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How do I fill this out?
To fill out this form, first ensure you have your OTC benefits information at hand. Next, select the items you wish to order from the catalog. Finally, follow the provided instructions for submitting your order.

How to fill out the 2023 Over-the-Counter Product Catalog?
1
Review your OTC benefit allowance.
2
Choose the products you want from the catalog.
3
Complete the order form with your personal details.
4
Submit your order through your preferred method.
5
Monitor delivery status and enjoy your products.
Who needs the 2023 Over-the-Counter Product Catalog?
1
Individuals enrolled in Medicare who want to utilize their OTC benefits.
2
Families managing personal care items for their members.
3
Health plan members looking to save money on medical supplies.
4
Caregivers assisting seniors in obtaining necessary health products.
5
Anyone interested in convenient home delivery of OTC items.
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What are the instructions for submitting this form?
To submit this form, choose your preferred method: online through the MyBenefits portal, by phone at (866) 876-8637, via mail using the provided envelope, or in person at participating retail locations. Ensure your order is completed accurately and submitted before the 20th of each month to meet benefit deadlines. As a best practice, review the details of your order before sending to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the 2024 and 2025 OTC benefits usage will vary based on your individual plan's guidelines. It's crucial to stay informed about benefit periods and submission deadlines to maximize your allowance. Check with your health plan for specific dates relevant to your benefits.

What is the purpose of this form?
The purpose of this form is to facilitate users in ordering over-the-counter (OTC) products directly related to their health needs. It serves as a consolidated resource for eligible items, which can help users manage their health care costs effectively. By using this catalog, members can take full advantage of their benefits, ensuring they obtain necessary products conveniently.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Includes name, address, and contact details for order processing.
- 2. Item Selection: A list of OTC products available for ordering, with quantities.
- 3. Submission Method: Instructions for how to submit the order, either online, by phone, or mail.
What happens if I fail to submit this form?
If you fail to submit this form successfully, your ability to order OTC products may be hindered. This could lead to missed opportunities in utilizing your benefits efficiently.
- Order Delays: Failing to submit on time may result in delays receiving necessary products.
- Lost Benefits: Not submitting the form could mean losing eligible product allowances.
- Increased Costs: Missing out on the opportunity to save with OTC benefits can lead to higher personal expenses.
How do I know when to use this form?

- 1. During Benefit Periods: Utilize the form during your OTC benefit period for timely product orders.
- 2. For Personal Care Items: Use this form when you require health-related products for personal care.
- 3. For Caregivers: This form serves as a valuable tool for caregivers managing health supplies for others.
Frequently Asked Questions
How can I order OTC products?
You can order OTC products via the website, app, phone, mail, or by visiting a retail location.
What should I do if an item is out of stock?
If an item is unavailable, a similar product of equal or higher value will be shipped.
How long does delivery take?
Delivery usually takes two days from the time of order placement.
Can I return OTC products?
You do not need to return products as they are personal items.
What happens if I disenroll from my health plan?
Your OTC benefits will automatically end upon disenrollment.
How do I create an account for online ordering?
Visit the MyBenefits portal and follow the registration steps provided.
Where can I find participating retailers?
Visit CentralHealthPlan.NationsBenefits.com to locate retailers.
Are there deadlines for placing orders by mail?
It's advisable to mail your order form before the 20th of the month.
What are the payment options for ordering?
Orders should not include cash or checks; use the designated payment methods.
Can I edit my order after submission?
Once submitted, changes to the order may not be possible, so review carefully before sending.
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