Orlando Harmon
Florida Blue Insurance offers Medicare Advantage plans with supplemental benefit allowances to help pay for Over-the-Counter (OTC) health items, healthy foods, and out-of-pocket costs for services like dental, vision, and hearing care. The number of orders you can place per quarter or month depends on your plan. You can place an order online or by phone, and it will arrive within two weeks by mail. If you have drug coverage through Florida Blue, you can log in to use the Drug Comparison tool to review your medication guide, search for medications, and compare drug costs.
| Characteristics | Values |
|---|---|
| Number of orders per quarter | 2 |
| Number of orders per month | 1 |
| Rollover of unused allowance | No |
| Check allowance | Summary of Benefits or Evidence of Coverage |
| Place orders | Online or by phone |
| Order arrival | Within two weeks by mail |
| Languages | English, Spanish, Chinese, Korean, Vietnamese |
| Plan coverage | Check online |
| Card usage | Pay for eligible supplemental benefit allowances |
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$17.97 $21.99
$12.05 $14.99
What You'll Learn
Ordering OTC online or by phone
Florida Blue offers Medicare Advantage plans with supplemental benefit allowances to help pay for Over-the-Counter (OTC) health items. To find out how much your OTC items benefit covers each quarter, check your plan's Summary of Benefits or Evidence of Coverage. You can place two orders per quarter or one order per month, depending on your plan. Unused allowance does not roll over into the next quarter or month, and some limitations may apply. Refer to the OTC Items Catalog for more information.
You can place an order online or by phone. Orders typically arrive within two weeks by mail. To see if your plan has the OTC items benefit and to place online orders, log in or register.
If you have received a Flexible Benefit Card, you can use it to pay for OTC items at retail stores. Remember to activate your card before use. You can swipe your card like a credit card.
If you are a Florida Blue Medicare Advantage member, you can use your Blue Dollars card to spend your rewards dollars or pay for eligible supplemental benefit allowances that come with your plan.
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Using the Blue Dollars card
Florida Blue offers affordable health insurance plans to individuals, families, and businesses. The Blue Dollars Card is a Mastercard that can be used for eligible expenses wherever Mastercard is accepted in the US.
Florida Blue Medicare Advantage members can use their Blue Dollars card to spend their rewards dollars or pay for eligible supplemental benefit allowances included in their plan. These include Over-the-Counter (OTC) health items, healthy foods, and out-of-pocket costs for dental, vision, and hearing care.
Florida Blue Medicare Advantage members can also earn HealthyBlue Rewards dollars by completing healthy activities and screenings, such as an annual wellness visit or getting a flu shot. These rewards can be redeemed to purchase over-the-counter items or healthy food at select retailers, as well as costs associated with dental or vision services.
The Blue Dollars card can be used at retail locations such as CVS, Walgreens, and Walmart. Members can log in to their online accounts to check their balance, find a list of retail locations that accept the card, view transactions, check eligible items, replace a lost card, and download a catalog.
It is important to note that eligible allowance and rewards amounts cannot be combined, and additional limitations or restrictions may apply. Subscription-type services like Walmart+, Instacart, Shipt, and Amazon are not eligible.
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Checking your drug benefits
If you have drug coverage through Florida Blue, you can log in to use the Drug Comparison tool to check your drug benefits and cost share amounts by Tier. This tool allows you to review your medication guide, search for medications, and compare drug costs. You can enter a drug name to see the cost of generic versus brand name versus a therapeutic alternative (if available).
To check your specific drug benefits, follow these steps:
- Log in to your Florida Blue account.
- Access the Drug Comparison tool.
- Review your Medication Guide to understand your drug benefits.
- Use the "find" feature with the search icon to quickly search for specific medications.
- Compare drug costs by entering the drug name and viewing the cost of generic, brand name, and therapeutic alternatives.
Additionally, you can use the Florida Blue tool to compare pharmacies. You can select up to five pharmacies to compare the cost of your medications at each location. This can help you identify the most cost-effective option for your prescriptions.
Remember that your Florida Blue Medicare Advantage plan may also include supplemental benefit allowances for over-the-counter (OTC) health items. To understand the specific coverage for OTC items, refer to your plan's Summary of Benefits or Evidence of Coverage. You can place orders for OTC items online or by phone, and they typically arrive within two weeks by mail.
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Comparing drug costs
If you have drug coverage through Florida Blue, you can use the Drug Comparison tool to compare drug costs. This tool allows you to enter a drug name and compare the costs of generic versus brand-name drugs, as well as therapeutic alternatives, if available. Additionally, you can compare the costs of a 90-day supply and choose up to five pharmacies to compare prices.
It is important to note that your prescription drug coverage may change annually, depending on your insurance plan. To understand your pharmacy coverage, you can review the formulary, which is a list of covered drugs. This can be done by logging into your member account on the Florida Blue website or by using the Florida Blue mobile app. Here, you can access your plan benefits, including pharmacy coverage, covered drugs, and prescription prices.
When comparing drug costs, it is also worth considering the difference between generic and brand-name drugs. Generic drugs are typically more affordable because multiple manufacturers produce them, increasing competition and driving down prices. On the other hand, brand-name drugs often have only one manufacturer, resulting in higher prices. If you choose a brand-name drug when a generic alternative is available, you may have to pay additional fees. Most plans have a penalty that applies to your cost share in such cases.
Florida Blue also offers the Blue Dollars Card for Medicare Advantage members. This card allows members to pay for Over-the-Counter (OTC) health items, healthy foods, and out-of-pocket costs for specific services like dental, vision, and hearing care, depending on their plan. Members can earn HealthyBlue Rewards dollars by completing healthy activities and screenings, such as annual wellness visits and flu shots.
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Managing mail-order drugs
If you have drug coverage through Florida Blue, you can log in to use the Drug Comparison tool and access a variety of helpful resources. This includes managing your mail-order drugs.
To manage your mail-order drugs, you can check your order, view your order history, refill prescriptions, and transfer prescriptions. You can also check your drug claims and balances, including processed claims and mail-order payment information.
Florida Blue's contracted partner, Prime Therapeutics®, helps administer your prescription drug benefits. They work to ensure you get the medication you need when you need it.
To understand your plan's prescription drug coverage, log into your online account or use the Florida Blue app on your smartphone. This will allow you to compare options with your doctor or pharmacist.
Most Florida Blue plans offer home delivery pharmacy services through Amazon Pharmacy. To confirm your home delivery pharmacy provider, log into your member account on floridablue.com and view the home delivery section.
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Frequently asked questions
If you have purchased your health insurance through your employer, you automatically qualify for the OTC benefit. If you buy insurance on your own, you can check your plan's Summary of Benefits or Evidence of Coverage to see if you qualify.
You can place up to two orders per quarter or one order per month, depending on your plan. You can place an order online or by phone.
If you are a Blue Cross & Blue Shield of Rhode Island (BCBSRI) member, you can use your Flexible Benefit Card to pay for your OTC items. If you are a Florida Blue Medicare Advantage member, you can use your Blue Dollars card to pay for eligible items.
