2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form-2026

Get Form
careplus otc Preview on Page 1

Here's how it works

01. Edit your careplus otc 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 2023 careplus otc via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form in our editor.
  2. Begin by completing your personal information in Step 1. Fill in your Member ID, name, date of birth, gender, address, and phone number. If you have a new address, check the corresponding box.
  3. In Step 2, select the month for which you want to receive your order. Enter the quantity and product code for each item you wish to order from the catalog provided.
  4. Proceed to calculate your total order amount. If it exceeds your allowance, include payment details in Step 3. You can pay via check or credit card.
  5. Finally, send the completed form along with any payment to CenterWell Pharmacy using the provided mailing address. Ensure all sections are filled accurately before submission.

Start using our platform today for free and streamline your OTC ordering process!

See more 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form versions

We've got more versions of the 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form form. Select the right 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2023 4.3 Satisfied (41 Votes)
2018 4.8 Satisfied (203 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.
Contact us
Do all Medicare recipients get OTC benefits? Not all Medicare recipients have coverage for OTC products. People enrolled in Original Medicare (parts A and B) and Part D prescription drug plans do not have coverage for OTC items. But most people enrolled in Medicare Advantage plans do.
OTC benefits are typically structured on an allowance basis where an enrollee is provided an allotted annual, quarterly, or monthly allowance with quarterly allowances being the most common. On an annualized basis, the average allowance per enrollee in 2021 was $400.
To request an order form, please contact Member Services at 1-800-794-5907 (TTY: 711). From October 1 - March 31, we are open 7 days a week; 8 a.m. to 8 p.m. Eastern time.
Use this allowance at participating retailers to buy eligible products like groceries, personal care items, over-the-counter (OTC) items, and supplies for your home, or to pay for monthly expenses like utilities or rent.
For a person to qualify for a Medicare over-the-counter (OTC) card, they need to be enrolled in a Medicare Advantage (Part C) plan that includes this as a benefit. Most Medicare Advantage plans offer some level of coverage for OTC medications. However, plan details vary.

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
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance

People also ask

If your CarePlus plan includes an OTC (over-the-counter) allowance, you have access to a variety of everyday health items, such as vitamins, pain relievers, first aid supplies, dental care products, and more.
If you want your order applied to the current benefit period, we recommend placing your order online or by phone. Choose the best ordering option for you. To place an order by phone, please call 877-200-4189 (TTY: 711). Member Experience Advisors are available 8 a.m. - 8 p.m. local time.

careplus otc order