CenterLight TeamCare A Program of All-Inclusive Care for the Elderly Over-The-Counter Catalog H3329_OTCCATALOG2017 Approved 10162017 Table of Contents General Information ………………………………………………………………………………………..…1 Using Your OTC Enhanced Benefit……………………………………………………………………….....1 Frequently Asked Questions ……………………….……………………………………………..………...1 Important Points to Remember…….……………………….…………………………………………..…….2 Prior Authorization Items ……………..……………..……………………………………………………....3 OTC Items Available for Purchase Alternative Therapy ………………………………………………………………………………...………...4 Aroma Therapy Magnetic Therapy Baby Care ……………………………………………………………………………………………………….4 Baby Grooming Baby Health, Beauty, Wellness Cough Drops, Sore Throat Relief …………………………………………………….…………………......4 Lip Care …………………………………………………………………..………………………………..........4 Deodorants ……………………………………..……………………………………………………………....5 Men’s Deodorant Unisex Deodorant Women’s Deodorant Diabetic Supplies ……………………………………………………………………………………………....5 Anti-Gas Products ……………………………………………………………………………………………...5 Electrical & Audio …………..………………………………………….………..………………………….....6 Batteries Eye & Ear Care …………..……...…………………………………………...…………………………………6 Contact Lens Care Eye Preparations Family Planning …………….....…………………………………………………………………………….….6 Condoms Female Contraceptives Feminine Personal Care……………………………...…………………………..…………………………....6 First Aid ……………………………………………...…………………………..…………………………..….7 First Aid Dressings First Aid Kits & Supplies Hair Care …………………………..……………………………………………….………………………..….7 Children’s Hair Care Conditioner & Hair Treatment Hair Color Hair Growth Products Permanent & Chemical Relaxers Shampoo & Therapeutic Hair & Scalp Treatments Styling Aids Home Health Care ………………………...……………………………….…………………………………....8 Diagnostic Products Household Products …………………….………………………………….…………………………………...8 Air & Fabric Fresheners Cleaners & Waxes Cleaning Tools & Accessories Dish & Laundry Insecticides, Rodenticides & Pesticides Plastic, Foils, Paper Product Multi-Cultural Beauty Care …………………………………...…………………………...……………….....9 Multi-Cultural Ethnic Skin Care Multi-Cultural Ethnic Hair Care Oral Care ………….…………..………………………………………….…………………………………… 10 Breath Remedies Denture Products Interdental, Gum Care, Etc. Mouthwash Toothbrushes Toothpaste & Treatments Patient Skin Care …………………………………..…………………………………………………..………11 Patient Cleansing & Bathing Seasonal Products ………………………………………...……………………………………………..…….11 Insect Repellents Shaving & Men's Grooming …………………………….…………………………………………………....11 Men’s Hair Care Razor & Refills Shaving & Skin Care ………………………………………………………………………………….……….12 Women’s Hair Removal & Bleaches ……………………………………………………………………......12 Skin Care ……..………….…………………………………………………………………….….…………….12 Bath Products Cosmetic Puffs & Pads Facial Cleansers Facial Moisturizers & Treatments Hand & Body Cleansing Hand & Body Moisturizer & Treatments Medicated & Specialty Soaps Sun Care ………………………………..……………………………………………………………………….13 After Sun & Sun Accessories Sun Protection (SPF 15+) General Information CenterLight TeamCare, CenterLight Healthcare’s Program of All-Inclusive Care for the Elderly (PACE), is committed to providing you with services that help you live a healthier and more independent life. Our Over-The-Counter (OTC) Enhanced Benefit provides TeamCare participants with $150 each quarter to spend on a wide range of non-prescription health-related items, such as sun protection, dental products, skin care, etc. This Enhanced Benefit will afford you the ability to purchase the OTC items and other miscellaneous products you need to stay healthy. As part of this benefit, you will receive an OTC card through Centerlight’s partnership with In-Comm. You can use this card to shop for products at local merchants throughout the year at your convenience. This card will monitor your activity and provide us with feedback related to your purchases. Sample Sample Front Back Using your OTC Enhanced Benefit is easy. Choose the items you would like to purchase by reviewing what is available as seen in the catalog and you can then take your OTC card to your local merchant and purchase these items directly. You may ask your Interdisciplinary Team (IDT) for assistance at any time. Frequently Asked Questions What is the Over-the-Counter (OTC) Enhanced Benefit? The CenterLight Healthcare Over-the-Counter (OTC) Enhanced Benefit provides you with $150 per quarter to buy OTC health-related items. You can purchase the items referring to the OTC catalog directly through your local merchants. 