OTC Plan Benefits
The Care Improvement Plus Silver Rx (Regional PPO SNP)(PPO SNP) Plan offers an Over-the-Counter (OTC) Benefit which allows members to purchase much needed OTC products such as bandages, cold and allergy medicines, pain relievers, non-prescription medications, and some vitamins.
OTC Catalog
To review or print a copy of the Silver Rx (Regional PPO SNP)(PPO SNP) Over-the-Counter Benefit Catalog, click on the link below:
OTC Categories
The Over-the-Counter (OTC) items have been assigned to one of the following categories:
Eligible Over-the-Counter Items,
Dual-Purpose OTC Medications and Products,
and Excluded OTC Products (non-eligible expenses). A detailed description of each category can be found below.
Eligible Over-the-Counter Items - include medicines or products that alleviate or treat injuries or illness. You do not need to provide a statement from a medical provider or indicate a diagnosis in order to receive reimbursement.
Dual-Purpose OTC Medications and Products - Do not require a letter of medical necessity from a physician, however, Care Improvement Plus encourages members to have appropriate conversations with their personal provider and have their personal provider orally recommend the OTC item for a specific diagnosable condition prior to purchase.
Excluded OTC Products (non-eligible expenses) - include products that are not covered under this benefit, such as: baby medicines, dehydration drinks, dry skin lotions, food supplements, contraceptives, dairy care, lactaid milk, certain smoking cessations aids not covered under Part B, certain diabetic supplies may be covered under Part B or Part D, shampoos for dandruff, and hair-loss products.
How to place an order
You can place an order one of two ways:
-
By phone - OTC Specialists are available Monday - Friday from 8:00am to 8:00pm EST at
1-800-355-8130 (TTY: 1-800-355-8224). Be ready to tell the OTC Specialist the item number of the product(s) you would like to order.
-
By mail - There is an order form at the back of the catalog. Tear out the form, complete the form, and mail it back in the postage paid envelope. Once your order is received, please allow 7 - 10 days for delivery.
Helpful Information
- If you have questions or would like to place an order over the phone, OTC Specialists are available Monday - Friday from 8:00am to 8:00pm EST at 1-800-355-8130 (TTY: 1-800-355-8224).
- When mailing an order form, the month we receive your form is the month the amount you spent will be applied to. For example, if you mail your order form on June 29th, but we receive it on July 1, the amount of your order will be applied to your July benefit, not your June benefit
- If you're getting close to the end of the month and you do not think your order form will be received in time, you can always call in your order.
- Orders may only be placed by the member, an authorized representative verbally approved by the member at time of the order, and/or the member's power of attorney representative on file.
- OTC products are intended for member use only.
- Once your order is received, please allow 7 - 10 days for delivery.
- Products may not be purchased at a local retail pharmacy or through any other source other than the Care Improvement Plus Over-the-Counter (OTC) Catalog.
- If you disenroll from Care Improvement Plus, your Over-the-Counter (OTC) benefit will automatically terminate.
- Returns are not accepted.
- There are some items listed in this catalog that may also be covered under your Part B (medical) benefit or Part D (pharmacy) benefit. These items have a *B or a *D after their name. For example, alcohol pads are covered under Part D if they are used for the purpose of administering insulin. For all other purposes, this item is covered under your OTC benefit.
This page was last updated on: 1/20/2012 1:45:18 PM