Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (2024)

Healthfirst Medicare Advantage Plans with an OTC Plus Card

If you’re a Healthfirst Medicare Advantage plan member with an OTC Plus card, you have the flexibility to spend your benefit in more ways and at more places.

Use your OTC Plus card to pay for non-prescription drugs, health-related items, fitness equipment and activity trackers, healthy foods, and home utilities such as gas, oil, electric, water, and internet service.

Save at your neighborhood pharmacy, farmers’ markets, online, and other participating retailers.

Remember to activate your OTC Plus card and bring it with you to participating pharmacies and other retailers, as you cannot use your Healthfirst Member ID, Medicaid ID or Medicare card to purchase OTC items.

Healthfirst plans with an OTC Plus card:

  1. Life Improvement Plan (HMO D-SNP) $525/quarter allowance
  2. CompleteCare Plan (HMO D-SNP) $250/month allowance
  3. Connection Plan (HMO D-SNP) $285/quarter allowance
  4. Increased Benefits Plan (HMO) $100/quarter allowance

Any unused balance will automatically expire at the end of each month/quarter, or upon disenrollment from the plan.

Find the right Medicare plan for you

Category Life Improvement Plan (HMO D-SNP) CompleteCare (HMO D-SNP)** Connection Plan (HMO D-SNP) Increased Benefits Plan (HMO)*

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (1)

OTC and Health-Related Items

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (2) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (3) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (4) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (5)

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (6)

Healthy Foods

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (7) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (8) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (9) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (10)

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (11)

Home Utilities

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (12) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (13) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (14) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (15)

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (16)

Fitness Equipment/Activity Trackers

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (17) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (18) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (19) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (20)

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (21)

Personal Emergency Response Systems

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (22) Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (23)

* While all Increased Benefit Plan members will have $100/quarter OTC Plus card to spend, only low-income subsidy eligible members with Extra Help will be able to spend their card on healthy foods and home utilities.

** The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify.

Last update June 13, 2024 @ 3:50 pm

Click on each category to learn more

OTC and Health-Related Items

Purchase non-prescription drugs and health-related items such as aspirin, vitamins, eye drops, laxatives, and more at participating pharmacies and other retailers. Log into your Healthfirst account at MyHFNY.org for a list of approved items and participating retailers.

Buy OTC and health-related items online with no-cost delivery at ConveyHFOTC.com.

Visit ConveyHFOTC.com or log into MyHFNY.org to automatically access your Convey account.

Update your account profile with shipping address details.

To place an order online, select products and complete the checkout process.

Healthy Foods

Purchase healthy foods from participating retailers and farmers’ markets. Examples of approved food items are fruits, vegetables, meats, poultry, seafood, eggs, dairy, rice, pasta, beans, and much more. Visit MyHFNY.org for a list of approved items and participating retailers.

  • Save on fresh fruits, vegetables, and more at GrowNYC locations.
    • Use the OTC Plus card at Greenmarkets, Farmstands, or Fresh Food Box locations in GrowNYC’s network.
    • Visit grownyc.org/greenmarket/ourmarkets to locate a GrowNYC food retail site near you.
    • Go to the administrative tent at these locations and the GrowNYC attendant will show you how to use your OTC Plus card.
    • Depending on the GrowNYC location, you will either be able to:
      • swipe your card to purchase your food, or
      • receive “Healthfirst-GrowNYC Greenmarket Bucks”, which can then be exchanged for healthy food at these locations
  • Buy healthy foods online, with no-cost delivery, at Convey
    • Visit ConveyHFOTC.com or log into MyHFNY.org to automatically access your Convey account. You can also call 1-855-816-0988 (TTY 711), Monday to Friday, 8am–11pm, Saturday and Sunday, 8am—8pm.
    • Order non-perishable foods and stock up on approved items such as canned vegetables, dried pasta and more.
  • Have freshly prepared meals delivered to your home with Mom’s Meals
    • Life Improvement Plan, Connection Plan, and Increased Benefits Plan members can use the OTC Plus card to have freshly prepared meals from Mom’s Meals delivered to their home.**
    • Visit momsmeals.com/healthfirst. Use the discount code Healthfirst to receive free shipping.
    • Call 1-877-347-3438, Monday to Friday, 8am–7pm. Please identify yourself as a Healthfirst member to receive free shipping. You will not need to provide your Member ID number.

Exercise Equipment/Activity Trackers

Purchase exercise equipment and activity trackers (such as Apple® Watches, pedometers, and other fitness watches) through Convey. Visit ConveyHFOTC.com or log into MyHFNY.org to automatically access your Convey account.

Home Utilities

Use your OTC Plus card to pay for your home utilities (gas, oil, electric, water, and internet service)
if your utility service provider is on our approved list (e.g., NYC Water Board, Consolidated Edison, National Grid, Spectrum, and others).

You can make your payment directly to your utility company or internet service provider by calling them directly or using their payment website.

Personal Emergency Response Systems (PERS)

Life Improvement Plan and Increased Benefit Plan members only: Use your OTC Plus card towards your purchase of a PERS. Personal emergency response systems provide peace of mind when you know that help is available with the push of a button. Each emergency response system is powered by ADT. Order your PERS device and monthly service through Convey. Visit ConveyHFOTC.com or log into MyHFNY.org to automatically access your Convey account.

CompleteCare members may qualify for PERS. Contact Member Services to see if you’re eligible.

The OTC Plus card cannot be converted to cash, nor can it be used to purchase Part B or Part D prescription drugs. Certain brands may not be eligible at all locations. The list of eligible items may vary from month to month. Items may change, depending on availability. Limitations and restrictions may apply.

**Only Increased Benefit Plan and Connection members with Extra Help (Low Income Subsidy) can use their OTC Plus card for Mom’s Meals. Some CompleteCare members may qualify for home-delivered meals without having to use their OTC allowance. Contact Member Services to see if you’re eligible.

Log into MyHFNY.org or call 1-833-684-8472 (24 hours a day, 7 days a week) to activate your OTC Plus card and for a list of approved items and participating pharmacies and retailers. Please have your OTC Plus card with your 16-digit member benefit card number ready. To purchase OTC items online, click on ConveyHFOTC.com from MyHFNY.org.

Last update June 13, 2024 @ 3:50 pm

Resources

Pharmacies and Retailers

For a complete list of participating pharmacies and retailers, you can use the Healthfirst NY Mobile App, or visit MyHFNY.org.

Reimbursem*nt

The fastest and easiest way to submit a reimbursem*nt claim is through the Healthfirst NY Mobile App, or by logging into MyHFNY.org.

Or call Member Services at 1-888-260-1010 (TTY English: 1-888-542-3821, TTY Español: 1-888-867-4132), 7 days a week, 8am–8pm (October through March) and Monday to Friday, 8am–8pm (April through September)

Eligible Items and Services

Learn more about the items and services you can purchase with your OTC Plus card.

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (24)Life Improvement Plan (HMO D-SNP)

English Español 中文

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (25)CompleteCare (HMO D-SNP)

English Español 中文

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (26)Connection Plan (HMO D-SNP)

English Español 中文

Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (27)Increased Benefits Plan (HMO)

English Español 中文

OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers.

Coverage is provided by Healthfirst Health Plan, Inc. Plans contain exclusions and limitations.

Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-866-305-0408  (TTY 1-888-542-3821).

Last update June 13, 2024 @ 3:50 pm

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Over-The-Counter (OTC) and OTC Plus Benefits | Healthfirst (2024)
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