Need to contact or place a phone call to Nascentia Health OTC Medicare representative: 1-888-477-4663 (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. 

Nascentia Health is not just a healthcare system; they exceed their members’ expectations by going beyond the services and programs that they offer.  It is a commitment they have made to the community they serve as well as a commitment to each patient, participant, and member.  Nascentia is a healthcare system that has no walls.  They come up with new concepts of healthcare that is truly focused on their patient’s overall health.  

Nascentia Health Plus is an HMO SNP plan that has a contract with Medicare and a Coordination of Benefits Agreement with the New York State Department of Health.  Nascentia Health Plus offers their members with even more benefits that they would normally get with Original Medicare.  

2021 Nascentia Dual Advantage (D-SNP) and 2021 Nascentia Skilled Nursing Facility (I-SNP) offers the following benefits to their members:

• Hearing Aids
  • A $1,200 allowance may be enjoyed for both ears annually.
• Vision Services
  • Enjoy one (1) routine annual eye exam plus a dollar amount for upgrade of frames, lenses, or contact lenses.
• Dental Services
  • Members may enjoy up to $1,000 in preventive and comprehensive dental benefits plus two (2) oral exams plus cleanings annually.  Also included is one (1) x-ray every year.
• Over-the-Counter Benefits
  • Members receive a monthly allowance to purchase health-related drugs and supplies at no added cost.
• And many more!

The plan is inclusive of a supplemental over-the-counter (OTC) benefit that enables members to purchase OTC drugs at no extra cost.  A predetermined dollar amount or allowance is provided within this plan.  This benefit will also assist eligible members with the cost of essential health care products that are not within the medical or pharmacy expense under their plan.  To add to this, it can aid in saving money on a vast array of 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.

Nascentia Health works with OTC Network to allow 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:

• Cold and Flu
• First Aid
• Personal Care
• Home Diagnostics
• Pain Relievers
• Nutrition
• Diabetes Care
• Oral Care
• 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 place their orders over the phone at 1-888-682-2400.

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.

• https://nascentiahealth.org/medicare-advantage-plans/member-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.

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

1. Visit https://www.otcnetwork.com/member in your preferred internet browser on your device.
2. Once you are inside the member-specific area, select “Product” found at the upper blue bar. It will bring up the Eligible Products searchable list.
3. From the “Retailers” drop down menu on the right, choose the store where you want to search (either Walgreens, Walmart or Rite Aid).

NOTE:

If you wish to view the Summary of Benefits, you may visit the link below:

• 2021 Nascnetia Health Plus Summary of Benefits