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 use this card to purchase many common items at local pharmacies, including CVS, Walgreens, Rite Aid and Duane Reade, without having to submit a receipt.
You will receive an OTC card with a maximum $25 monthly limit for purchasing approved non-prescription, over-the-counter drugs and health-related items at participating pharmacy locations. See your Evidence of Coverage for more information or call Member Services for details.
OTC items may only be purchased by you for your own personal use. The dollar benefit amount is automatically replenished each month. Any unused dollars at the end of the month are not rolled over and cannot be used in following months.
Call our Member Services Department at 1-800-399-1954 (TTY: 711). Monday through Friday, 8:00am-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 12-12-2017