Astiva Health OTC Benefits 2027: WEX Card Flex Allowance by Plan

Reviewed November 9, 2026. Astiva Health OTC benefits for 2027 come as a monthly FLEX Benefit Allowance loaded onto the Astiva Health WEX Card, not a separate OTC-only allowance. On the Astiva Health Savings Plan (HMO) 001, H1993-001, the 2027 FLEX allowance is $48 a month ($576 a year) and covers over-the-counter (OTC) items, fitness, extra dental and eyewear. The amount depends on your plan and county, and the two chronic-condition plans add a much larger allowance for groceries and OTC items.

Quick answer: Here is what Astiva’s 2027 Summaries of Benefits show:

• Savings Plan (HMO) 001, H1993-001 (Los Angeles, Orange, Riverside, San Bernardino and San Diego counties): $48 a month, $576 a year.
• Savings Plan (HMO) 011, H1993-011 (Santa Clara County): $77 a month, $924 a year.
• C-SNP Deluxe (HMO) 007, H1993-007 and C-SNP WOW (HMO) 008, H1993-008 (Southern California): $250 and $265 a month for groceries and OTC items, plus a separate allowance for fitness, extra dental and eyewear.
• All of these allowances are marked “Rollover” and are loaded onto the Astiva Health WEX Card. For questions, call Astiva Member Services at 1-866-688-9021 (TTY 711).

Astiva Health OTC 2027 allowance by plan

Astiva Health is a Medicare Advantage HMO that serves parts of California. Its OTC benefit is part of the “FLEX Benefit Allowance” in each 2027 Summary of Benefits. These are the plans whose 2027 OTC amounts we confirmed:

Source: Astiva Health 2027 Summaries of Benefits for plans 001, 011, 007 and 008 (plan year January 1 to December 31, 2027). The Astiva Health Premier Plan (HMO) 012 Summary of Benefits also lists a FLEX allowance that includes OTC items. We could not confirm its dollar amount, so check that plan’s Summary of Benefits. Benefits vary by plan and county, and your plan’s Evidence of Coverage has the full rules.

C-SNP plans and the grocery benefit

Plans 007 and 008 are Chronic Condition Special Needs Plans (C-SNPs). Their 2027 Summaries of Benefits say some benefits are Special Supplemental Benefits for the Chronically Ill (SSBCI). To qualify, “you must have diabetes, chronic heart failure, cardiovascular disorders, chronic kidney disease, or chronic lung disease.” Coverage also depends on meeting the plan’s coverage criteria, and having a listed condition does not guarantee benefits. Check your Evidence of Coverage, or ask Member Services, to see which parts of the grocery and OTC allowance you qualify for.

Astiva OTC benefits: 2026 vs. 2027

The benefit changed shape for 2027. In 2026, Astiva’s Annual Notices of Change described one “Health and Wellness” allowance for fitness, OTC items and dental services combined. In 2027, the FLEX allowance covers OTC, fitness, extra dental and eyewear. On the two C-SNPs, groceries and OTC items get their own larger allowance.

Sources: Astiva Health 2026 Annual Notices of Change (2025 and 2026 columns) and 2027 Summaries of Benefits. In 2026, plan 011 was called “Astiva Health Savings Plan – NorCal 011 (HMO).” For 2027 it is listed as Astiva Health Savings Plan (HMO) 011 and serves Santa Clara County.

What this means for you: if you are on Savings Plan 001, your monthly amount that includes OTC drops from $99 in 2026 to $48 in 2027. The 2027 Summary of Benefits for that plan also lists a $1,000-a-year dental allowance ($500 every six months, rollover) with the Astiva Health Dental Network, and $125 for glasses or contacts every two years through VSP. So some dental and eyewear costs that the 2026 combined allowance used to cover now have separate allowances. If you mostly used the old allowance for OTC items, compare plans before the Annual Enrollment Period ends on December 7, 2026.

How the Astiva Health WEX Card works

Each 2027 Summary of Benefits says the allowance “will be loaded into the Astiva Health WEX Card.” Here are the basics:

• One card, several uses. The same WEX card balance pays for OTC items, fitness, extra dental and eyewear. On plans 007 and 008 it also covers groceries. Spending on one category leaves less for the others.
• Monthly loads with rollover. Each allowance is listed per month and marked “Rollover,” so unused money carries forward. The Summary of Benefits does not say when rolled-over money expires. Allowances like this usually end with the plan year, but check the rule in your Evidence of Coverage or with Member Services.
• Not cash. A plan allowance can only be used for covered items and services. It cannot be withdrawn as cash.

Astiva’s 2027 Summaries of Benefits do not list participating stores, an OTC catalog or an online ordering site. Your member materials and Member Services can tell you where the WEX card is accepted. For a general explanation of how these cards work, see our guide to OTC benefits cards explained for 2027.

