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How to Get OTC Benefits: A Comprehensive Guide for 2026 Medicare Advantage Members

"For the purposes of this guide, OTC benefits refer specifically to Over-the-Counter health-related items provided through Medicare Advantage (Part C) supplemental benefit catalogs, not to be confused with general retail pharmacy discounts or traditional Medicare Part B medical supply coverage. Navigating the complexities of Medicare Advantage (MA) plans requires a technical understanding of how supplemental benefits, specifically Over-the-Counter (OTC) allowances, are structured, funded, and redeemed. As of the 2026 plan year, Centers for Medicare & Medicaid Services (CMS) guidelines have placed renewed emphasis on the transparency and access..."

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