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Healthy Options Allowance
OTC
Flex Allowance
100

Name at least 4 items that member's can spend their healthy options allowance on

  • Food
  • - Home supplies
  • - Over-the-counter (OTC) products from a national network of retailers
  • - Non-medical transportation
  • - General supports for living (bill pay/rent/mortgage assistance, phone services, internet, and utilities)
  • - Social needs (non-medical transportation)
  • - Aging support and assistive devices
  • - Pest control
  • - Pet supplies
100

What OTC benefits are available to members?


  • - Over the Counter Allowance on the Humana Spending Account Card. Refer to Over the Counter Allowance Overview.
  • - Over the Counter Mail Order benefit (not related to the Humana Spending Account Card). Refer to the CenterWell Pharmacy Over-the-Counter Mail Order Benef
100

What class and intent would you use when member calls about the flex allowance

  •  Classification: Humana Spending Account Card
  • • Intent: Flex
200

To qualify in 2025, can member have their Doctor call and tell us about their chronic conditions?

  • No, for non-SNP plans, Humana requires a medical claim showing a qualified chronic condition dated January 1, 2021, or later.
  • • Once the claim is processed, the benefit effective date can be up to 2 months following the claim process date. The claim file is always pulled on the 10th of the month for the previous month.
200

Is a hard copy or catalog of the retailers available?

  •  No, due to the constant addition of participating retailers, a hard copy isn't available.
  • • Retailers are available on:
  • .
  • - Healthy Benefits Plus App: Click the Stores tab and use your location or enter your ZIP code.
  • - Website: Click the Store Finder link on healthybenefitsplus.com/humana.
200

Is the Flex allowance annually or monthly?

The card is an annual benefit, and the funds expire at the end of the year.

300

Can I use my Healthy Options Allowance for Uber Eats?

Yes, for grocery store delivery of eligible items only.

300

Can the OTC Allowance be used for CenterWell Pharmacy supplies?

  •  Yes, after the member activates the card.
  • • Members can place orders online at CenterWellPharmacy.com or by phone with CenterWell Pharmacy.
  • • If a member wants to place an order for over the counter with CenterWell Pharmacy, transfer the member to CenterWell Pharmacy OTC.
300

Will the Flex allowance be available for 2025?

No, the Flex allowance is no longer offered on any plans in 2025.

400

The Humana Healthy Options Allowance can be used at the following major retailers, name at least 5

  • Winn Dixie
  • - Albertsons
  • - CVS
  • - Food Lion
  • - Kroger
  • - Safeway
  • - Walgreens
  • - Walmart
  • - Publix
  • - Dollar General
  • - Select H Mart stores (confirm via Store Finder)
  • - Meijer (new, confirm via Store Finder)
  • - Save-A-Lot (confirm via Store Finder)
  • - Tops (new)
  • - Schnucks (new)
  • - Sam's Club
  • - Online at CenterWell Pharmacy and walmart.com only
400

Where can you look for some eligible and non-eligible items for the OTC allowance?

OTC Allowance eligible and non-eligible list

400

Can I still spend my remaining funds for 2024?

Yes, Flex funds are available through December 31st, 2024.

500

Are there exclusions?

Yes, delivery from restaurants, alcohol, tobacco, vaping products, and gaming or lottery tickets are excluded.

500

Can an item be eligible at one retailer but not eligible at another retailer?

  • Retailers:
  • .
  • • If an item is eligible at a participating retailer, it's eligible at all participating retailers.
  • • Items are not eligible at non-participating retailers.
  • .
  • Online: Item availability/eligibility may vary.
500

Can I be reimbursed for out of pocket expenses?

  • No, members can't submit a claim for reimbursement for an eligible item that they have already purchased.
  • • If the provider is willing, payment can be made with the flex funds, and the original form of payment can be reimbursed.