Home
Forms Library
Keystone first vip choice

2023 Over-the-Counter (OTC) Benefit Catalog - Keystone First VIP-2026

keystone first vip choice Preview on Page 1

See details

4.5 out of 5

49 votes

The 2023 Over-the-Counter (OTC) Benefit Catalog for Keystone First VIP Choice (HMO-SNP) members outlines the quarterly OTC benefit of $315, allowing members to order eligible health-related products online, by mail, or by phone. The catalog includes ordering guidelines, product categories, and specific items available for purchase. Members are encouraged to utilize their benefits before the end of each quarter, with restrictions on payment methods and item returns. The document also provides information on how to access and manage orders through the KeystoneFlexCard website.

Here's how it works

01. Edit your keystone first vip choice online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send keystone first vip choice flex card via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 2023 Over-the-Counter (OTC) Benefit Catalog - Keystone First VIP with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 2023 Over-the-Counter (OTC) Benefit Catalog in our editor.
Begin by entering your personal information at the top of the form, including your name, address, and member ID number.
Next, navigate to the product selection section. Here, you can browse through the available OTC items listed in the catalog.
For each item you wish to order, enter the item number, quantity desired, and unit price in the designated fields.
Once you have completed your selections, calculate the total order amount and ensure it does not exceed your benefit limit.
Finally, save your completed form and either print it for mailing or submit it directly online if using our platform's features.

Start utilizing your OTC benefits today by accessing our platform for free!

See more 2023 Over-the-Counter (OTC) Benefit Catalog - Keystone First VIP versions

We've got more versions of the 2023 Over-the-Counter (OTC) Benefit Catalog - Keystone First VIP form. Select the right 2023 Over-the-Counter (OTC) Benefit Catalog - Keystone First VIP version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2023	4.5 Satisfied (49 Votes)
2017	4.1 Satisfied (22 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What products can I buy with my OTC card?

What products can I buy with my OTC card? Allergy relief support. Cough and cold relief support. Dental care. Digestive care, including antacids and laxatives. Ear care. Eye care. First aid and medical supplies. Pain relief support.

What can I buy with an OTC benefit card?

You can use your Healthfirst OTC Plus card at locations such as: Retailers like Duane Reade, Walgreens, CVS, Rite Aid, and Family Dollar. Many local independent pharmacies. GrowNYC locations. For guidance on how to use your OTC Plus card at farmers markets, visit the information stand on site.

keystone flexcard

2023 over the counter otc benefit catalog keystone first vip order 2023 over the counter otc benefit catalog keystone first vip online

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more