7 Common Mistakes Medicare Members Make with Their OTC Benefit
Don't Make These OTC Benefit Mistakes
Many Medicare members leave money on the table or run into problems with their OTC benefit. Here are the most common mistakes and how to avoid them.
- Not using the benefit at all: Up to 30% of members never use their OTC allowance. That's free money lost
- Waiting until the last day of the quarter: Popular items may be out of stock. Shop early
- Buying name brands only: Store brands have identical active ingredients at 30-50% less cost
- Not checking your balance: Without knowing your remaining balance, you might overspend or underspend
- Trying to buy non-eligible items: Not everything in the pharmacy aisle is OTC-eligible. Check your plan's catalog
- Forgetting about online ordering: Can't get to the store? Most plans offer free home delivery for OTC orders
- Not replacing the card when lost: A lost card doesn't mean lost benefits. Call member services for a replacement immediately
Best practice: Set a calendar reminder for the 1st of each quarter (January, April, July, October) to check your balance and plan your OTC shopping.
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