Support and resources for:

Need to contact or place a phone call to PHP Medicare OTC:

855-299-5415 (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:

Physicians Health Plan (PHP) started in 1980.  It was when Sparrow Health System, together with a group of forward-thinking physicians, who started developing mid-Michigan’s pioneer in broad-based independent practice association (IPA), which is a type of health maintenance organization.  An IPA is composed of a group of local physicians, hospitals, as well as other professionals who bring a full variety of care.  It was in 1982 when PHP released their first products to the market.  PHP currently remains a subsidiary of Sparrow with over 3,100 practitioners and 31 accredited hospitals in their provider network.

PHP Medicare is created via a partnership with doctors and local health systems in order to create a better experience for Medicare beneficiaries.  PHP Medicare members receive all the benefits that are covered by the Original Medicare plus more:

Transportation Benefit

• • Members may enjoy 30 one-way trips annually for scheduled appointments to and from pre-approved locations in the service area at no added cost.  Approved transportation examples include trips to the member’s specialist, trip to the dentist or eye doctor, or trips to the pharmacy to pick up prescription, to name a few.

SilverSneakers

• • Members receive a complimentary access to the SilverSneakers Fitness Program that is created specifically for adults age 65 and over.  Participation in the program is included in the health plan.

Hearing Aid Benefits

• • Members may use their hearing aid allowance at in-network or out-of-network providers.  If the hearing aid is purchased at an in-network provider, the allowance will be applied at the time of purchase.  Otherwise, member must pay out-of-pocket and send in a reimbursement form.

Over-the-Counter Benefits

• • Members will get to enjoy a quarterly allowance that they may use for up to two (2) orders every quarter which will enable them to purchase personal health care items.

And many more!

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.

PHP Medicare presently works with Convey Solutions 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:

• 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:

• 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.
• Place their orders by calling 855-299-5415, TTY: 711
• Send in a completed order form via mail and send it to the address at the bottom of the form.

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://member.phpmedicare.com/

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
• Personal information
• Member ID information

1. Visit this link / PHPMedicareOTC.com / www.phpmedicareotc.com in your preferred internet browser on your device.
2. Select the “Not Registered? Signup Now” button that is found on the page.
3. Type in your First and Last Names in the spaces provided.
4. Type in your Health Plan Member ID in the space provided.  You will find your Member ID on your Member card.  NOTE: Do not type in the digits that appear after the hyphen.
5. Choose the State from the drop down box options.
6. Enter your Date of Birth in the spaces provided.
7. Type in your Email Address in the space provided and confirm.
8. Create a Username and type it in the space provided.
9. Create a Password and confirm it in the spaces provided.
10. Select Security Questions from the drop-down options and type in the appropriate answers in the spaces provided.
11. Select the blue “Register” button to proceed.
12. Continue to move forward and provide the required information until you receive a successful registration confirmation.

An email verification will be received once you have successfully registered your account.  This will enable you to have full access to your account online and may start taking advantage of the PHP Medicare OTC pharmacy benefits that is inclusive in your plan if you are qualified.

1. Visit this link in your preferred internet browser on your device.
2. Type in your registered Username on the space provided.
3. Type in your current Password on the space provided.
4. Select the blue “Log in” button to move forward.
5. You may now be able to manage your account once you have logged in.

• Return Policy:  Due to the personal nature of the products, returns will not be entertained.
• Delivery Time:  Please allow 5-7 business days for the orders to arrive at your address.
• The full benefit amount must be consumed in not more than two (2) orders within the benefit period.  Any and all unused benefit will not roll over to the following benefit period.
• The OTC products are intended for the member only to assist in their health or medical need.  The company prohibits the use of the benefit to purchase OTC items for family members and / or friends.

NOTE:

If you wish to view the 2021 Summary of Benefits, you may visit the link below:

• 2021 PHP Medicare Advantage Plus OTC Over the Counter Benefits Catalog
• 2021 PHP Summary of Benefits Advantage

• If you are ordering by mail, you have to make sure that you follow the instructions to complete the order form.  You have to mail it to the address indicated on the order form included in the catalog. 
• If you have further questions about your plan, it is best to directly contact the following numbers: (855) 229-2172, TTY: 711

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Frequently Asked Questions

What does PHP insurance cover?

PHP insurance covers medical expenses, funeral costs, OTC products, and much more.

Who owns PHP Michigan?

PHP is a subsidiary of Sparrow.