Over-the-Counter (OTC) Benefit

Through Your Benefits Pro App

Over-the-Counter (OTC) Benefit

Over-the-Counter (OTC) Benefit

As a ElderServe Star or ElderServe MAP plan member, you receive an over-the-counter (OTC) benefit that allows you to purchase your needed health-related items that do not require a prescription, such as first aid products, ointments, cold/flu medicine, pain relievers, at no cost to you, up to the maximum plan benefit amount. In addition, members eligible for Special Supplemental Benefits for the Chronically Ill (SSBCI) can use their OTC allowance to purchase plan-approved food and grocery items.  You will receive a ElderServe OTC card for purchasing eligible, non-prescription, over-the-counter drugs, health-related items and grocery items from an approved list of participating locations.

The Monthly Benefit for CY2026:

The OTC Benefit for ElderServe Star (HMO I-SNP) members will be $185.00 per month.

The OTC Benefit for ElderServe MAP (HMO D-SNP) members will be $302.00 per month. In addition, this benefit can be applied towards payment for utilities, food and produce.

*The benefits mentioned are a part of special supplemental program for the chronically ill. Some examples of conditions include Cardiovascular Disorder, Hypertension, Osteoarthritis, Endocrine Disorder and Gastrointestinal Disorder. Eligibility for this benefit cannot be guaranteed based solely on your condition. Eligible members will be notified and provided instructions on how to access this benefit.

There are two ways to get your OTC items:

As a valued ElderServe Health member, you have access to variety of benefits through Nations Benefits. You can use your OTC card to purchase eligible OTC items, Groceries and Utility needs.

You can visit the Benefits portal at www.ElderServeHealth.NationsBenefits.com or download the Benefits Pro App. If you have questions, call our Member Services at 1-800-362-2266 (TTY/TDD: 711)  for assistance.

Last updated on December 30, 2025