Support and resources for:

Need to contact or place a phone call to OTC Health Solutions:

1-866-298-0578 (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.

Company Summary:

Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to offer benefits or arrange for benefits to be provided to enrollees.  Simply Healthcare was founded in December of 2009.  They are a Florida licensed health maintenance organization that was formed with the purpose of meeting the needs of residents of Florida who are enrolled in government-sponsored healthcare programs.

Did you know?

Simply Healthcare is managed by an experienced team with a proven track record of success.  Their mission is to streamline the healthcare experience for their members and the providers.  They are based in Miami and with regional offices located in Orlando, Tampa, and Sunrise.  Their employees are all from Florida to ensure the familiarity of the community, physicians, hospitals and plan benefits. They understand that becoming close to their members and providers gives them the highest level of service and respect.

Simply Healthcare offers Medicare Advantage Plans that offers what the Original Medicare offers. 

But they also offer the benefits that the Original Medicare is not able to offer such as:

• SilverSneakers
• Dental
• Meals
• Hearing
• Acupuncture
• LiveHealth Online
• Presciption Drugs
• OTC Coverage

 The following Simply Healthcare Medicare programs are qualified to enjoy the Over-the-Counter OTC Catalog benefit that Simply Healthcare has available:

It is a benefit that provides members a FREE allowance that they may enjoy to purchase OTC drugs at no extra cost.  A predetermined dollar amount or allowance is provided to you within this plan.  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:

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.

Simply Healthcare presently works with CVS (OTCHS) to enable 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:

• Anti-Diarrheal, Laxatives and Digestive Health
• Dental and Denture Care
• Bathroom Safety and Fall Prevention
• Home Diagnostics
• Incontinence
• Pain Relief
• Antacids and Acid Reducers
• Vitamins and Minerals
• Eye and Ear Care
• 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 to:

• They may go online and scroll down below 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 visit the OTC website and find a participating store from the website’s store locator.

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.

OTC Benefit Allowance

There are a few plans that are inclusive of an allowance that is provided on a quarterly 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 quarterly allowance provided.

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

• https://www.simplyhealthcareplans.com/florida-medicare/care/otc-benefits.html
• https://www.simplyhealthcareplans.com/florida-home/simply.html

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.

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

1. Visit link in your preferred search engine on your device.
2. Select the red and white “Create account” link that may be found below the “First-time visitor?” section of the page. 
3. Type in your Member ID in the space provided.
4. Type in your Date of Birth in the space provided.
5. Enter your ZIP Code in the space provided.
6. Enter a valid Email Address in the spaces provided.
7. Create and type in a Password in the spaces provided.
8. Select the red “Continue” button to proceed forward.
9. 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 Simply Healthcare OTC pharmacy benefits that is included in your plan.

1. Visit this link in your preferred internet browser on your device. 
2. Type in your Member ID OR Email Address in the space provided.
3. Type in your current Password in the space provided.
4. Select the red “Sign in” button to move forward.
5. You may now start managing your account online.

• There is normally no limit to the number of items you order.  However, there is a restriction per order to three (3) quantities per any single item.  Blood Pressure Monitors, however, have a limit to one (1) per year.  You still have to ensure that the total amount due is still within your allotted benefit amount.
• DELIVERY TIME: Orders will be shipped to your home address at no extra cost to the member.  Please allow 10-14 business days for the items to be delivered.
• RETURN POLICY: Any damaged item must be notified to OTCHS within 30 days after receiving the order.  The OTC company will ship a similar item to you.  No other returns or exchanges will be entertained.

Other Useful Tips:

• The benefit is solely for the use of the members to assist in their health requirement.  Using the benefit for friends and/or families is strictly prohibited.
• It is not allowed to order more than the total allotted amount during each benefit period.  If you decide to order select items that cost more than your allowable amount, you will NOT be able to pay the balance with either cash or card.  As an example, if your monthly benefit is $20 and your total orders amounted to $20.95, you will have to remove certain items from your order to bring the value back down to the monthly benefit allotted amount.

NOTE:

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

• 2021 Simply Healthcare OTCHS CVS Catalog

• If you have further questions about your plan, it is best to directly contact the number indicated at the back of your health plan member card.
  • Member Services Phone Number: 1-877-577-0115 (TTY:711)