OTC Benefit: Copay-Free Products for Medicare Seniors

2026-04-14 · MY OTC

No Copay, No Cost to You

One of the best features of your OTC benefit is that qualifying products have zero copay. Unlike prescription medications that may require a copay or coinsurance, OTC benefit products are fully covered up to your quarterly allowance.

How It Works

Your OTC benefit works like a pre-loaded debit card. Each quarter, your plan adds a set amount ($25-$300+). You shop eligible products and pay with your OTC card — no copay, no deductible, no out-of-pocket cost.

Key fact: Unlike Part D prescriptions, OTC benefit products never count toward your deductible or out-of-pocket maximum. They're a completely separate, additional benefit.
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