This benefit provides members with a quarterly allowance administered by Capital Blue Cross to purchase OTC health and wellness products.
Your My Flex Benefit Card will arrive activated. No additional action is required. Members can use it to purchase eligible healthcare items at participating retail stores or over the phone or online through MyFlexBenefitCard.com or the OTC-Anywhere app.
Purchase a variety of OTC medications and health and wellness products with the OTC benefit.
Examples of eligible care items:
OTC items are not eligible if they are normally used for general health, are not used to treat a medical condition (e.g. lotion, shampoo (except for products used to treat dandruff), toilet paper, lip balm) or are cosmetic in nature (e.g. teeth whitening products, wrinkle reducers).
Click here to access the OTC catalog. For a full list of covered products, please contact Capital Blue Cross at 855.643.8330 (TTY: 711).
Check eligible items by name under the OTC benefit on the OTC-Anywhere app or MyFlexBenefitCard.com.
Use OTC-Anywhere app on a mobile device. Download the OTC-Anywhere app on your mobile device through the App store or Google Play to access your account and find participating retailers. The app allows members to scan items in-store to identify whether an item is eligible for this program.
Members will receive a 2024 OTC product catalog in the mail by mid-December. New members who join after January 1, 2024 will receive a catalog after their effective date with Capital Blue Cross.
For more information about using your OTC benefits or to make a purchase, please contact Capital Blue Cross directly.
1 Some local participating retailers include Walmart, Rite Aid, CVS, and Walgreens.
OTC items may only be purchased for the enrollee; it is prohibited to purchase supplies for family members, and friends. The following supplies are not covered as they are non-eligible supplies: alternative medicines (includes botanicals, herbals, probiotics homeopathic, and neutraceuticals), baby supplies, contraceptives, convenience and comfort supplies (insoles, gloves, etc.), cosmetics, food products or supplements, replacement and attachments such as contact lens containers or batteries. To minimize mailing costs the plan may impose a limited ordering quantity per purchase. This list is subject to change. This benefit is only available if your plan offers the OTC service as a benefit. Please consult with your doctor before using any OTC products. All OTC supplies are generic comparable of brand item. Any branded item may be substituted for its generic comparable based on availability. All items are shipped based on manufacturer availability. All items may not be available all the time. If generic item is not acceptable, plan will not ship brand name item. For all people who have diabetes (insulin and non-insulin users) supplies to monitor your blood glucose: blood glucose monitor, blood glucose test strips, lancet devices and lancets, and glucose-control solutions for checking the accuracy of test strips and monitors are available through the Plan Prescription Mail-Order Service by calling Capital Blue Cross Member Services. Authorization and/or a prescription may be required from a physician.
Please allow seven to ten business days to receive your order from the time the order is placed.
Limitations and restrictions may apply. Benefits may change on January 1 of each year.
Updated 9 января 2024 г.
Capital Blue Cross is a HMO, PPO Plan with a Medicare Contract. Enrollment in Capital Blue Cross depends on contract renewal. Care management services for certain products are provided by WellSpan Health.
® Central, a Medicare Advantage organization with a Medicare contract. Enrollment in BlueJourney Alliance (HMO SNP) depends on contract renewal. These plans are available to people meeting certain eligibility requirements, including verification that you have a qualifying specific severe or disabling chronic condition, or for 90 days or longer, have had or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF), a LTC nursing facility (NF), a SNF/NF, an intermediate care facility for individuals with intellectual disabilities (ICF/IDD), or an inpatient psychiatric facility, or that that your condition makes it likely that either the length of stay or the need for an institutional level of care would be at least 90 days.
You must be enrolled in Medicare Part B (Medical Insurance) and be entitled to Medicare Part A (Hospital Insurance) to enroll in this plan.
Members may enroll in the plan only during specific times of the year. Contact the plan for more information. The benefit information provided is a brief summary, not a complete description of benefits. Call member services for more information. You must continue to pay your Medicare Part B premium. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium, and/or copayments/coinsurance may change on January 1 of each year.
Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company ® , Capital Advantage Assurance Company ® , and Keystone Health Plan ® Central. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies.
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