Over-the-Counter Benefits Included on MA Dual Plan (HMO SNP) Only
Every 3 calendar months, MA Dual Plan (HMO SNP) members can spend up to $250 on over-the-counter health products, up to $1,000 total benefit per year. The items you order will be delivered to your home by mail.
How to Place an Order
By phone: Call OTC Customer Service at 1-877-603-0402 (TTY: Dial 711) Monday through
Friday, 8:30 am to 10:00 pm Central Time. Have your CHPW Medicare Advantage member ID card and member Date of Birth handy. You will need this to place your order.
By mail: Fill out the form found inside the catalog and follow the instructions on the order form.
By fax: Fax completed order form to 1-874-258-1913.
OTC products are intended for member use only to help with a health or medical need. CHPW Medicare Advantage prohibits the use of this benefit to order OTC products for family members and friends.
OTC items are available through home delivery only. Products may not be purchased at a local pharmacy or through any other source than the catalog mail order provider.
Lost or stolen OTC items are not refundable and will not be replaced.
Due to the personal nature of these products, returns are not accepted.
Items in the catalog may change throughout the year. For the most up-to-date list of available items, please go to drugsourceinc.com.