Need to contact or place a phone call to Optimum Healthcare: 1-866-900-2688 • TTY: 711

Contact Line for Current Members: Please first call the number found on the back of your member ID card for accurate and faster service. 

Optimum HealthCare is among Florida’s top health plans and takes pride of the Medicare coverage they have been providing for more than 15 years.  It is not only great value but it also assists members in making positive changes to live healthier lives.  Optimum HealthCare stands behind their Medicare plans, its programs and resources, and their dependable customer services team.

Optimum HealthCare provides most benefits that original Medicare offers plus more.  

  • Preventive Services
  • Diagnostic Tests
  • Diabetes Programs and Supplies
  • Ambulance Services
  • Skilled Nursing Facility 
  • Durable Medical Equipment
  • Over-the-Counter
  • And many more!

The following plans offer the Over-the-Counter Benefit within the coverage:

  • Optimum Gold Rewards Plan (HMO)
  • Optimum Emerald Partial (HMO D-SNP)
  • Optimum Platinum Plan (HMO)
  • Optimum Diamond Rewards (HMO C-SNP)
  • Optimum Platinum Plan (HMO)
  • Optimum Emerald Full (HMO D-SNP)
  • Optimum Gold Rewards Plan (HMO)
  • Optimum Diamond Rewards COPD (HMO C-SNP)

What is the Optimum HealthCare Medicare Advantage Over-the-Counter Benefit?

This is a program that will enable you to acquire over-the-counter items that will arrive at your address in the mail.  The card must be activated and the initial OTC dollar amount will be loaded onto the card.  This benefit will also assist you with the cost of essential health care products that are not within the medical or pharmacy expense under your plan.  To add to this, it can aid you in saving money on a vast array of generic branded health essential products like cold medicines, pain relievers, dental care, first aid supplies, and so much more.

Advantages of using OTC benefit:

  • Save your time – one less trip to the pharmacy will mean that members may get to spend more valuable time on what matters most.

  • Easy access – OTC purchases are sent straight to the members’ homes.  The need to drive anywhere will be lessened.

  • You will save money – Members may get OTC items they require without using money out of your own pocket.  An allowance per quarter will be used on a varied range of health-related products like cold remedies and other personal care products.

  • Shipping is FREE – No shipping or handling fees!

No additional costs!

If you will use the credit or pre-determined allowance that is provided within this benefit, all products you wish to get will be given to you at no extra cost.  Your orders will also be delivered to your home without worrying about shipping fee as these will all be covered by the benefit.

Optimum HealthCare Medicare Advantage allows their members to purchase common everyday medical and personal health care essentials.  Their team of clinicians, researchers, engineers, financial experts, and a great number of direct sales representatives have outstanding expertise and know everything about healthcare business.  

The following are the common medical and personal care items that they offer for their partners:

  • Eye and Ear Care
  • First aid supplies
  • Allergy sprays and gels
  • Skin and sun care products
  • Cold and flu products
  • Dental and Denture Care
  • Antacids and Acid Reducers
  • Vitamins and Minerals
  • And so many more!

These OTC products are all given to members at no extra cost.  A credit or pre-determined allowance is given within the benefit.  Shipping fee will not be charged to the member especially if this is inclusive in your plan.  Find below the easy methods where active members of this program can submit their orders:

  • They may scroll down below and go through on how to set up an account online.  This is considered to be the fastest, most convenient, and easiest way to order 24/7.
  • They may place their orders by calling 1-866-900-2688, TTY: 711

How to know if a member is qualified?

Members must make sure to review the Summary of Benefits of their existing personal plan to verify if their plan has this benefit included in it.  If it does, members must also be aware of the plan’s specified OTC allowance frequency, whether it is provided monthly or quarterly.  The allowance amount may vary depending on the plan.  The number to contact is given at the start of this article if you need further information about your plan benefits.

There are a few plans that are inclusive of an allowance that is provided on a monthly basis.  These credits may be consumed to purchase some over-the-counter medications and supplies, comprising of digestive health treatments, allergy medication, pain relievers, first aid supplies, and so many more.  Members must review the Evidence of Coverage of their plan to check if it is included in their benefit and to find out the exact amount of the monthly allowance provided.

IMPORTANT: Go directly to the site to confirm and acquire more information.

NOTE:  The information provided here is not a comprehensive explanation of the benefits available to you.  It is always best to communicate directly with the company to know more information about their available plans.

Easy-to-follow steps are provided below should you feel the need to access the login or registration page.  A brief guide is available for you so you can discover how you can login or activate a new online account and gain access.  Just make sure your personal information is close by.

Requirements to have available to be able to sign in or register to your Optimum HealthCare Medicare Advantage OTC account online:

  • Stable internet access
  • Email address
  • Member information
  • Personal information

Easy steps to follow for new members who need to register their account online:

  1. Visit this link in your preferred internet browser on your device.
  2. Select the green “Member Login” to get to the Member Portal and you will be directed here.
  3. Select the blue “New User Sign Up” found on the page.
  4. Type in your First and Last Names in the space provided.
  5. Type in a valid Email Address and confirm in the spaces provided.
  6. Enter your Date of Birth in the spaces provided.
  7. Type in your Member ID in the space provided.
  8. Type in the last 4 characters of your Medicare ID or MBI Number in the space provided.
  9. A Registration Code will appear and you have to type this in the space provided before proceeding to the next page.
  10. Select the blue “Next Page” button to move forward.
  11. Continue to move forward and provide all the necessary information until you receive a successful registration confirmation.

An email verification will appear in your inbox once you have registered successfully.  This will give you complete access to your online account and start taking advantage of Optimum HealthCare Medicare Advantage OTC pharmacy benefits that is included in your plan.

Easy steps to follow for existing members who need to log in to their account online:

  1. Visit this link in your preferred internet browser on your device.
  2. Select the green “Member Login” to get to the Member Portal and you will be directed here.
  3. Type in your Email Address in the space provided.
  4. Type in your current Password in the space provided.
  5. Select the red “Secure Log in” button to proceed.
  6. You will now be able to manage your account online and purchase OTC items.

Valuable guidelines for creating / processing / submitting your order:

  • The OTC benefit is intended for the member’s use only.  Using the benefit to purchase OTC items for friends and / or family is strictly prohibited.
  • Any and all unused benefit will not rollover to the next benefit period.
  • Delivery time: Please allow 7-14 days for the items to be shipped to your address.  Shipping time may vary depending upon product availability, order volume and other circumstances.

You may download Optimum Healthcare OTC Catalog:

2021 Optimum HealthCare Medicare Advantage Over-the-Counter Catalog


If you wish to download the catalog, you may visit the link below:

Important information to take note of:

  • If you have further questions about your plan, it is best to directly contact the following numbers: 1866-245-5360, TTY: 711

Optimum Healthcare OTC Over-the-Counter Video Summary:

Want to view more articles on this topic? Click here to search our article database.