When your Medicare Advantage plan includes an over-the-counter (OTC) benefit, you can get an OTC card that can be used to shop for a wide range of health-related items.
Please note, the product list is subject to change. Items, quantities, sizes, and brands may change depending on availability. Only certain brands are included. Learn more about noncovered items.
Members enrolled in the EmblemHealth plans below receive an OTC card and benefit allowance.
| Plan Name | Benefit Frequency |
|---|---|
| EmblemHealth VIP Dual (HMO D-SNP) | Monthly |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) | Monthly |
| EmblemHealth VIP Dual Reserve (HMO D-SNP) | Monthly |
| EmblemHealth VIP Rx Saver (HMO) | Monthly |
OTC items may be purchased only for the enrollee. See your Evidence of Coverage or Cost-Sharing Guide for the OTC amount you get with your plan or call EmblemHealth Medicare Connect Concierge for help at 877-344-7364 (TTY: 711). From Oct. 1 through March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 through Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday.
Get the information you need to make the most of your EmblemHealth OTC benefit.
Your monthly benefit allowance and how you get your OTC items depends on the plan you join. Please see your Evidence of Coverage or Cost-Sharing Guide for more information. You can also call EmblemHealth Medicare Connect Concierge for help.
Please note, your OTC benefit amount may only be used within the benefit month and will not roll over.
You should receive mail-order items within seven business days from the time of receipt of your order.
Items, quantities, sizes, and values may change depending on availability. Items may also vary based on the manufacturer and availability. If an item is out of stock, a similar product of equal or higher value will be shipped.
Last Updated 08/07/2025
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