Form preview

Get the free 2012 OVER-THE-COUNTER (OTC) BENEFIT CATALOG

Get Form
This catalog provides information about the Over-the-Counter (OTC) benefit available to members of the Care1st TotalDual Plan, detailing eligible products, ordering procedures, and benefit usage.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign 2012 over-form-counter otc benefit

Edit
Edit your 2012 over-form-counter otc benefit form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your 2012 over-form-counter otc benefit form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit 2012 over-form-counter otc benefit online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to take advantage of the professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit 2012 over-form-counter otc benefit. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out 2012 over-form-counter otc benefit

Illustration

How to fill out 2012 OVER-THE-COUNTER (OTC) BENEFIT CATALOG

01
Obtain a copy of the 2012 Over-the-Counter (OTC) Benefit Catalog.
02
Review the list of eligible items included in the catalog.
03
Select the desired over-the-counter products you wish to order.
04
Check the quantity limits for each item, if applicable.
05
Fill out your personal information, including name, address, and member ID, on the order form.
06
Write down the product codes and quantities of the items you wish to order.
07
Calculate the total quantity of items to ensure it matches the catalog limits.
08
Submit the completed order form through the designated method (mail, fax, or online).
09
Keep a copy of your order for your records.

Who needs 2012 OVER-THE-COUNTER (OTC) BENEFIT CATALOG?

01
Individuals enrolled in a health plan that includes OTC benefits.
02
Members looking to purchase health-related items without a prescription.
03
Patients needing accessible health products for home care.
04
Beneficiaries of specific insurance plans that utilize the OTC benefit catalog.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.7
Satisfied
41 Votes

People Also Ask about

You may check check the balance on your OTC benefit card by calling the number on the back of your card or signing in to your OTC plan provider's online member portal.
You can check the balance of your OTC Allowance benefit by calling the number on the back of your Humana Spending Account Card: 855-396-0691 (TTY: 711), 24 hours a day, 7 days a week.
Not all Medicare recipients have coverage for OTC products. People enrolled in Original Medicare (parts A and B) and Part D prescription drug plans do not have coverage for OTC items. But most people enrolled in Medicare Advantage plans do.
What products can I buy with my OTC card? Allergy relief support. Cough and cold relief support. Dental care. Digestive care, including antacids and laxatives. Ear care. Eye care. First aid and medical supplies. Pain relief support.
While the list of products covered will vary from plan to plan, they include hundreds of common items. Most plans let you shop for those items at participating retailers, including CVS. The amount you can spend also varies by plan. The average annual OTC benefit works out to about $100 per quarter.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The 2012 Over-the-Counter (OTC) Benefit Catalog is a document that lists eligible over-the-counter healthcare items that can be purchased with pre-tax dollars under certain health plans.
Individuals enrolled in qualifying health plans that allow for the purchase of over-the-counter items using pre-tax funds may be required to file the 2012 Over-the-Counter Benefit Catalog.
To fill out the 2012 Over-the-Counter Benefit Catalog, individuals should list the eligible OTC items they wish to purchase, ensuring proper documentation and receipts are attached when submitting for reimbursement.
The purpose of the 2012 Over-the-Counter Benefit Catalog is to provide guidance on which OTC products are eligible for purchase under specific health benefits plans and to facilitate the reimbursement process.
The information that must be reported on the 2012 Over-the-Counter Benefit Catalog includes the names of the OTC items, their quantities, and the corresponding costs, along with any required signatures or identification details.
Fill out your 2012 over-form-counter otc benefit online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.