Over-the-Counter Benefits

In 2024, you can get hundreds of retail wellness products at no cost with your Medicare Dual Eligible Special Needs Plan (D-SNP). 

Your OTC Benefits

Your D-SNP may provide you with money every three months to help you pay for over-the-counter (OTC) items, like:

  • Foot cream
  • Diabetic socks
  • Food scales
  • Nicotine replacement therapy

No matter if you want to lose weight, stop smoking or manage pain, your OTC allowance will get refilled every three months.

Making OTC Purchases

When you’re ready to buy plan-approved OTC items, you can choose how to complete your purchase.

Request an OTC Catalog

Download the 2024 OTC Catalog 

Order Online

To place your order online, visit the vendor website

Order By Phone

After browsing your catalog, if you’d like to place an order over the phone, call:

1-855-350-0074 (TTY 711)
Monday-Saturday, 8 a.m. – 5 p.m.
Saturday, 10 a.m. – 5 p.m. 

Order By Mail

Once you find your items in your catalog, you can complete the catalog form, or save an order form to complete, and mail it to:

Fieldtex Products
2921 Brighton Henrietta TL Road
Rochester, NY 14623

Important Reminders

When you start using your OTC benefits, here are some important benefit details to know:

  • If you don’t spend your full OTC allowance during any three-month period, you’ll forfeit any remaining balance for that time.
  • If you do spend your full OTC allowance during any three-month period, your plan doesn’t allow using a personal credit card for additional purchases. You must wait for your next three-month period to begin.
  • Limits and restrictions may also apply and are listed in your Evidence of Coverage (EOC) booklet.
  • Note, For 2025, this program will no longer be offered. Instead, over-the-counter benefits will be included in the my flex card program.

Help With OTC Questions

If you have additional OTC benefit questions, please review your Diamond D-SNP EOC or check your Ruby D-SNP EOC. You can also call Member Services at 1-800-392-1147 (TTY 711).

D-SNP Resources

2025 DIAMOND D-SNP EOC - Coming Soon

2025 SOUTH EASTERN PENNSYLVANIA DIAMOND EOC - Coming Soon

2024 DIAMOND D-SNP EOC

2024 SOUTH EASTERN PENNSYLVANIA DIAMOND EOC

2025 RUBY D-SNP EOC - Coming Soon

2025 SOUTH EASTERN PENNSYLVANIA RUBY EOC - Coming Soon

2024 RUBY D-SNP EOC

2024 SOUTH EASTERN PENNSYLVANIA RUBY EOC

Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.

Medicare Ombudsman Website
Best Available Evidence
Y0037_1359_M_2025

Last Updated: Oct 1, 2024