Switch to:

Find a Doctor

Member Sign In

Individual and Family Plans

$0 Premium Covered Connecticut Program

Medicare Advantage Plans
Switch to:

Search

Popular Tasks

Contact Us

Visit a ConnectiCare Center

Over-the-Counter (OTC)
Benefit Information

pharmacist talking to customer in pharmacy

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.
  • 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*

  • 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 or ConveyBenefits 

    Learn More

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.

*OTC benefits do not include healthy foods.

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.

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 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)
  • 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 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

OTC Healthy Food Eligible Items Information

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.

    Learn More
  • Home Delivery

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

    Learn More

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

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.

  • 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.

*OTC benefits do not include healthy foods.

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.

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). From Oct. 1 to March 31, you can call from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call from 8 a.m. to 8 p.m., Monday through Saturday.

We're Here for You

If not currently enrolled call 877-224-8221 (TTY: 711)

From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Friday. 

Medicare members call 800-224-2273 (TTY: 711)

From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday. 

Smiling senior man on cell phone at home

Last Update 10/01/2024

Y0026_203647_M