How to use your Astiva OTC benefit

1. Confirm your plan. Your member ID card and Annual Notice of Change show your plan name and number, such as Savings Plan (HMO) 001.
2. Find your amount. Use the table above or your plan’s 2027 Summary of Benefits.
3. Activate the WEX card. Follow the instructions that come with the card. If you have not received a card, call Member Services at 1-866-688-9021 (TTY 711).
4. Ask where it works. Ask Member Services which stores and services accept the card for OTC items, fitness, dental and eyewear.
5. Keep track of your balance. The OTC, fitness, dental and eyewear categories share one balance, so check it before large purchases.

Astiva’s 2027 Summaries of Benefits list these Member Services hours: 8:00 a.m. to 8:00 p.m., seven days a week, from October 1 to March 31, and 8:00 a.m. to 8:00 p.m., Monday to Friday, from April 1 to September 30.

What you can buy with Astiva OTC benefits

Astiva has not published a 2027 OTC product list that we could review. Medicare Advantage OTC benefits usually cover non-prescription health items such as:

• Pain relievers, and cold, allergy and digestive remedies
• First aid supplies and bandages
• Dental care items such as toothpaste, toothbrushes and denture care
• Vitamins and some supplements
• Health monitoring items such as thermometers and blood pressure monitors

Your plan decides exactly which items it covers. Ask Astiva before you buy anything you are unsure about. For a longer list of typical categories, see what you can get with an OTC card in 2027. On plans 007 and 008, eligible members can also use the grocery and OTC allowance for groceries.

Checking your Astiva WEX card balance

Astiva’s plan documents that we reviewed do not describe an online balance portal or app for the WEX card. The safest way to check your balance is to call Astiva Member Services at 1-866-688-9021 (TTY 711). Store receipts often show the remaining balance after a purchase. For general tips, see how to check your OTC card balance.

How Astiva compares with other California plans

Several other Southern California Medicare Advantage carriers also put OTC money on a flex card. To compare allowances, see Clever Care OTC benefits for 2027 and the Alignment Health OTC card guide. Compare the whole plan, not only the OTC amount. Doctor networks, drug coverage, copays and the maximum out-of-pocket limit usually matter more. You can compare 2027 plans in your ZIP code with the Medicare Plan Finder on Medicare.gov.

Frequently asked questions

Does Astiva Health have OTC benefits in 2027?

Yes. Astiva’s 2027 Summaries of Benefits include OTC items in a FLEX Benefit Allowance. For example, it is $48 a month on Savings Plan (HMO) 001, H1993-001, and $77 a month on Savings Plan (HMO) 011, H1993-011.

What is the Astiva OTC card called?

Astiva’s 2027 documents call it the Astiva Health WEX Card. It holds the FLEX allowance and, on the C-SNP plans, the grocery and OTC allowance.

Is the Astiva flex card the same as the OTC card?

Yes. There is one WEX card. In 2027 the FLEX allowance on that card is shared between OTC items, fitness, extra dental and eyewear, so it is not a separate OTC-only card.

Does the Astiva OTC allowance roll over?

The 2027 Summaries of Benefits mark the monthly allowances as “Rollover,” so unused money carries forward. They do not say when it expires, so check your Evidence of Coverage.

Can I buy groceries with Astiva OTC benefits?

Only on the plans that list a grocery benefit. In 2027, C-SNP Deluxe (HMO) 007 and C-SNP WOW (HMO) 008 include groceries with OTC items, and you must meet the chronic-condition rules. The Savings Plan FLEX allowance does not list groceries.

Is there an Astiva Health OTC catalog?

We could not find a 2027 Astiva OTC catalog in its published plan documents. Call Member Services at 1-866-688-9021 (TTY 711) and ask for the current list of covered items and where you can use the card.

Sources

• Astiva Health Savings Plan (HMO) 001, 2027 Summary of Benefits
• Astiva Health Savings Plan (HMO) 011, 2027 Summary of Benefits
• Astiva Health C-SNP Deluxe (HMO) 007, 2027 Summary of Benefits
• Astiva Health C-SNP WOW (HMO) 008, 2027 Summary of Benefits
• Astiva Health Savings Plan 001, 2026 Annual Notice of Change
• Astiva Health Savings Plan – NorCal 011, 2026 Annual Notice of Change
• Astiva Health C-SNP Deluxe 007, 2026 Annual Notice of Change
• Astiva Health C-SNP WOW 008, 2026 Annual Notice of Change
• Astiva Health H1993-001, 2026 Evidence of Coverage (Member Services contact)
• Medicare.gov Medicare Plan Finder

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