OTC Benefit Program Setup

We have been administering OTC Benefit Catalog Programs for Medicare Advantage Health Plans since 2008. Year after year, our dedicated OTC Benefit team evaluates each program’s performance to ensure continued success. As a result, we’ve seen considerable growth over the last few years and we currently serve over 100,000 members across the United States. 

We make designing and implementing OTC Supplemental Benefit Programs simple, and there are no setup or administration fees. We only bill Health Plans for items that members purchase along with a flat rate shipping fee.

To get started, the Health Plan provides us with:

Benefit Plan Information

   Member population size and geographic location(s)
   Benefit frequency and amount

Branding guidelines

   Logos and additional branding materials
   Color schemes
   Stock images

Member eligibility data files

That’s it! We take care of the rest. First, we provide a  product list of over 600 brand name and generic CMS approved OTC items. Once the Health Plan approves the product list, we then design a print product ready catalog along with mail-in order forms. It is then the responsibility of the Health Plan to print and distribute product catalogs. From there, we will work to develop call scripting for our experienced call center representatives. At program launch, members will have a dedicated 1-800 customer service phone line in addition to a customizable store for ordering. Lastly, we handle order fulfillment, data interoperability, reporting, tracking and shipping.

Example of our OTC Benefit custom webstore
Contact Us today and our program managers can setup a consultation with you to help create a custom OTC Plan that your members will love.

Setup Timeline

We generally request a minimum of 2-3 months so that we have adequate time to build your custom OTC Benefit Program.

Click on the image above to visit our demo store