out of stock, a similar product of equal or higher value will be shipped.