Take a look at the chart below to find your plan and information on how to use your OTC benefit:

Plan Name

Frequency

OTC items by mail order

OTC items in retail stores

OTC items and healthy foods

OTC card

EmblemHealth VIP Dual (HMO D-SNP)

Monthly

EmblemHealth VIP Dual Reserve (HMO D-SNP)

Monthly

EmblemHealth VIP Reserve Classic (HMO)

Monthly

 

 

 

EmblemHealth VIP Rx Saver (HMO) 

Monthly

 

 

 

 

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. OTC benefit amount must be used within the benefit month and will not roll over.

EmblemHealth VIP Dual and EmblemHealth VIP Dual Reserve Members

You can use your OTC benefit to buy both covered health items and healthy foods* from any participating OTC store or pharmacy we contract with, online, by phone, or through mail- order. The combined over-the-counter (OTC) health and food benefit allows you to also purchase fresh, nutritious, and healthy grocery items.

Eligible food categories include:

  • Cereal (hot and cold).
  • Dairy products (milk, cheese, butter).
  • Dry foods (beans, fruit, pasta).
  • Eggs and egg substitutes.
  • Fresh food boxes (mixed produce, all vegetable, diabetic and other choices).
  • Frozen food.
  • Fruits & vegetables.
  • Juice.
  • Meat (poultry, beef, sausage, lunch meat).
  • Rice and whole grains.
  • Soup.
  • And more!

 

Ways to get healthy food eligible items:

  1. GA Foods, online at gafoods.com/emblemhealth or call 888-446-2836 (TTY: 711) for healthy food and produce; or
  2. FarmBoxRx, online at farmboxrx.com/emblemhealth or call 888-416-3589 (TTY: 711) for fresh food box choices include mixed produce, all vegetable, and diabetic choices.

*EmblemHealth VIP Reserve Classic and EmblemHealth VIP Rx Saver members do not have an OTC food option.

How to Get Your Eligible Items Once You Activate Your OTC Card:


At participating retail locations, including CVS, Rite Aid, Walgreens, Walmart, and many others. Check participating locations at myBenefitsCenter.com or call Connect Concierge and we will find a location near you.


Retail list of covered OTC items 

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By mail – just fill out and send the mail-order form below to ConveyBenefits.

 

List of covered OTC items by mail, phone and online and mail order form

English

 

Visit ConveyBenefits.com/emblemhealth to select your covered items and complete the checkout process.

 

Call ConveyBenefits at
855-858-5940 (TTY: 711),
Monday to Friday, 8 am to 8 pm

EmblemHealth VIP Reserve Classic (HMO) and EmblemHealth VIP Rx Saver (HMO) plan members receive $25 per month and can get covered OTC items by mail order only. 

 

Here are ways to order your OTC items for your mail order-only OTC benefit: