Can I get an OTC card with Medicaid?

Asked by: Blanche Beatty PhD  |  Last update: December 10, 2025
Score: 4.1/5 (7 votes)

In some states, Medicaid beneficiaries may need a prescription or need to meet other requirements for an OTC product to be covered. In both MA and Medicaid, OTC benefits are typically provided through an OTC card that has a set dollar limit.

Who is eligible for the OTC card?

Generally, individuals enrolled in specific Medicare Advantage plans that offer Over-the-counter (OTC) benefits qualify for an OTC card. These plans typically provide a set allowance for purchasing health-related items like medications, wellness products, and personal care items.

What is the OTC benefit in Wisconsin?

A health plan benefit with no cost to you. Get Over-the-Counter products delivered directly to your door. Order online, by phone, or by mail. As a member of My Choice Wisconsin, you have a $100 Over-the-Counter (OTC) benefit every month.

Does CT Medicaid cover OTC products?

As many of your HUSKY Health patients may require therapies that are available for purchase OTC, it is important to note that with a valid prescription, OTC treatments such as low-dose aspirin, artificial tears, various topical products including mosquito repellents, and select vitamins, are covered under their HUSKY ...

Does California Medicaid pay for OTC products?

Your benefits include a wide range of prescription and over-the-counter (OTC) medicines. You can even have your medicines delivered to your home.

Medicare Advantage OTC Card

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Can Medicaid get an OTC card?

' Both MA's and Medicaid plans' coverage of OTC products is typically provided via an OTC card with a pre-determined dollar limit. MA and Medicaid beneficiaries can then redeem the OTC card for certain products either through an MA OTC benefit catalog or at specified retailers.

What OTC meds are covered by Medicaid?

These OTCs include select medications in the following categories: analgesic and antipyretic, antacid, anti-diarrheal, antihistamine, anti-vertigo, artificial tears and ocular/oral lubricants, chronic renal disease, cough and cold, dermatological, family planning, fecal softener and laxative, hematinic, insulin, ...

Can I buy toilet paper with my OTC card?

OTC items are not eligible if they are normally used for general health, are not used to treat a medical condition (e.g. lotion, shampoo (except for products used to treat dandruff), toilet paper, lip balm) or are cosmetic in nature (e.g. teeth whitening products, wrinkle reducers).

What supplies does Medicaid cover?

Quality Home Medical Supplies
  • Urological Supplies. Catheters.
  • Pediatric & Youth Supplies. Youth & Baby Diapers.
  • Other Supplies. Ostomy Supplies.

Will Medicare pay for OTC?

Most Medicare Advantage plan members receive a quarterly OTC benefit allowance to cover health and wellness products, non-prescription medications, vitamins, and more.

How often do you get money on your OTC card?

It's important to know when your OTC card reloads. Money might be added on a monthly, quarterly or annual basis, depending on your plan. And remember, if benefits don't roll over to the following period, you'll need to use them — otherwise you'll lose them. For example, some plans have a quarterly structure.

Does BadgerCare cover OTC?

The BadgerCare Plus Benchmark Plan, the BadgerCare Plus Core Plan for Childless Adults, and the BadgerCare Plus Basic Plan cover a limited number of OTC drugs. The BadgerCare Plus Benchmark Plan Product List and the BadgerCare Plus Core Plan Product List include covered OTC drugs.

Can I buy food with my OTC card?

Use your OTC Plus card to pay for non-prescription drugs, health-related items, exercise equipment and activity trackers, healthy foods, and home utilities such as gas, oil, electric, water, and internet service. Save at your neighborhood pharmacy, farmers' markets, online, and other participating retailers.

How much is the OTC benefit?

OTC benefits are typically structured on an allowance basis where an enrollee is provided an allotted annual, quarterly, or monthly allowance with quarterly allowances being the most common. On an annualized basis, the average allowance per enrollee in 2021 was $400.

How to pay rent with an OTC card?

Rent/Mortgage Assistance

To make a payment, check with your landlord or mortgage company first to make sure they accept Visa and provide them with your OTC card information. Funds will be deducted from your OTC account.

What will Medicaid not cover?

Medicaid coverage can vary from state to state, but here are some common services and items that are typically not covered: Elective cosmetic procedures: Cosmetic surgeries and procedures, such as cosmetic dentistry and non-medical weight loss procedures, that are not medically necessary are typically not covered.

How to get free pull ups with Medicaid?

Your medical condition: You must have a condition causing incontinence, and that condition must be diagnosed by a doctor or licensed healthcare provider. Your documentation: You must be able to verify your medical need, the pull-ups required, and your enrollment in Medicaid.

How to get a free humidifier with Medicaid?

Medicaid covers humidifiers for all beneficiaries when ordered by a physician, medically necessary and prior authorized by the Utilization Management and Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity for rental up to the purchase amount or for purchase.

Who qualifies for OTC card Medicaid?

Who Qualifies for an OTC Card? To get a Medicare Advantage OTC card, you must meet the requirements for Medicare coverage, which usually means being 65 or older and having worked for 10 years (or 40 quarters) while paying the Medicare tax.

Can anyone get an OTC card?

To qualify for an OTC card, individuals must be enrolled in a Medicare Advantage plan that offers this benefit. These plans are available to individuals who are eligible for Medicare Part A and Part B.

Can I get laundry detergent with my OTC card?

You can also get everyday items like laundry detergent, soap and toothbrushes.

Can I pay cash for a prescription if I have Medicaid?

Yes, you can pay cash for your prescriptions, even if you have insurance - The Inside Scrypt | Prescryptive.

Does Medicare have an OTC allowance?

Depending on your Humana Medicare Advantage plan, you may be eligible to receive a monthly or quarterly amount to spend on eligible over-the-counter (OTC) items as part of either the OTC Mail Order or OTC Allowance benefit. OTC allowance benefits vary by plan and are plan specific.

Does Medicaid pay for Tylenol?

Medicaid does cover over-the-counter (OTC) drugs if the patient has been given a doctor's prescription for the drug verbally, in writing, or via an electronic message. In order to be covered, over-the-counter drugs have to be manufactured by a pharmaceutical company that participates in the Federal Drug Rebate Program.