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Over-the-Counter (OTC) Benefits in Medicare Advantage Plans: Are You Missing Out?

Medicare Advantage plans are known for offering additional benefits beyond what Original Medicare provides, but did you know that some plans include Over-The-Counter (OTC) benefits?

By Clover Health

These benefits can be incredibly valuable, offering savings on everyday health essentials. You may be asking yourself, what are OTC benefits? How do they work, and how can you find a Medicare Advantage plan that includes these benefits? Let’s talk about this extra benefit and how it could help you overall health.

 

What OTC benefits Are Offered by Medicare Advantage Plans?

OTC benefits are a unique feature of some Medicare Advantage plans that allow you to purchase everyday health-related items at no extra cost. These items can include things like:

  • Allergy and sinus products
  • Vitamins and supplements
  • Cold and allergy medications
  • First-aid supplies
  • Dental care products like toothpaste and toothbrushes
  • Personal care items like lotion and shampoo
  • Smoking cessation products
  • Incontinence products
  • And more

These benefits are designed to help you manage your health and wellness more affordably, making it easier to maintain a healthy lifestyle without breaking the bank.

 

How Does It Work?

OTC benefits typically come in the form of a quarterly or monthly allowance that you can use to buy approved OTC items. Here’s how it usually works:

  1. Allowance: Your Medicare Advantage plan will provide you with a set amount of money each quarter or month to spend on eligible OTC products.
  2. Catalog: You'll receive a catalog or online list of approved items that you can purchase with your allowance.
  3. Ordering: You can order these items online, over the phone, or sometimes even pick them up at participating retail locations.
  4. Shipping: If you order online or by phone, the items will be shipped directly to your home, often with free shipping.

This system is convenient and ensures that you always have access to the products you need to stay healthy.

 

 OTC Helps With Chronic Conditions

Having OTC products on hand can help you treat minor health issues at home. This can help you avoid unnecessary trips to the doctor or pharmacy. However, if you have chronic conditions, having an OTC benefit could be especially helpful. 


For example, if you have diabetes, some plans offer diabetic supplies like testing strips and glucose tablets as part of the OTC benefit. This can help you monitor and stay on top of your condition at no additional cost. With an OTC benefit, you can regularly order these critical supplies without worrying about the cost. 
 

Find a Plan with OTC Benefits Near You

If you’re interested in a Medicare Advantage plan that includes OTC benefits, it’s important to find one that meets your specific needs. Not all plans offer the same OTC benefits, so it's worth doing some research or speaking with a Medicare sales agent to find plans available in your area.


By choosing a Medicare Advantage plan with OTC benefits, you can receive the healthcare essentials you expect and enjoy additional perks that can enhance your overall healthcare experience. Plus, it can save you money. 


You can review all the Medicare Advantage plans in your area by going to Medicare.gov.


You can also find a Clover Medicare Advantage plan that includes OTC benefits. Make sure your Medicare Advantage plan meets your needs and helps you live a healthier, more rewarding life.