Over the Counter Drug Program

If you are a member in a CHRISTUS Health Plan Generations Plus plan, you have access to an over-the-counter (OTC) pharmacy benefit:

Order Over-the-Counter (OTC) products to be healthy at home

Your OTC Benefit allows you to order from hundreds of useful items that can be mailed directly to your home. There is a wide range of products available and ordering is quick and easy. You can order online by going to our website at ChristusHealthPlanOTC.com, by mailing in the order form provided in your catalog, or by calling us at the OTC Fulfillment Center at 1-877-906-0738 (TTY: 711), Monday - Friday, 8 a.m. - 11 p.m. EST.

2020

This benefit allows for reimbursement of up to $100 every 3 months for over-the-counter drugs included in the Over-the-Counter Formulary, without a prescription.

To obtain reimbursement, you must submit receipts for qualified over-the-counter drugs in the manner below no later than 30 days after the end of the quarter.

  1. Collect receipts for qualified drugs, included in the formulary.
  2. Complete the CHRISTUS Health Plan Generations Plus OTC Member Reimbursement Form.
  3. Send Original receipt(s) and completed CHRISTUS Health Plan Generations Plus OTC Member Reimbursement Form to:

CHRISTUS Health Plan Generations Plus
Attention: Claims - Member Reimbursement
919 Hidden Ridge Drive
Irving, TX 75038

Time Period Submission Deadline Limit
(2020) Quarter 1 January - March 2020 April 30, 2020 $100
(2020) Quarter 2 April - June 2020 July 30, 2020 $100
(2020) Quarter 3 July - September 2020 October 30, 2020 $100
(2020) Quarter 4 October-December 2020 January 30, 2021  $100

Disclaimer
CHRISTUS Health Plan Generations is an HMO plan with a Medicare contract. Enrollment in CHRISTUS Health Plan Generations depends on contract renewal. You must continue to pay your Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Other pharmacies/physicians/providers are available in our network. Medicare beneficiaries may also enroll in CHRISTUS Health Plan Generations (HMO) through the CMS Medicare Online Enrollment Center located at medicare.gov. A sales person will be present with information and applications. This information is available for free in other languages. For accommodations of persons with special needs at sales meetings, call 1-844-282-3026, TTY call 711. Open seven days a week, 8:00 a.m. to 8:00 p.m., local time, from October 1 – March 31, and Monday – Friday, 8:00 a.m. to 8:00 p.m., local time, from April 1 – September 30. A voice response system is available after hours as well as Thanksgiving and Christmas Day. Messages left will be responded to within one (1) business day. CHRISTUS Health Plan Generations (HMO) Contract #H1189.

Notice
CHRISTUS Health Plan does NOT require authorization for in-network behavioral health services. If you have any questions, please call Member Services at: 1-844-282-3026 (TTY, 711)

H1189_MM143 pending approval

Last Updated: 11/05/2019