Need to contact or place a phone call to Prominence Health Plan: 877-242-1586 (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. 

Prominence Health Plan has been maintaining the health of families, businesses, and communities located in Nevada and Texas for over 25 years.  They do this by providing health service excellence and quality care to those they serve.  Prominence Health Plan offers a variety of products, one of which is an employer-sponsored commercial health plans plus a fully-insured administrative services through Prominence Healthcare Solutions, and Medicare Advantage Plans.  

Prominence Health Plan administers Medicare Advantage plans to select residents in Nevada and Texas.  Their Medicare plans provide more healthcare benefits than the Original Medicare, inclusive of $0 plan premiums, $0 doctor office visits, $0 telemedicine sessions, prescription drug coverage plus a fitness benefit at no charge to the member.

Prominence Health Plan offers the Prominence Plus Medical Plan in the following areas:

North Texas

Northern Nevada

South Texas

Nevada

Cooke

Deaf Smith

Fannin

Gray 

Grayson

Moore

Potter

Randall

Carson City

Douglas

Lyon

Storey

Brooks

Hidalgo

Starr

Washoe 

Prominence Health Plan Medicare Advantage members will receive a prepaid Over-the-Counter card which they can use to purchase eligible OTC drugs and supplies from participating retailers like Walmart, Walgreens, or CVS Pharmacy.  Members are encouraged to download the OTC app for free so they can scan barcodes and instantly confirm item eligibility.

What is the Prominence Health Plan Medicare Advantage Over-the-Counter Benefit?

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:

  • 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.

Prominence Health Plan Medicare Advantage currently works with OTC Network 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:

  • Skin and sun care products
  • First aid supplies
  • Allergy sprays and gels
  • Cold and flu products
  • Dental and Denture Care
  • Eye and Ear 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 to:

  • 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 visit participating local retailers and use their activated OTC card there:
    • Walmart
    • CVS
    • Walgreens

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 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.

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 Prominence Health Plan Medicare Advantage account online:

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

Easy steps to follow for new cardholders who wish to activate their OTC card online:

  1. Visit this link in your preferred search engine on your device.
  2. Type in your 16- or 19-digit card number in the space provided.
  3. Select the blue “Go” button to move forward.
  4. Continue to move forward and provide all the necessary information to complete the activation.

You may download Prominence Health Plan OTC Catalog:

2021 Prominence Health Plan Benefit OTC Catalog and Order Form

NOTE:

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

Visit the App Store or Google Play if you wish to download the app.

You may log in using your ID and password that you use in the website.  Select “Sign Up” on your mobile device to begin the process if you have not yet signed up.

Benefits of downloading and using the app:

  • View available discounts by scanning the barcode with the app
  • Find and locate participating retailers.
  • View and verify which items are eligible.
  • Check on your card balance.

Prominence Health Plan Medicare Advantage OTC Over-the-Counter Video Summary:

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