Over The Counter Benefit 1
User Manual: Over-the-Counter-Benefit-1
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Welcome to the GuildNet Gold OTC Card! 250 West 57th Street, 10th Floor New York, NY 10107 [CARDHOLDER NAME CARDHOLDER ADDRESS 1 CARDHOLDER ADDRESS 2 CARDHOLDER CITY, STATE, ZIP] You can use this card to buy overthe-counter (OTC) medicines and health-related items. The list of eligible items is on the back of this card carrier. You may now use this card to pay for eligible OTC items at the participating stores listed below left. Card Number: xxxx xxxx xxxx xxxx xxxx GuildNet Gold Member Services: 1- 800-815-0000/ TTY 711 Monday through Sunday 8 am to 8 pm Your card will only work for eligible items. Simply swipe your card at time of payment at the regular point-of-sale terminal. Step One - Activation: Your card requires activation prior to use at participating retailers. You can activate your card by calling 1-888-682-2400 or by visiting card services on the web at www.myotccard.com. For assistance with card activation, please contact member services at 1-800-815-0000 / TTY: 711. This information is available for free in other languages. Please contact member services at the numbers listed above. Esta Informacion esta disponible gratis en otros idiomas. Por favor, pongase en contacto con Servicios para Miembros a los numeros indicados arriba. Step Two - Visit a Participating Store: You may use your card at participating stores. You do not need a prescription and do not need to go to the pharmacy window. Remember to take your card with you when you go to any of the listed stores, as you will need the card to pay for your eligible items. Step Three – Pay at the Front of the Store: Take your eligible items and go to the main store check out lanes. When you check out, swipe the card for payment. Eligible items (up to the balance amount on the card) are covered. You can use any remaining balance for another purchase before the end of the month). H6864_MEM14_15 GNG OTC CMS Accepted Welcome to the convenience of the OTC Network Card! Eligible Items Eligible Items, continued Non-Eligible Items Abdominal Supports Acid Controllers Acne Medication Adult Cough, Cold & Flu Adult Pain Relief Allergy & Sinus medications Antacids Antibiotic creams Anti-diarrhea medications Anti-fungal medications Anti-gas medications Anti-itch medications Anti-parasitic Treatments Bandages (band-aids) Contact Lens Care Cough Drops, Sore Throat Denture Products Diabetes Care Accessories Diagnostic Products Digestive Aids Diuretics & Weight Loss Cleansing & Detox Drys (Epsom Salt & Boric Acid in First Aid) Ear Care Elastic Bandages External Pain Relief Eye Preparations First Aid Dressings First Aid Kits & Supplies First Aid Treatments Foot Treatments Hemorrhoidal Preparations Incontinence supplies Interdental, Gum Care, Etc. Laxatives Lip Care Medicated Liquids (Alcohol & Peroxide in First Aid) Medical Support-High Compression Mineral Supplements Nasal/Sinus Nicotine Patches, Gum, Etc. Oral Remedies Orthopedic & Surgical Support Respiratory Treatments Sleep Aids, Stimulants & Motion Sickness Sun Protection (SPF 15+) Stomach Remedies Support Hose-Low Compression Toothbrushes and Toothpaste Urine Testing Vitamins, Multi-Vitamins & Minerals Wart Removal Treatments Weight Control (Tablets, Caps, Etc.) Wound Care-Specialized Alternative medicines; botanicals, herbals, probiotics, and neutraceuticals Baby medicines Chapstick / Lip balm Contraceptives Cosmetic products of any kind Cleansers or soaps Convenience items; scales, fans, magnifying glasses, foot insoles, gloves Dehydration drinks Dry skin moisturizers/lotions Deodorants Dietary supplements Eye and facial makeup preparations Face cream Feminine products Fingernail polish Food products or supplements Grooming devices Hair color / hair products Herbal supplements Lipstick Men’s grooming Mouthwash Perfumes Replacement items; hearing aid batteries, contact lens’ containers Shampoo Teeth whitening products Toiletries of any kind If you have any questions about your GuildNet Gold OTC Card, please visit our website at www.guildnetny.org or call 1-800-815-0000. TTY users call 711. For OTC card services, including checking your balance and finding an accepting retailer call 1-888-682-2400, or go to www.otcmember.com. GuildNet Gold is a HMO SNP plan with a Medicare and New York State Medicaid Contract. Enrollment in GuildNet Gold depends upon contract renewal. Benefits may change on January 1 of each year. C2107_330_MMDDYY
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