Over-the-counter (OTC) Plus

Over-the-counter (OTC) Plus is available on PriorityMedicare^® Vintage.

Members on plans with the OTC Plus benefit can use their allowances to purchase OTC items, and if eligible,* healthy food and produce. Eligibility is based on your chronic condition (such as if you have diabetes, cardiovascular disorders, and more) and the level of your need (for example, if you're at high risk of hospitalization and need intensive care coordination). 

You'll receive a Priority Health Medicare OTC card and catalog in the mail. Your card will be pre-loaded with OTC funds and ready to use on the day your plan begins.

Your OTC Plus allowance is $40 per quarter. Please note, any unused OTC allowance does not roll over. Quarterly allowances expire on March 31, June 30, Sept. 30 and Dec. 31.

Using your OTC Plus allowance

Get started with your online member account at priorityhealth.com/shopOTC. 

In your online member account, you'll be able to check your available balance, shop online, find participating stores, search eligible products, view your transaction history and more. The video below will show you how to set up and navigate your member account.

There are three ways you can shop using your OTC Plus benefit:

1. Order online: View and purchase products online anytime at priorityhealth.com/shopOTC or through the OTC mobile app. To download the app, search “Priority Health OTC” in the Apple App Store or Google Play.
2. Shop in-store: Shop at Costco (PIN required at checkout), Meijer, Kroger, CVS, Walgreens, Walmart and other participating store locations near you. You can search for retailers near you at any time by going to priorityhealth.com/shopOTC and using the "Find a Store" tool.
3. Call for delivery: Call 833.415.4380 (TTY 711) to place an order after reviewing the items in your OTC catalog. Have your selected product names, OTC card number and shipping information available. From Oct. 1-Mar. 31, we're available seven days a week from 8 a.m.-8 p.m. ET. From Apr. 1-Sep.30, we're available Mon.-Fri. from 8 a.m.-8 p.m. and Sat. 8 a.m.-noon ET.

Your unused OTC allowance does not roll over.

For more program detail or to place an order, visit priorityhealth.com/shopOTC, the Priority Health OTC mobile app, or call 833.415.4380 (TTY 711). From Oct. 1-Mar. 31, we're available seven days a week from 8 a.m.-8 p.m. ET. From Apr. 1-Sep.30, we're available Mon.-Fri. from 8 a.m.-8 p.m. and Sat. 8 a.m.-noon ET.

In the event that you had to pay out-of-pocket to purchase an OTC item, reimbursement is available to you. Log in to your priority health account at priorityhealth.com/shopOTC or through the Priority Health OTC app and complete the reimbursement form found under Make A Reimbursement.

To be eligible for reimbursement, the item purchased must be an eligible OTC item obtained from a participating retailer and you must have available OTC funds. All reimbursements must be submitted within 90 days of purchase date and include a picture of the receipt.

Participating retailers:

• Meijer
• Walmart
• Walgreens
• Dollar General
• Target
• CVS
• Kroger
• Alberton's
• Costco

Some retailers have multiple brands under their umbrella.

Albertson’s Companies include:
Albertsons, Safeway, Vons, Jewel-Osco, Shaw's, Acme, Tom Thumb, Randalls, United Supermarkets, Pavilions, Star Market, Haggen, Carr’s, Kings Food Markets, Balducci's Food Lovers Market.

Kroger Companies include:
Kroger, Baker’s, City Market, Dillons, Food 4 Less, Foods Co, Fred Meyer, Fry’s, Gerbes, Jay C Food Store, King Soopers, Mariano’s, Metro Market, Pay-Less Super Markets, Pick’n Save, QFC, Ralph’s, Ruler, Smith’s Food and Drug

You may also be eligible for healthy food and produce

To find out if you’re eligible to receive healthy food and produce, fill out the eligibility form or contact one of our Medicare experts at the number listed on the back of your member ID card.*

*Benefit mentioned is part of a special supplemental benefit for chronically ill members with one of the following conditions: diabetes, chronic obstructive pulmonary disease (COPD), arrhythmia, depression, heart failure, prostate/breast/other cancers and bipolar disorder. This is not a complete list of qualifying conditions. Even if you have a qualifying condition, you will not necessarily qualify to receive the benefit because coverage of the item or service depends on if you are chronically ill as defined by CMS and meet all applicable eligibility requirements. To see if you qualify, contact our Customer Care team by calling 888.389.6648 (TTY 711). From Oct. 1–Mar. 31, we’re available seven days a week from 8 a.m.–8 p.m. ET. From Apr. 1–Sept. 30, we’re available Mon.–Fri. from 8 a.m.–8 p.m. and Sat. 8 a.m.–noon ET.