Health is more than doctor visits and medicine. VillageCareMAX offers peace of mind by providing help for everyday needs through an Over-The-Counter (OTC) benefit card. You have the flexibility to use your OTC card for the items you need the most.
As a VillageCareMAX Medicare Total Advantage Plan Member, you automatically get an OTC card with $305 per month to spend on the following:
Traditional Over-the-Counter: Use your card to pay for OTC items, including pain relief, vitamins, allergy and sinus, cold and flu, dental and oral health, diabetes care, first aid, home health care and daily living, OTC hearing aids, and OTC COVID-19 test kits.
Expanded OTC Benefits*
- NEW! Pest control products: Items such as traps, insecticide sprays, ant bait.
- NEW! Indoor air quality products: Items such as filters and purifiers.
- NEW! Public transportation: Rideshare services like Uber, subway/bus transit fare.
- Rent/Mortgage Assistance: You can use your allowance toward your rent or mortgage at the place where you live, as long as VISA is accepted as a form of payment.
- Gas-at-the-Pump
- Wireless, Internet, and Utility Bill Payment: You can use your OTC card to pay your internet, wireless, and utility bills at any in-store or online retailer that accepts VISA.
- Home-Delivered Meals: Leave the cooking to us. Our partners deliver delicious and healthy meals right to your doorstep. The meals are tailored to each member and can be customized based on your medical condition, like diabetes, kidney problems, cancer and heart disease.
- Groceries and Fresh Produce: Delivered right to your door. Members can order fresh produce, healthy cooking kits, and pantry essentials.
*As a VillageCareMAX member, you may be eligible to receive the expanded Over-the-Counter (OTC) benefits, including grocery, utilities, gas at-the-pump, rent/mortgage assistance, pest control items, air quality items, and transportation. To see if you are qualified, you must meet specific criteria and answer a few health-related questions. Click on the form below to start the screening process and determine your eligibility.
SSBCI
Eligibility Form Special Supplemental Benefits for the Chronically Ill:
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You will be provided with an easy-to-use card issued by Visa. Your card will arrive ready to use. And, with a dedicated member portal and phone app, you can find participating retailers, track how much you’ve spent, and how much you have left on your card.
Are you ready to start using your OTC Benefits?
Your FLEX benefits are available on the same OTC card to make it simple to use your benefits.
Cost sharing and deductibles may vary based on the level of Medicaid & Extra Help that the beneficiary receives. Food & produce (grocery items), gas-at-the-pump, utilities, rent/mortgage assistance, pest control products, indoor air quality products, ride share, public transportation, transportation for non-medical needs are part of Special Supplemental Benefits for the Chronically Ill (SSBCI). In order to be eligible to receive SSBCI benefits, enrollees must be determined to be chronically ill, have a chronic condition (e.g., diabetes, chronic heart failure, cardiovascular disorder, chronic and disabling mental health conditions, stroke, or other eligible conditions), and meet coverage criteria. Members enrolled in the VillageCareMAX Medicare Total Advantage plan will qualify. Some dental service limits and prior authorization requirements apply. VillageCareMAX is an HMO plan with Medicare and New York State Medicaid contracts. Enrollment in VillageCareMAX depends on contract renewal.
Reminder: Your OTC card is intended solely for your use, to purchase or pay for eligible items or services. Allowing someone else (family members or friends) to use your OTC card is considered fraud and, if discovered, could result in account suspension, loss of benefits or disenrollment from the Plan.
