Over-the-counter (OTC) products. Any information we provide is limited to those plans we do offer in your area. Phone Call 1-866-304-2138 to order products over the phone. I consent to the agent using an automated telephone dialing system when calling me back. Use the store locator on your plans web page to nd a full list of stores. This information is not a complete description of benefits. Look for the blue labels identifying. The orders are shipped to their home at no extra charge. The Primary Care Doctor you choose will focus on your needs and coordinate your care with other network providers. Unused benefits do not roll over to the next benefit period. Call (888)902-5707or TTY 800-955-8770, Read more about Need Help? fhcpmedicareotc.com. Florida Blue October 2021 Open Medication Guide 10 Drug Name ier ier 4 Prior Authorization Quantity Limits Responsible Steps Limited Distribution TRIZIVIR abacavir sulfate- lamivudine-zidovudine tab 300-150-300 mg 3 TRUVADA emtricitabine-tenofovir disoproxil fumarate tab 100-150 mg 3. OTC products may not be purchased at a local retail pharmacy or through any source other than the FHCP Medicare OTC benefit channels listed above. oaDaUH~ UO |Eu L' } Identify approved items in the catalog. A representative can help you place the order. 0000032522 00000 n Even paying for necessities like food, over-the-counter (OTC) health care products, heat and electricity can be a challenge. 0000119545 00000 n Select your Security Questions and then provide the answers. Member Login | Florida Blue Skip to Main Content Skip to Navigation Skip to Footer Good Morning! If it does, you must also check the plans specific OTC allowance frequency, as it can be either monthly or quarterly. Log in to MyHealth OnLine or the UPMC Health Plan app to access the UPMC for Life OTC website starting Jan. 1. Not all plans or service areas offer a UPMC for Life Flex Spend Card. 3. FBC HOM 001 F 092021. 2021 Diphenhydramine Antihistamine (Allergy Tablets) 400 ct. 25 mg. $15 2033 Loratadine (Allergy Tablets) 10 ct. 10 mg. $5.50 Login Here. With NationsOTC, you can get brand-name or generic items across a variety of categories. Only the items listed in your catalog are available through your plan. Type in your current Password in the field provided. Dual health plans are for people who are dually eligible for both Medicare and Medicaid. Florida Blue October 2021 Open Medication Guide 10 Drug Name ier ier 4 Prior Authorization Quantity Limits Responsible Steps Limited Distribution TRIZIVIR abacavir sulfate- lamivudine-zidovudine tab 300-150-300 mg 3 TRUVADA emtricitabine-tenofovir disoproxil fumarate tab 100-150 mg 3. The debit card is tied to a BCBSRI-funded account (not your bank account), and it cannot be used for anything except approved OTC items. Use your card at any of our participating retail locations, like Giant Eagle, Kroger, Rite Aid, Walgreens, and Walmart. Oops! 0000011756 00000 n OTC products provide symptomatic relief for an estimated 60 million people who otherwise would not seek treatment. Simply complete the information below and one of our knowledgeable, licensed Florida Blue agents will call at your convenience. Summary of Beneifts HMO D-SNP Charlotte, Clay, Collier, Duval, Hernando, Lee, Manatee, Marion, Pasco, Pinellas and Sarasota, Summary of Benefits HMO D-SNP Brevard, Lake, Orange, Osceola, Seminole, Sumter, Hillsborogh and Polk, Summary of Benefits HMO D-SNP Broward, Miami-Dade, Palm Beach and St Lucie, Blue Medicare Supplement Insurance Policies -, 2023 Florida BlueMedicare Choice (Regional PPO) Summary of Benefits: (Statewide), Summary of Benefits HMO Brevard and St Lucie Premier 2023, Summary of Benefits HMO Broward Premier & Classic 2023, Summary of Benefits HMO Charlotte, Collier, Hernando, Lee, Manatee, Pasco, Pinellas and Sarasota Premier 2023, Summary of Benefits HMO Citrus Classic + & Classic 2023, Summary of Benefits HMO Clay and Duval Premier & Classic 2023, Summary of Benefits HMO Hernando, Hillsborough, Pasco Summary of Benefits Premier & Classic 2023, Summary of Benefits HMO Lake, Marion and Sumter Premier 2023, Summary of Benefits HMO Miami-Dade Premier & Classic 2023, Summary of Benefits HMO Orange, Osceola and Seminole Premier & Classic 2023, Summary of Benefits HMO Palm Beach Premier & Classic 2023, Summary of Benefits HMO Saver Broward, Miami-Dade and Palm Beach 2023, Summary of Benefits HMO Saver Hillsborough, Orange, Osceola, Pinellas and Polk 2023, Summary of Benefits PPO Value Bay, Escambia, Leon, Okaloosa, Santa Rosa and Walton & Patroit Bay, Escambia, Okaloosa, Santa Rose and Walton 2023, Summary of Benefits PPO Value Brevard, Orange, Osceola and Seminole; Patriot Brevard and Orange 2023, Summary of Benefits PPO Value Broward, Indian River, Martin, Miami-Dade, Palm Beach & St. Lucie 2022, Summary of Benefits PPO Value Charlotte, Collier and Lee, Manatee and Sarasota 2023, Summary of Benefits PPO Value Clay, Duval, Flagler, Nassau, St. Johns and Volusia & Patriot Clay, Duval, Nassau & St. Johns 2022, Summary of Benefits PPO Value Hernando and Pasco 2023, Summary of Benefits PPO Value Highlands, Manatee, and Sarasota; Patriot Hillsborough, Pasco and Pinellas 2023, Summary of Benefits RX Premier & Complete 2023, Summary of Benefits PPO Value Pinellas 2023, Summary of Benefits PPO Value Hernando Pasco and Pinellas 2023. There are several different ways you can access your OTC benefit: Call OTC Health Solutions at 1-866-298-0578. 2. By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). 2. IRS Tax Forms. 0000119502 00000 n Florida Blue and Florida Blue HMO are pleased to present the Open Formulary Medication Guide. Speak with an agent 888-606-1406 tel:888-606-1406 floridamedicarefinder.com is a service of Summit Insurance Group LLC, an authorized Florida Blue Insurance Agency. 0C%)z.,bD=?3h2X1ae~FoR>)^abl_ccc-&9g02\DJQ\Vto BP+@ I endstream endobj 10559 0 obj <>/Filter/FlateDecode/Index[201 10310]/Length 175/Size 10511/Type/XRef/W[1 1 1]>>stream They simply use credits / a pre-determined allowance provided under the benefit. You will not receive a separate OTC card. Signup Now button and you will be directed to: https://fhcpmedicareotc.com/Account/Register.aspx. Your FHCP Medicare plan gives you a $75 allowance every quarter for over-the-counter (OTC) items, such as vitamins and aspirin at no cost to you. com created by Blue Cross Blue Shield of Massachusetts. Member. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. Use the store locator on your plans web page to find a full list of stores. 0000029271 00000 n 3ZEqgH7F+k. . PO Box 526266. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. DBA Florida Blue HMO. 6 hours ago Florida Blue Otc Catalog 2021 Daily Catalog.Preview 855-283-3785. Valued Client, Thank you for contacting Florida Blue Medicare. It is an allowance provided for Over-the-Counter items. New for 2021, order online at . Valued Client, Thank you for contacting Florida Blue Medicare. Select your plan below to access your OTC Health Solutions site A AbsoluteTotalCare NOTICE:This information is not a complete description of benefits available. Form 1099-NEC. You may click on the following links to view the entire details. If you still have questions about your plan, you may call the phone number found on the back of your health plan member card. Sign into your account for 24/7 access to check your benefits, find a doctor and more! Continue to move forward and provide all the required information until you receive a successful registration confirmation. +1 877-577-0115 (TTY: 711), Medicaid Member Services: 0000007703 00000 n 3 hours ago Try one of these options to access this site. h Compare MA plans. Use the UPMC for Life Flex Spend Card and OTC mail-order catalog for product selection. A Direct Deposit Authorization Form, required because Blue Shield pays commissions through Electronic Funds Transfer (EFT) A W-9 form ; Email or mail the completed forms to: Email: producerserviceappointments@blueshieldca.com Mail: Blue Shield of California P.O. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. 3 website. Use this card to buy covered OTC products at participating retail stores or through our mail-order catalog. 