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.
Our plan covers CMS-approved over-the-counter (OTC) health-related items. Certain brands are included. Eligible health categories include:
Our plan does not cover over-the-counter (OTC) items in these categories (note: non-covered items can change):
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) |
Amount
$75
|
Frequency
Every month
|
OTC items by mail order
✔
|
OTC items in retail store
|
OTC Card
|
| ConnectiCare Choice Plan 2 (HMO-POS) |
Amount
$50
|
Frequency
Every month
|
OTC items by mail order
✔
|
OTC items in retail store
|
OTC Card
|
| ConnectiCare Choice Plan 3 (HMO-POS) |
Amount
$50
|
Frequency
Every month
|
OTC items by mail order
✔
|
OTC items in retail store
|
OTC Card
|
| ConnectiCare Flex Plan 3 (HMO-POS) |
Amount
$50
|
Frequency
Every three months
|
OTC items by mail order
✔
|
OTC items in retail store
|
OTC Card
|
| ConnectiCare Choice Dual (HMO-POS D-SNP) |
Amount
$60
|
Frequency
Every month
|
OTC items by mail order
✔
|
OTC items in retail store
✔
|
OTC Card
✔
|
OTC benefit amounts must be used within your benefit frequency and will not roll over.
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.
Visit connecticare.nationsbenefits.com 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.
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.
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.
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.
