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Over-the-counter supplemental benefits for your members

Flexible over-the-counter and healthy food benefits from Optum Personal Care Benefits help keep members satisfied.

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Remove barriers to much-needed OTC items and healthy food

Support member wellness by making it easier for them to get much-needed over-the-counter items and healthy food. Give your members credits to spend on CMS-approved1 over-the-counter products and healthy foods. Deliver curated care kits of OTC products designed to help members manage health conditions and/or reach defined health objectives. Designed to fit seamlessly into your plan, these OTC supplemental benefits help members make good decisions when it comes to their health.

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Put better health in their hands

Flexible over-the-counter programs to support healthy outcomes

Support the many small decisions that impact a member’s health with a supplemental over-the-counter benefit plan that includes healthy food benefits.

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Deliver tools to pursue better health with Ready Set™

Curated care kits of products and tools designed to help members manage health conditions or reach defined health objectives. Kits are selected by the health plan and Optum ships them directly to the members anywhere, nationwide.

The potential of OTC

  

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$95B in clinical cost savings

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$52B in drug cost savings

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A better experience

Your members benefit from:

  • Easy access to more than 1,000 over-the-counter products including vitamins, supplements and home medical supplies
  • 2-day home delivery, no shipping fees or taxes
  • Ability to shop in store at over 55,000 network retailers, including Walmart
  • Using the same OTC benefits card to purchase healthy foods in store
  • Supplemental benefits together on one card for a seamless experience

Supplemental benefits bridge the wellness gap

Your members want a supplemental benefit that’s easy to use. You want to improve retention, health equity and clinical outcomes. We can help.

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More choices for better health

Providing access to both healthy food options and OTC products, you can support your members’ overall health.

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Benefits owned by you, but delivered by Optum

Positioning you as an active partner in your members’ health, we thoughtfully white-label their experience.

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Transparency by design

You get all-inclusive pricing based on membership size, program and credit amount.

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Meet them where they shop

Members choose how, when and where they shop — through a print catalog, intuitive website, mobile app, or in store at over 55,000 network retailers.

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Pair the OTC program with Ready Set to improve the experience

Ready Set™ care kits come packed with proactive wellness items and guidance to help members adopt new healthy habits.

Choose kits that are right for your members or customize your own. We’ll ship them right to the member’s door, so they feel cared for and supported.

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Explore our solutions

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For employers

Provide supplemental benefits that engage and support the many small decisions that impact an employee’s health.

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For state government

Offer supplemental benefits that help improve retention and aid in reducing health disparities.

Reduce barriers to health equity and support better health

Get started with improving your OTC supplemental benefits.

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FAQ

Our OTC supplemental benefits can help all market segments improve retention, health equity and clinical outcomes. Members frequently served include Medicare Advantage and/or Special Needs (D-SNPs, I-SNPs, C-SNPs), group retirees, unions and commercial.

Yes, white labeling of online and offline member communications is available, putting your health plan client’s brand front and center for their membership. Limited client customization available for client memberships of 100,000+.

New members will receive a letter, catalog, order form and postage-paid envelope in their welcome packet. Catalog can be sent annually or quarterly. Credit amount, frequency and expiration are customizable by each client.

New members will be able to place their order on or after their effective date. A new member enrolling any time within a quarter will receive the full quarter’s credit amount.

No. The OTC benefits card can only be used in store at participating network retailers.

Clients let us know which kit they would like and to whom they would like it sent to. From there, we work with the client on white labeling and executing to get the kits into members’ hands. Turnaround time is typically within 12 weeks.

The minimum order is 250 kits.

Clients will be invoiced per kit. The cost of each Ready Set kit varies.

Yes, we put the client in the driver’s seat and can configure kits with many different intentions and prices. Condition management kits (diabetes, COPD, psoriasis, etc.) are very popular for clients.

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Sources

  1. CMS-approved products support Medicare and Medicaid plans.
  2. Consumer Healthcare Products Association (CHPA). OTC Sales Statistics. Medicine Affordability. Accessed June 7, 2023.