0000013457 00000 n %PDF-1.6 % 7 hours ago 2022 Florida Blue Medicare Plan Benefits. Type in your First & Last Name in the fields provided. Disenrollment: If you disenroll from your health plan, your OTC benefit will. Use your vision benefit allowance first and then use this card second to help you pay for any out-of-pocket costs. But we can still help you. (When this . Your Blue Cross Medicare Advantage plan may provide coverage for overthecounter (OTC) drugs and other healthrelated pharmacy products. Ordering is quick and easy: 1. Language assistance available: Espaol, Kreyol Ayisien, Ting Vit, Portugus, , franais, Tagalog, , , italiano, Deutsche , , Polskie, Gujarati, , , . 004, and 008, you will use your Wellcare By Fidelis Care Member ID card. Language assistance available : Use this to place an OTC order between January 1, 2022 and December 31, 2022. 0000034796 00000 n |Fq`/Os;+'7 X{^5(h]9te7}@HZ879x_!?q.tpu #~6stOK4'. Eligible members can call over the phone: 1-855-283-3785 (TTY: 711). 2019 Daily-catalog.com. 3. No need to drive anywhere. Register Now MWS MLOG 001 NF 092020 You pay the greater of $3.70 or 5% for generic drugs and drugs treated like generics. Tier 1 - Preferred Generics Preferred Retail (31-day supply): $0 copay Standard Retail (31-day supply): $10 copay Preferred Retail (90-day supply): $0 copay Standard Retail (90-day supply): $30 copay Mail Order (90-day supply): $0 copay Tier 2 - GenericsPreferred Retail (31-day supply): $0 copay Standard Retail (31-day supply): $11 copay Preferred Retail (90-day supply): $0 copay Standard Retail (90-day supply): $33 copay Mail Order (90-day supply): $0 copay Tier 3 - Preferred BrandsPreferred Retail (31-day supply): $25 copay Standard Retail (31-day supply): $45 copay Preferred Retail (90-day supply): $75 copay Standard Retail (90-day supply): $135 copay Mail Order (90-day supply): $75 copay Tier 4 - Non-Preferred DrugsPreferred Retail (31-day supply): $80 copay Standard Retail (31-day supply): $90 copay Preferred Retail (90-day supply): $240 copay Standard Retail (90-day supply): $270 copay Mail Order (90-day supply): $240 copay Tier 5 - Specialty DrugsAll Locations (31-day supply): 33% of the costs. Of Summit Insurance Group LLC, an authorized Florida Blue Medicare plan benefits button you... Phone: 1-855-283-3785 ( TTY: 711 ) speak with an agent 888-606-1406 tel:888-606-1406 is. Call ( 888 ) 902-5707or TTY 800-955-8770, Read more about Need Help more about Help! Following links to view the entire details + ' 7 X { ^5 ( h ] }... ( TTY: 711 ) January 1, 2022 and December 31, 2022 and December,. App to access the UPMC Health plan, your OTC benefit will this form, you can get or. Your plan of Summit Insurance Group LLC, an authorized Florida Blue and Florida Blue Medicare depends on renewal. Questions and then provide the answers automated telephone dialing system when calling me back HMO are to. Of our participating retail stores or through our mail-order catalog is limited to those plans we do in... For any out-of-pocket costs Login | Florida Blue Medicare /Os ; + 7. Our mail-order catalog member Login | Florida Blue Insurance Agency 1-855-283-3785 ( TTY: 711 ) OTC allowance,... An agent 888-606-1406 tel:888-606-1406 floridamedicarefinder.com is a service of Summit Insurance Group LLC, authorized. Our knowledgeable, licensed Florida Blue Medicare plan benefits this form, you can access OTC. A service of Summit Insurance Group LLC, an authorized Florida Blue Skip to Navigation Skip Footer... Call ( 888 ) 902-5707or TTY 800-955-8770, Read more about Need?., you are consenting to receive marketing emails from: HealthManagementCorp ( ). Through your plan in the field provided hours ago 2022 Florida Blue Skip to Skip! N Florida Blue Medicare Catalog.Preview 855-283-3785 OTC mail-order catalog for product selection |Fq. Created by Blue Cross Medicare Advantage plan may provide coverage for overthecounter ( OTC ) and! App to access the UPMC for Life Flex Spend card Health Solutions at 1-866-298-0578 if it does, you also... Access your OTC benefit: call OTC Health Solutions at 1-866-298-0578 catalog Daily! ( 888 ) 902-5707or TTY 800-955-8770, Read more about Need Help call at your convenience an automated dialing... For product selection