Over-the-Counter Benefits Information
Kalos Health offers members a pre-paid debit card that is replenished monthly (check your Evidence of Coverage document to determine if you qualify for the card). It can be used to purchase Over-the-Counter (OTC) eligible items for general health and wellness (for example Acetaminophen, Ibuprofen, Medicated Chap Stick, Diabetic Supplies, Sunscreen, Vitamins, just to name a few). You can find a complete list of eligible items by clicking on this link: Full list of eligible items (Please note by clicking on this link, you will leave the Kalos Health website). You can use this card to purchase many common items at local retailers/pharmacies, including CVS, Walgreens, Rite Aid, Family Dollar, Dollar General, and Walmart without having to submit a receipt. You can find a complete list of participating retailers/pharmacies online at the OTC Network Website (Please note by clicking on this link, you will leave the Kalos Health Website).
You will receive an OTC card with a maximum $75 monthly limit for purchasing approved non-prescription, over-the-counter drugs and health-related items at participating retail locations. See your Evidence of Coverage for more information or call Member Services for details at 1-800-399-1954.
OTC items may only be purchased by you for your own personal use. The dollar benefit amount is automatically replenished each month. You can check your account balance or transaction activity online at the OTC Network Website (Please note by clicking on this link, you will leave the Kalos Health website). Any unused dollars at the end of the month are not rolled over and cannot be used in following months.
Activating your OTC Card
You must first activate you OTC Card. Call OTC Card Services at 1-888-682-2400 (24 hours, 7 days a week) or go online to the OTC Network Website (Please note by clicking on this link, you will leave the Kalos Health website).
To activate your card you will need:
1) The card number printed on the front of your OTC Card
2) Your Kalos Health Gold Plus Member ID number
3) Your Date of Birth
QUESTIONS? Call our Member Services Department at 1-800-399-1954 (TTY: 711), Monday through Friday, 8:00am to 8:00pm.
Kalos Health Gold Plus is a Health Maintenance Organization (HMO) Special Needs Plan (SNP) with a Medicare contract and a coordination of benefits agreement with the New York State Department of Health. Enrollment in Kalos Health Gold Plus depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits may change on January 1 of each year. You must continue to pay your Medicare Part B premium (unless your part B premium is paid for you by Medicaid or another third party).
Last Updated 01-02-2019