OTC Benefit Tips for 2026 Open Enrollment

Choosing the Best OTC Benefit

During Medicare open enrollment (October 15 - December 7), the OTC benefit should be a key factor in your plan selection. Here's how to compare plans effectively.

What to Compare

• Quarterly allowance: Ranges from $25 to $300+ per quarter
• Product catalog: Some plans cover more items than others
• Shopping options: Online, in-store, phone ordering, mail delivery
• Rollover policy: Most plans do NOT roll over unused funds
• Flex card benefits: Some plans combine OTC + food + utilities

Red Flags to Watch For

• Low allowance + high premium: Some plans advertise OTC but give only $20/quarter
• Limited catalog: Verify your needed products are actually covered
• No in-store option: If you prefer shopping in person, check which stores accept the card
• Carrier changes: Plans can reduce OTC benefits year-to-year — check the 2026 Annual Notice of Changes