Dual Eligible

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. 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:OTC, 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 OTC 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 an OTC benefits program powered by Miramar:OTC, contact us at OTCSolutions@conveyhs.com.