How Your Tufts Medicare Preferred Over-the-Counter (OTC) Benefit Works

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For 2026, HMO Smart Saver Rx and PPO RX members have access to savings on eligible over-the-counter (OTC) medicines and health-related items by using your OTC benefit.

Tufts Medicare Preferred HMO OTC Card

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How Your OTC Benefit Works

At the beginning of each calendar quarter, your card is loaded with your OTC benefit amount.

Your balance does not carry over—try to spend the full quarterly amount before the end of each quarter.

Don’t throw out your card—it will be reloaded at the start of the next calendar quarter. (Note: If you were an Access PPO member in 2025 and will be a PPO RX member in 2026, you will receive a new OTC card to use in 2026. If you were an HMO Saver Rx member in 2025, you will receive a new OTC card to use in 2026 as a member of the HMO Smart Saver Rx plan. Please refer to your 2026 Annual Notice of Change, available at thpmp.org/documents, for more details.) 

Your quarterly amount depends on the year and the plan you are enrolled in

Plan2025 Amount2026 AmountQuarter
Saver Rx

$160

$160

$160

$160

Plan no longer offered

January - March

April - June

July - September

October - December

Smart Saver Rx

$140

$140

$140

$140

$75

$75

$75

$75

January - March

April - June

July - September

October - December

PPO RXPlan not offered in 2025

$20

$20

$20

$20

January - March

April - June

July - September

October - December

 

Click Here to view the 2026 OTC Benefits Medline Catalog

Click Here to view the 2026 OTC Item Catalog

 

For More Information

If you have any questions about using your OTC benefit, call Tufts Health Plan Member Services at 1-800-701-9000 (HMO/1-866-623-0172 (PPO) (TTY: 711), 8 a.m.–8 p.m., 7 days a week (Mon.–Fri. from Apr. 1–Sept. 30).

Quarterly OTC credit is for the purchase of Medicare-approved OTC items from participating retailers and plan-approved online stores. Unused balance at the end of a calendar quarter does not roll over. Under certain circumstances, items may be covered under your Medicare Part B or Part D benefit.