How to Use Your Over-the-Counter (OTC) Benefit
Tufts Medicare Preferred Saver Rx (HMO), Smart Saver Rx (HMO), and Access PPO plan members have access to savings on eligible over-the-counter (OTC) medicines and health-related items by using your OTC benefit.
How Your OTC Benefit Works
At the beginning of each of the four calendar quarters, your card is loaded with $60. That’s $240 per calendar year!
| $60 | January | February | March |
|---|---|---|---|
| $60 | April | May | June |
| $60 | July | August | September |
| $60 | October | November | December |
Your balance does not carry over—Try to spend the full $60 before the end of each quarter.
Don’t throw out your card—It will be reloaded at the start of the next calendar quarter.
Use the Medline catalog—Your over-the-counter benefit can be used to purchase items from the catalog supplied by Medline.
4 Easy Ways to Enjoy Your Benefits
- Online through Medline—Go to thpmp.org/order-OTC, log in with your OTC card number and your Tufts Health Plan member ID number, and select the items you want to purchase.
- NEW online through Walmart.com—You can also shop for eligible items at Walmart.com. At checkout, select “pay with card” and enter your OTC card number. Note: Shipping fees will apply and will not be covered by your OTC card. To avoid fees, you can choose in-store pick-up. There are 3 easy ways to shop on Walmart.com:
| Method | Description | Fee* | Notes |
|---|---|---|---|
| Pickup | Reserve a time, and the order is brought to you curbside at your selected store. | Free | Pickup is free, no order minimums.** |
| Shipping | Orders are shipped to your mailing address. | $6.99 | No fee for orders over $35. No fee for Walmart+ members. |
| Delivery | You reserve a time, and the order is delivered to your home. | $7.95 to $9.95 | No fee for Walmart+ members with orders over $35. |
| *You will see any fees from your cart at check-out. Fees cannot be paid with an OTC Network card. Restrictions apply. **$6.99 fee for pickup orders under $35 which included perishable items. No fee for Walmart+ members. Items sold and shipped by Walmart.com can be returned or replaced, when available, by mail within 90 days of receipt. Exceptions are noted on the Walmart corporate Return Policy page. Returns are refunded to your OTC Network card within 3-5 business days of receipt of the return. | |||
- By phone through Medline—Call 1-833-569-2168 Mon–Fri, 8 a.m.–7 p.m. ET, and a Medline representative will take your order.
- By mail through Medline—Fill out and return the mail-order form included in the catalog. If you need a printed copy of the catalog mailed to you, call Member Services at HMO: 1-800-701-9000, PPO: 1-866-623-0172 (TTY: 711).
OTC items ordered online, by phone, or by mail will be delivered approximately 2-5 business days after the order is received by Medline.
For More Information
If you have any technical difficulty using your card, call Medline at 1-833-569-2168.
If you have any questions about using your OTC benefit, call Tufts Health Plan Member Services at HMO: 1-800-701-9000, PPO: 1-866-623-0172 (TTY: 711), 8 a.m.–8 p.m., 7 days a week (Mon.–Fri. from Apr. 1–Sept. 30).
Quarterly allowance is for the purchase of Medicare-approved OTC items from the Medline catalog. Your OTC benefit cannot be used to purchase Part B or Part D covered prescription drugs. OTC items may only be purchased for the enrollee, not for family members or friends. Some items may be covered through your Medicare Part B medical or Part D prescription drug coverage. Other items may be used for either a medical condition or for general health and well-being. These are called dual-purpose items. You should only buy these items after discussing them with your health care provider to see if they recommend the item for a specific diagnosed condition. Please speak with your physician before buying dual-purpose items.