Choose from the four topics below to find answers to our most frequently asked questions about each benefit. If you still have questions, give us a call at 1-877-273-IEHP (4347).
IEHP DualChoice (HMO D-SNP) Vibrant Health Program
Your Over-the-Counter Benefit and How it Works:
Quarterly Funding Dates
Available On: | Expire On: |
| January 1, 2025 | March 31, 2025 |
| April 1, 2025 | June 30, 2025 |
| July 1, 2025 | September 30, 2025 |
| October 1, 2025 | December 31, 2025 |
To Find a Participating Store Near You
Frequently Asked Questions:
- Benefits Card
- Over-the-Counter
- Utilities Benefit
- Healthy Meals
If you qualify for the utilities benefit, you can use the same card for both benefits
Call the phone number 1-833-442-5674 on your card and follow the instructions. If you need help, please call the IEHP DualChoice member services.
You can check your balance on the IEHP Secure Member Portal at IEHP.org.
1. Log on to the Secure Member Portal at IEHP.org
- Click on Health & Wellness
- Click on Vibrant Health
2. Download the OTC Network – My Benefits Center app and register for an account
3. Call the Vibrant Health Card automated telephone system at 1-833-442-5674
Call IEHP DualChoice member services at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-IEHP (4347).
You can purchase health and wellness products, like allergy, sinus, cold and flu, pain relief, dental and oral health, diabetes care, digestive health, eye and ear care, skin and foot care, sleep aids, smoking cessation, supports, braces and wraps, COVID-19 over-the-counter tests and more.
| Eligible? | Category? | Examples of Items/Drugs Included in this Category |
|---|---|---|
| Eligible | Fiber supplements | Pills, powders and non-food liquids that supplement fiber in the diet |
| Eligible | First Aid supplies | Adhesive bandages, gauze and other dressings, antibacterial ointment, peroxide, thermometers, non-sport tapes |
| Eligible | Incontinence supplies | Diapers, pads |
| Eligible | Medicines, ointments and sprays with active medical ingredients that lessen symptoms | Antacids, analgesics, anti-bacterials, anti-histamines, anti-inflammatories, antiseptics, decongestants, sleep aids |
| Eligible | Topical Sunscreen | |
| Eligible | Supportive items for comfort | Compression hosiery, rib belts, elastic knee support |
| Eligible | Mouth care | Toothbrushes, toothpaste, floss, denture adhesives, denture cleaners and gum stimulators |
Your Part B or Part D benefit may cover some items. If that’s the case, your OTC benefit would not cover the item since Medicare would cover it.
For example, Part B covers gauze when it’s being used for surgical wound dressing changes.
| Eligible? | Category? | Examples of Items/Drugs Included in this Category |
|---|---|---|
| Non-eligible | Alternative medicines | Homeopathic and alternative medicines including botanicals, herbals, probiotics and nutraceuticals |
| Non-eligible | Baby items | Diapers, formula |
| Non-eligible | Contraceptives | Birth control pills, spermicide, prophylactics |
| Non-eligible | Convenience and comfort | Scales, fans, magnifying glasses, ear plugs, insoles, arch supports and gloves |
| Non-eligible | Cosmetics | Mouthwashes, bad breath remedies, deodorants, lip soothers, grooming devices, skin moisturizers, teeth-whiteners |
| Non-eligible | Food product or supplements | Sugar / salt supplements, energy bars, liquid energizers, protein bars, power drinks |
| Non-eligible | Replacement items, attachments, peripherals | Hearing aid batteries, contact-lens containers, etc. when not factory packaged with the original item |
You can download the OTC Network - My Benefits Center and use the product scanner to scan items you are unsure about.
All products are subject to each store’s return/exchange policies. The value of the return items will be credited to your OTC account.
Your OTC benefit cannot be used to purchase Part B or Part D covered prescription drugs. Your DualChoice benefits cover formulary prescription drugs at zero copay.
OTC items may only be purchased for the enrollee, not for family members or friends.
Dual-purpose items are items that can be used for either a health issue, medical condition, or for general health and well-being. Please talk to your doctor before buying these items to see if they recommend the item for a specific diagnosed condition.
| Eligible? | Category? | Examples of Items/Drugs Included in this Category |
|---|---|---|
| Dual Purpose | Minerals and vitamins | |
| Dual Purpose | In home testing and monitoring | Equipment to check blood pressure, cholesterol, blood sugar, to test for pregnancy, HIV, fecal occult blood. Bathroom scales may be covered for members with CHF or liver disease to track fluid retention |
| Dual Purpose | Hormone replacement | Phytohormone, natural progesterone, DHEA |
| Dual Purpose | Weight loss items | Appetite suppressants, fat absorption inhibitors, food scales |
IEHP has partnered with CVS Health for mail order OTC items.
1. Log on to the Secure Member Portal at IEHP.org
- Click on Health & Wellness
- Click on Vibrant Health Card
2. Download the OTC Network – My Benefits Center app and register for an account
There is no transaction limit on the number of orders you can place, so long as the items are eligible and the available OTC balance is sufficient. What matters is that the items are eligible, and your OTC balance is enough the cover the total.
No, there are no applicable shipping or service fees/charges.
Yes. You will receive and get an email with: order number, delivery address, tracking number and a list of items within the order. A valid email address must be used at check out to receive email notifications for the orders.
- Order number
- Delivery address
- Tracking number
- List of items within the other.
A valid email address must be used at check-out to get emails about your order status.
To find out if you qualify, call IEHP DualChoice member services at 1-877-273-IEHP (4347), 8am-8pm, 7 days a week, including holidays. TTY users should call 1-800-718-IEHP (4347).
You can use your Vibrant Health Card when making payments over the telephone, in person, or online.
Utility expenses include Electric, gas, sanitation, and water services within San Bernardino and Riverside Counties.
No, you must make utility payments directly through the service provider. Payments can be made online, onsite, or by phone.
Set up an online account with Mom’s Meals to place your order. You’ll need an email address.
Your healthy meal allowance does not roll over from month to month
You may change or skip an order by 10am the business day before the order is scheduled to ship.
If you are going to be away from home, you may change or skip an order by 10am the business day before the order is scheduled to ship. You will need to restart delivery when you return.
No. Meal deliveries will only be made to the home address on file.
The minimum order is 14 meals per seven-day period.
You can cancel this program at any time on the Mom’s Meals website within your account settings or by calling 1-877-347-3438.
*Dual-purpose items can be used for both medical conditions and general health. But you need to talk to your doctor before buying these items.
** Your Part B or Part D benefit may cover some items. If that’s the case, your OTC benefit would not cover the item since Medicare would cover it.
For the Utilities benefit, you must have at least one chronic condition such as (cardiovascular disorders, chronic and disabling mental health conditions, chronic lung disorders, diabetes mellitus, and neurologic disorders) and meet other criteria to qualify. There may be other eligible chronic conditions that are not listed. For information on additional eligible chronic conditions see your Member Handbook. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. Please see your Member Handbook for more information. Medicare approved IEHP DualChoice to provide this benefit as part of the Value Based Insurance Design program. This program lets Medicare try new ways to improve Medicare Advantage plans.
For the Healthy Meals benefit, you must have both diabetes and cardiovascular disease and meet other criteria to qualify. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. Please see your Member Handbook for more information. Medicare approved IEHP DualChoice to provide this benefit as part of the Value Based Insurance Design program. This program lets Medicare try new ways to improve Medicare Advantage plans.
IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Enrollment in IEHP DualChoice (HMO D-SNP) depends on contract renewal.
Information on this page is current as of October 15, 2024.
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