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2023 OTC & Flex Allowance

Exciting news! Starting January 1, 2023, your over-the-counter (OTC) benefit allowances for KelseyCare Advantage will be allotted quarterly. This means that you have more dollars up front to spend on qualifying over-the-counter products.

Gold, Silver, Silver Freedom, Silver Community, & Gold Community Plans

Members of these plans will receive a white Visa debit card like the one shown here, that can be used towards approved OTC purchases. Any unused balances do not roll over. Check your 2023 Evidence of Coverage for details about your OTC benefit allowance.

Platinum & Gold Freedom Plans

Platinum and Gold Freedom plan members can expect to receive a blue Visa debit card, like the one shown here. With this card you will have a quarterly allowance loaded to purchase approved OTC products through mail order, the call center, online, or retail.

Plus, your card will include a $500 annual Flex allowance to use toward any service or product costs that you might have for dental, vision, or hearing provider visits. For example, you can use your Flex allowance to help pay for things such as hearing aids, prescription sunglasses, contact lenses, or for provider copays.

Any unused balances do not roll over and the flex allowance and the OTC allowance cannot be combined. Check your 2023 Evidence of Coverage for details about your quarterly OTC allowance and your annual Flex allowance.

Your OTC and/or Flex Card balances are available to view beginning the first week of January on kcaotc.com. You may also:

  • Activate your card
  • View eligible OTC products
  • Order products
  • Review previous transactions
  • Search for retail locations

Over-the-Counter Medication Benefit

KelseyCare Advantage provides members access to hundreds of approved over-the-counter (OTC) products through your OTC benefit. Approved KelseyCare Advantage OTC products cover a wide range of needs, such as allergy relief products, cough and cold medicine, antacids, pain relievers, vitamins and minerals, first aid products, and more.

Your OTC benefit offers you an easy way to get generic over-the-counter health and wellness products by:

  • Shopping at retail stores including Kelsey Pharmacies!
  • Ordering products online or using the mobile app “OTC-Anywhere”
  • Ordering products on the phone by calling 1-800-688-2719 (TTY: 711).
  • Or, you can order OTC products using a mail order form

You can even have your OTC items delivered directly to your home when you order online, by phone, or mail order form.

Approved OTC items can be found in the Over-the-Counter Catalog. Please make sure you are using an updated catalog when ordering.

Coming Soon! Download the 2023 Over-the-Counter (OTC) Catalog

For OTC benefit-related or order-related questions, contact: 1-800-688-2719 (TTY: 711).

For additional information about KelseyCare Advantage plans and the OTC benefit, contact us at 713-442-CARE (2273) or Toll-Free at 1-866-535-8343 (TTY:711).

 

Always at Your Service

Please Contact a Health Plan Specialist
at 713-442-5646 (TTY: 711)

8 a.m.– 8 p.m. | 7 days a week | From October 1 to March 31

8 a.m.– 8 p.m. | Monday – Friday | From April 1 to September 30

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