2013 Medicare Over-the-Counter (OTC) Benefits

• You will receive an OTC card with a maximum limit up to the plan’s maximum  for purchasing Healthfirst approved non-prescription, over-the-counter drugs and health-related items at participating pharmacy locations. See your Evidence of Coverage for more information or call plan for details.
   
• While no prescription is needed prior to purchasing Healthfirst approved over-the-counter drugs and health-related items, some “dual purpose” items such as vitamins, minerals, supplements, hormone replacements, weight loss items, and diagnostic tools (i.e. blood pressure monitors) can only be purchased after a discussion with your provider who orally recommends the OTC item for a specific diagnosable condition.
   
• OTC items may only be purchased for the enrollee, not for family members or friends.
   
• The OTC card is not a debit or credit card and cannot be converted to cash, nor can it be used to purchase Part B or Part D covered prescription drugs.
   
• Unused balances automatically roll over each month.  However, any unused balances automatically expire at the end of the calendar year (December 31st), or upon disenrollment.

You must activate your Healthfirst OTC card before your first use. To activate your OTC card, please call Card Services at 1-888-682-2400 (24 hours, 7 days a week) or go online to: https://www.otcnetwork.com/member (* Please note that clicking on these links will take you away from the Healthfirst website.).

You will need to provide:

• The OTC card number printed on the front of the card,
• Your Healthfirst Medicare Plan member ID card number, and
• Your birthdate (two digit month, two digit day, and four digit year; for example, 05/20/1930).

Simply take your activated Healthfirst OTC card with you to a participating pharmacy or retailer and select the eligible items you want to purchase. You do not need a prescription and do not need to go to the pharmacy window.

You can use your Healthfirst OTC card at any Rite Aid, Duane Reade, Walgreens, CVS, or Family Dollarlocation.  In addition, you may continue to use Healthfirst OTC card at many neighborhood pharmacies.

For a complete list of participating pharmacies and retailers go to www.otcnetwork.com/member (* Please note that clicking on these links will take you away from the Healthfirst website.) or call our Member Services Representatives at 1-888-260-1010 (TTY/TDD 1-888-542-3821) 8 am to 8 pm, 7 days a week.

Take your eligible items to the front checkout lanes. Swipe your card at any register when you check out. Purchases for eligible items are automatically deducted from your card balance. Any remaining balance will carry over until your next purchase. Unused balances automatically roll over each month. However, any unused balances automatically expire at the end of the calendar year on December 31st, or upon disenrollment from the plan.

• That OTC purchase(s) must be for your use only and cannot be used for family members or friends. Only you can use your Healthfirst OTC card to buy items that are on the approved OTC listings.
   
• The Healthfirst OTC card is not a debit or credit card and cannot be converted to cash.
   
• Unused balances automatically roll over each month. However, any unused balances expire on December 31 of each year or if you leave the Life Improvement Plan (HMO SNP), Maximum Plan (HMO SNP) or CompleteCare (HMO SNP) - even if you enroll into another Healthfirst Medicare Plan.
   
• The Healthfirst OTC Card cannot be used to purchase Part B or Part D covered items.
   
• Dual purpose items require a discussion with your provider prior to purchase.