OTC for Dual Eligible Members

OTC Benefits Programs For Dual Eligible Special Needs Plans (D-SNPs)

Dual eligible health plans typically manage populations that, unfortunately, have to deal with an array of challenging socio-economic issues and other social determinants of health. In fact, 49% of dual eligible health plan members are in fair or poor health compared to 22% of other Medicare beneficiaries, and often grapple with multiple chronic conditions.
In addition, many of these members don’t engage in their care as they should–which just exacerbates their problems even more.
The vast majority of dual-eligible members, though, have experienced the relief and comfort associated with over-the-counter medicines. 
With an OTC benefits program powered by Miramar, your members can address their healthcare needs at home. Through our OTC benefits management initiative, your health plan can: 
  • Provide members with OTC medicines that relieve symptoms before requiring a prescription
  • Empower members to take charge of their own health
  • Help members take care of their own health, even if they are not seeing a healthcare professional
  • Provide members with affordable, accessible and convenient health care options
  • Give members a familiar treatment option that they trust to address minor ailments
Indeed, with our supplemental benefits program, your members can start addressing their healthcare needs. Simple things—like getting a transfer bench to a person with limited mobility or aspirin to a person with a heart condition—can go a long way in not only providing comfort but also advancing the care of these members. And offering OTC benefits is valuable for all parties involved: members, providers and your health plan.  
For more information about the D-SNP OTC program powered by Miramar, contact us at OTCSolutions@conveyhs.com.