Covered OTC items
The Connecticare OTC catalog 2025 covers CMS approved OTC health care items. Some of the product categories include:
- Allergy, sinus, and combination liquids and tablets.
- Cough, cold, and flu liquids and tablets.
- Dental care products such as floss, toothbrushes, toothpaste, and denture care.
- Elevated toilet seats and accessories.
- Protective gloves
- And more!
What’s not covered
- Covid Tests.
- Diabetes care items: these supplies are covered by the plan’s medical benefit.
- Foot care that includes foot moisturizers, exfoliators and cleansers, odor and wetness treatments or insoles/inserts.
- Food items.
- Non-prescription hearing aids
- Oral care that includes mouthwash and breath remedies.
Please note: the products listed above lists are subject to change.
The chart below shows the OTC benefit of each plan
Plan | Amount | Frequency | OTC items by mail order | OTC items in retail store | OTC Card |
---|---|---|---|---|---|
ConnectiCare Passage Plan 1 (HMO-POS) | $75 | Every month | ✔ | ||
ConnectiCare Choice Plan 2 (HMO-POS) | $50 | Every month | ✔ | ||
ConnectiCare Choice Plan 3 (HMO-POS) | $50 | Every month | ✔ | ||
ConnectiCare Flex Plan 3 (HMO-POS) | $50 | Every three months | ✔ | ||
ConnectiCare Choice Dual (HMO-POS D-SNP) | $60 | Every month | ✔ | ✔ | ✔ |
Beneficiaries must use all OTC benefits within the specified benefit period. OTC benefits do not roll over.
Connecticare beneficiaries can access the 2025 Connecticare OTC catalog, by clicking the preceding link or signing into their online account.
Where to use the Connecticare 2025 OTC benefit
- Beneficiaries can pick up covered OTC items at the following retailers: CVS, Rite Aid, Walgreens, Walmart, and more. (In-store is only available for DSNP members).
- Use the following link to locate additional participating locations: myBenefitsCenter.com or by downloading the app.
- Click on this link to find a detailed list of covered OTC items Download PDF
How to Get Your Covered Eligible Items in 2025
ConveyBenefits:
- Sign in to conveybenefits.com/connecticare and choose items.
- Call 855-858-5940 (TTY:711) Monday – Friday, 8 a.m. until 8 p.m.
- Download, fill out, and return the mail order form in the following link conveybenefits home delivery catalog.
CVS OTC Home Delivery:
- Sign in to mybenefitscenter.com to choose items and place an order.
- Cal 833-875-1816 (TTY: 711) Monday – Friday, 9 a.m. to 8 p.m.
- The CVS home delivery catalog coming soon.
How to order Connecticare OTC 2025 mail order items
The following plans: ConnectiCare Passage Plan 1, ConnectiCare Choice Plan 2, ConnectiCare Choice Plan 3, and ConnectiCare Flex Plan 3 plan members receive OTC items by mail-order only. They cannot use their benefit in store and do not receive an OTC card.
- Plan members can go to connecticare.nationsbenefits.com and choose items and follow the prompts to complete the checkout process.
- To order by mail; fill out the mail order form and mail it to Nations Benefits, 1700 N. University Drive, Plantation, FL 33322
- Contact Nations benefits by phone at 877-239-2942 (TTY: 711) Monday – Friday, 8 a.m. to 8 p.m.
In general, beneficiaries receive OTC items in the mail within 7 business days after the supplier receives their order. When the order total is over the available OTC balance, beneficiaries must provide an alternate payment method. Enrollees can use a credit card either online or over the phone. Those who use mail order can use a check for payment if they prefer.
Click here to learn the differences between HMO & PPO plans
Please note:
The quantities, sizes, and prices may change based on product availability and manufacturer. Beneficiaries may receive a similar product of equal or greater value in the event a chosen item is out of stock.
Reimbursement
For those who cannot use their OTC benefit in one of the ways mentioned above; you can request a refund by downloading and filling out this reimbursement form. Just mail the completed form your completed paper claim form to ConnectiCare Claims Department, P.O. Box 4000, Farmington, CT 06034-4000. Please include a copy of your receipt for covered items and Connecticare will send a refund check to you.
If you have any questions:
Members should check their plans evidence of coverage or cost sharing guide to review their OTC allowance. Enrollees can also call ConnectiCare Medicare Connect Concierge at 800-224-2273 (TTY: 711). From Oct. 1 until March 31, enrollees can call from 8 a.m. to 8 p.m., seven days a week. Starting April 1 to Sept. 30, they can call from 8 a.m. to 8 p.m., Monday through Saturday.
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