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.

2021 Plan Year OTC for Generations and Generation Plus Plans (Beginning January 1, 2021)

This benefit allows for reimbursement of up to $50 every 3 months for over-the-counter drugs included in the Over-the-Counter Formulary, without a prescription.

 

Generations Time Period Limit
(2021) Quarter 1 January - March 2021 $50
(2021) Quarter 2 April - June 2021 $50
(2021) Quarter 3 July - September 2021 $50
(2021) Quarter 4 October-December 2021 $50

2020 Plan Year OTC for Generation Plus Plans (Through December 31, 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.

 

Generations Plus Time Period Limit
(2020) Quarter 1 January - March 2020  $100
(2020) Quarter 2 April - June 2020 $100
(2020) Quarter 3 July - September 2020 $100
(2020) Quarter 4 October-December 2020 $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: 08/21/2020