Your OTC Benefits

Eligible members may have access to more. If you have a qualifying chronic condition, your OTC benefit may expand to cover additional items and expenses — including healthy foods, home-delivered meals, and more. 

When shopping in-store, select eligible items and choose the OTC card option at checkout.  The purchase amount will be deducted automatically from your balance. Any remaining balance must be paid by an alternative payment method.

If Shopping Online, visit a participating retailer’s website. Choose eligible items at checkout, and your OTC Card will cover purchases up to your approved balance. Any remaining balance needs an additional form of payment.

2027 OTC Benefit

FeatureBenefit Details
Allowance Amount[$200] per month.
FrequencyMonthly
Roll-over RulesNo roll-over. Any remaining balance at the end of the month expires and does not carry over.
Standard Covered Items
Eligible OTC non-prescription drugs, health-related items, COVID-19 tests, Nicotine Replacement Therapy (NRT), OTC hearing aides and Naloxone nasal spray.
SSBCI AdditionsFor members with specific chronic conditions, the OTC allowance is expanded to include:
utilities & rent/mortgage (i)
food & produce (i), 
personal hygiene items (i)
pest control (i)
indoor air quality equipment and services (i)
Payment MethodMembers receive a dedicated OTC card to purchase items at select pharmacies and retailers.
Key RestrictionsThe card cannot be converted to cash or used to purchase Medicare Part B or Part D prescription drugs.

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