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You can redeem your benefit at any register. To check out, inform the cashier you have an OTC benefit. Present your member ID insurance card or a valid ID to the cashier before the cashier begins to scan products. Your member ID card is used to verify eligibility, not as a payment.
OTC Food Benefit Card It can be used to purchase eligible food items such as fresh fruits and vegetables, milk, bread, eggs.
The Aetna Healthy Foods benefit card has a monthly allowance that can be used to buy approved food items at select stores. The card will arrive in the mail shortly after your plan starts. It will include instructions on how to activate the card and how to use it to purchase the healthy foods you need.
Over-the-counter health items Many Aetna Medicare Advantage plans feature an over-the-counter (OTC) benefit. It allows you to get select items like cold medicine and more at no extra cost.
PayFlex provides Aetna clients and members with more flexibility, as well as customized, easy-to-use tools and solutions to help manage health care expenses. PayFlex offers an integrated platform, multi-purse debit card, real-time authorization of expenses and online claim and provider payment services.
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On the first day of each new quarter, the credits will arrive in your UHC OTC account. The amount of credits each member receives depends on the plan you are on. The plan summary of benefits will specify the plan benefit amount. After that, your credits will expire at the end of each quarter and do not rollover.
OTC items are not eligible for reimbursement if they are normally used for general health, are not used to treat a medical condition (e.g. toothpaste, mouthwash, lotion, shampoo) or are cosmetic in nature (e.g. teeth whitening products, wrinkle reducers). See additional examples in the OTC Chart.
You can use your card or download the free Healthy Benefits Plus app to buy approved foods like fruits, veggies, dairy products, meats and seafood, and pantry staples. As an Aetna D-SNP member, you also have a personal care team. They are there to make getting the care you need easier.
At the beginning of each calendar quarter, your OTC card is loaded with the quarterly OTC amount for your plan. Your balance does not carry overtry to spend the full amount before the end of each quarter.
OTC items are not eligible for reimbursement if they are normally used for general health, are not used to treat a medical condition (e.g. toothpaste, mouthwash, lotion, shampoo) or are cosmetic in nature (e.g. teeth whitening products, wrinkle reducers). See additional examples in the OTC Chart.

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