Anthem Medicare Advantage OTC Benefits 2026: Your Complete Guide

Anthem Medicare OTC Benefits

Anthem (also known as Elevance Health) offers Medicare Advantage plans with OTC benefits in many states across the US. Their OTC program, typically managed through NationsOTC or a similar platform, provides quarterly allowances for health and wellness products. Here's what Anthem members need to know.

Understanding Your Benefit

• Allowance amounts: Anthem OTC allowances vary by plan and state, typically ranging from $25 to $75 per quarter. Some enhanced plans offer higher amounts. Review your Evidence of Coverage for exact details
• Quarterly reset: Your allowance resets each quarter and does not roll over. Unused funds expire at the end of each quarter. Plan your purchases to use your full benefit
• Checking your balance: Use the Anthem Medicare app, call member services, or check the NationsOTC website to view your current balance

How to Order

• NationsOTC online: Most Anthem plans use NationsOTC as their fulfillment partner. Visit the NationsOTC website, log in with your member information, and browse the catalog of eligible products
• Phone orders: Call the NationsOTC phone number on your OTC card to place orders with a representative. They can help identify eligible products and process your order
• Retail stores: Depending on your plan, you may be able to use your OTC benefit at participating retail stores like Walmart, CVS, or Walgreens. Check with your plan for participating locations

Eligible Products

• Common categories: Pain relief, cold and flu medicine, allergy products, vitamins and supplements, first aid supplies, dental care, eye care, and personal hygiene products
• Healthy groceries: Some Anthem plans include healthy food items in their OTC benefit. Bottled water, healthy snacks, and nutritional supplements may be eligible
• Durable items: Thermometers, blood pressure monitors, and pill organizers are often included. These one-time purchases provide value throughout the year