What is the Medicare Advantage OTC allowance benefit?
You may be able to use your Medicare Advantage benefits to save on your favorite OTC brands.
Most Medicare Advantage (also known as Part C) plans offer an OTC (over-the-counter) allowance benefit. The OTC allowance benefit provides eligible members with an allowance to pay for certain non-prescription items, plus health and wellness products.
Did you know..
Eligible products vary by Medicare Advantage plan and provider. OTC allowances don't roll over, so be sure to make the most of your funds while they last.
Check your plan regarding OTC Allowances & product eligibility*
Utilizing OTC allowances
There are three ways Medicare Advantage providers may allow members to utilize OTC allowances.
Catalog/Online, Phone, or Mail Order: Beneficiaries can peruse catalogs or websites with eligible products and place an order via a website, app, phone or mail.
Receipt Reimbursement: After purchasing an eligible product, beneficiaries can submit their receipts for reimbursement.
Debit Card at Retail: Beneficiaries can use their OTC debit card & purchase eligible items in a separate transaction.
Check your plan regarding OTC Allowances and product eligibility*
Shop by Category
Check your plan regarding OTC Allowances & product eligibility*
Use products only as directed. ©J&JCI 2024. BAND-AID® is a registered trademark. Tena® is a registered trademark of Essity Hygiene and Health, AB. ©2022 Essity. *Product Eligibility may vary by plan. Check with your administrator to determine which expenses are eligible before you shop. 1 U.S. Centers for Medicare & Medicaid Services. (Medicare.gov) Understanding Medicare Advantage Plans. 2 Consumer Healthcare Products Association 2021. Using Medicare Advantage Over-the-Counter (OTC) Medicines Program as a Consumer Engagement Tool. 3 Medicare Managed Care Manual. 2016. Chapter 4 - Benefits and Beneficiary Protections.