1 How does the OTC Enhanced Benefit work? As a PACE member, you shop directly to purchase the non-prescription health-related items you need. You may request assistance from a member of your Interdisciplinary Team (IDT) if you have questions. You will be able to shop directly from a local store near where you live throughout the year. Where can I get another catalog? Contact Member Services at 1-833-CL-CARES (1-833-252-2737), Monday-Friday, 8AM-8PM to order another catalog or visit your CenterLight TeamCare center to pick one up. TTY users should call 711. Where can I use my OTC card? You will only be able to use the OTC card to directly purchase at the merchant of your choice. What if I lose my OTC card? Contact Member Services at 1-833-CL-CARES (1-833-252-2737), TTY 711, Monday-Friday, 8AM-8PM to order a new card. It could take up to 5 business days to receive a new card. What happens if I do not have enough money in my OTC account when I am making a purchase? You are only permitted to order/purchase items within your benefit limit. If you do not have enough money in your OTC account, you need to wait until the next quarter to purchase your items. Note that purchases from the stores all apply toward your $150 quarterly limit. What happens if I do not use my full balance each month? As a PACE member, you will have $150 in your OTC account each quarter. You will lose any unused balance in your account after the end of that quarter. This means you have three months to use your entire $150 dollar benefit. How many times a month can I purchase products? You can purchase supplies as many times as you need throughout the quarter, as long as you have not reached or exceeded your benefit limit. What if I have other questions regarding my account? If you have other questions or issues regarding your OTC Enhanced Benefit, please call CenterLight TeamCare Care Resolution Team at 1-833-CL-CARES (1-833-252-2737), Monday-Friday, 8AM-8PM. TTY users should call 711. Important Points to Remember 4 The OTC Enhanced Benefit is for the personal use of CenterLight TeamCare members only. It may not be used to purchase items for family members, friends, etc. 4 The OTC Enhanced Benefit can only be used to purchase eligible OTC health-related items indicated in the catalog through your local merchant. 4 The OTC Enhanced Benefit cannot be converted to cash. 2 Prior Authorization Items Note that items with medicinal content (for example, pain patches), are not available through this benefit. Any medicinal item you require will be approved by your Interdisciplinary Team (IDT) to ensure that there are no known interactions with your current prescriptions. These products will be provided through your PACE insurance directly through your pharmaceutical vendor. 3 OTC items available for purchase ELIGIBLE CATEGORIES Alternative Therapy Aroma Therapy Aroma Therapy Generic Aroma Therapy Mixed/Miscellaneous Aroma Therapy Private Label Aroma Therapy Magnetic Therapy Generic Magnetic Therapy Magnetic Therapy Mixed/Miscellaneous Magnetic Therapy Private Label Magnetic Therapy Baby Care Baby Grooming Cotton Swabs Baby Health, Beauty & Wellness Baby Bath & Hair Care Baby Lotion & Creams Baby Oil Baby Powder Cough Drops, Sore Throat Relief Generic Cough Drops, Sore Throat Relief Mixed/Miscellaneous Cough Drops, Sore Throat Relief Private Label Cough Drops, Sore Throat Relief Sore Throat Pain Relief Throat & Cough Drops Lip Care Generic Lip Care Lip Moisturizers Medicated Lip Treatments Mixed/Miscellaneous Lip Care 4 Private Label Lip Care Vapor Products (Includes Waterless Vaporizers) Vaporizers, Humidifiers & Accessories Deodorants Men’s Deodorants Generic Men’s Deodorants Men’s Roll-Ons Men’s Solids & Gels Men’s Sprays Mixed/Miscellaneous Men’s Deodorants Private Label Men’s Deodorants Unisex Deodorants Generic Unisex Deodorants Mixed/Miscellaneous Unisex Deodorants Private Label Unisex Deodorants Unisex Roll-ons Unisex Solids & Gels Unisex Sprays Women’s Deodorants Generic Women’s Deodorants Mixed/Miscellaneous Women’s Deodorants Private Label Women’s Deodorants Women’s Roll-Ons Women’s Solids & Gels Women’s Sprays Diabetic Supplies Glucose Tablets, Gels, etc… Anti-Gas Products Generic Anti-Gas Mixed/Miscellaneous Private Label Anti-Gas 5 Electrical & Audio Batteries Hearing Aid Batteries (Standard & High Performance) Eye & Ear Care Contact Lens Care Gas Permeable & Hard Lens Care Generic Contact Lens Care Mixed/Miscellaneous Contact Lens Care Private Label Contact Lens Care Soft Lens Cleaners Soft Lens Disinfecting Soft Lens Multi-Purpose Solutions Soft Lens Rewetting Drops Soft Lens Saline Solutions Eye Preparations Dry Eye Relief Family Planning Condoms Condoms Generic Condoms Mixed/Miscellaneous Condoms Private Label Condoms Female Contraceptives Female Contraceptives Generic Female Contraceptives Mixed/Miscellaneous Female Contraceptives Private Label Female Contraceptives Feminine Personal Care Deodorants & Powders Douches Feminine Moisturizing Products Generic Feminine Personal Care Mixed/Miscellaneous Feminine