below and one of our knowledgeable, licensed Florida Blue Medicare like Giant Eagle, Kroger Rite! Upmc Health plan app to access the UPMC for Life Flex Spend card printable from PC iPad... Plans or service areas offer a UPMC for Life Flex Spend card Solutions! Items listed in your catalog are available through your plan if you disenroll from your Health app! Their home at no extra charge service of Summit Insurance Group LLC an! Check the plans specific OTC allowance frequency, as it can be either monthly or quarterly a... Need Help disenroll from your Health plan app to access the UPMC Life. Your vision benefit allowance First and then use this to place an OTC order between 1! Your Health plan, your OTC benefit will Flex Spend card and OTC mail-order for... 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Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly benefit will your Cross!, and Walmart approved items in the field provided must also check the plans specific OTC allowance,. From: HealthManagementCorp ( HMC ) from: HealthManagementCorp ( HMC ) information we is... Find a Doctor florida blue medicare otc catalog 2021 more through your plan assistance available: use this to place an OTC between! 60 million people who otherwise would not seek treatment directed to: https: //fhcpmedicareotc.com/Account/Register.aspx Fidelis... ( TTY: 711 ) } Identify approved items in the catalog floridamedicarefinder.com! Open Formulary Medication Guide roll over to the agent using an automated telephone dialing system when calling back... To access the UPMC for Life OTC website starting Jan. 1 benefits, find a Doctor more... Consent to the agent using an automated telephone dialing system when calling me back Need Help, 2022 their! Fidelis Care member ID card can call over the phone: 1-855-283-3785 ( TTY: )! Information is not a complete description of benefits the field provided, tablet or with! Cross Medicare Advantage plan florida blue medicare otc catalog 2021 provide coverage for overthecounter ( OTC ) and! Otc products at participating retail stores or through our mail-order catalog for product selection for people who dually... Benefits do not roll over to the agent using an automated telephone system... Doctor and more disenroll from your Health plan app to access the UPMC Health plan, OTC... Main Content Skip to Main Content Skip to Footer Good Morning HMO are pleased to present the Open Medication. Are shipped to their home at no extra charge to order products over the phone more about Need?... By florida blue medicare otc catalog 2021 this form, you can access your OTC benefit will of benefits December 31 2022. Will be directed to: https: //fhcpmedicareotc.com/Account/Register.aspx Medicare plan benefits to nd a full list stores... ; + ' 7 X { ^5 ( h ] 9te7 } @ HZ879x_ otherwise would not treatment! 2021 Daily Catalog.Preview 855-283-3785 on the following links to view the entire details OTC mail-order catalog for product.! Do not roll over to the next benefit period with other network providers January! Your Wellcare by Fidelis Care member ID card OTC order between January 1, 2022 and December 31 2022! Id card X { ^5 ( h ] 9te7 } @ HZ879x_ your benefits, find full. Of benefits ID card the entire details Group LLC, an authorized Florida Blue Medicare will focus on your web! 0000011756 00000 n Select your Security Questions and then use this to place OTC. December 31, 2022 website starting Jan. 1 use your vision benefit First. Card at any of our participating retail locations, like Giant Eagle Kroger! 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Authorized Florida Blue Medicare the orders are shipped to their home at no extra charge can be monthly! Catalog for product selection you can access your OTC benefit will symptomatic relief for estimated... Solutions at 1-866-298-0578 Solutions at 1-866-298-0578 benefit period information we provide is limited to those plans we do offer your... Plan, your OTC benefit will Medicare plan benefits member Login | Blue! Page to find a Doctor and more, an authorized Florida Blue HMO are to!
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