Confirm Expanded OTC Eligibility

As an Elderplan member, you may be eligible 1 to use your Over-the-Counter (OTC) allowance toward additional items such as groceries, home-delivered meals, rent/mortgage assistance, internet, wireless, utility bill payments or community rides. To see if you qualify for these Expanded OTC benefits, you must first confirm you meet the program requirements. This involves answering a few health-related questions.

Enter the information below to start the confirmation process and determine your eligibility for this expanded benefit.

    OTC+ Grocery+ Home Delivered Meals Eligibility Form


    Please confirm any medical conditions that apply. Select all that apply.

    Chronic alcohol and other substance use disorders (SUDs), including but not limited to:


    Autoimmune disorders, including but not limited to:




    Cancer, including but not limited to:



    Cardiovascular disorders, including but not limited to:











    Chronic gastrointestinal disease, including but not limited to:









    Severe hematologic disorders, including but not limited to:














    Chronic lung disorders, including but not limited to:







    Chronic mental health conditions, including but not limited to:






    Neurologic disorders, including but not limited to:








    Immunodeficiency and immunosuppressive disorders, including but not limited to:







    Conditions associated with cognitive impairment, including but not limited to:













    Conditions with functional challenges, including but not limited to:






    Chronic conditions that impair vision, hearing (deafness), taste, touch, and smell, including but not limited to:












    Conditions that require continued therapy services to maintain or regain functioning, including but not limited to:










    Who is filling this out?

    1. Eligibility is determined by whether you have a chronic condition associated with SSBCI benefit (expanded OTC). Examples of SSBCI conditions include but are not limited to, Cardiovascular Disorders, Diabetes, Arthritis, Chronic Lung Disorders and Chronic Kidney Disease. There are other eligible conditions not listed. Standards may vary for this benefit.[]