HealthSpring OTC Catalog 2027: Allowance, Flex Card and How to Order
Updated October 12, 2026. The HealthSpring OTC benefit gives eligible Medicare Advantage members a quarterly allowance on the HealthSpring Flex card to buy over-the-counter health items from the OTC catalog, online at HealthSpringFlex.com, by phone or in participating stores. For 2027, HealthSpring’s Summaries of Benefits keep the quarterly loading and no-rollover rule, but some plans have smaller allowances. For example, HealthSpring Preferred (HMO) H4513-077-001 in Alabama drops from $75 to $30 a quarter.
Quick answer: HealthSpring (formerly Cigna’s Medicare Advantage business, now owned by Health Care Service Corporation) loads OTC money each quarter: January to March, April to June, July to September and October to December. Unused money doesn’t roll over. Order from the catalog at HealthSpringFlex.com or call 1-866-851-1579 (TTY 711). Allowances vary by plan and county, and some 2027 plans have no general OTC allowance.
HealthSpring OTC allowance: 2026 vs. 2027 examples
These amounts come from each plan’s 2027 Summary of Benefits and 2027 Annual Notice of Change, published in fall 2026. They’re examples only; check your own plan.
| Plan (state) | 2026 OTC allowance | 2027 OTC allowance |
|---|---|---|
| HealthSpring Preferred (HMO) H4513-077-001 (Alabama: Jefferson, Shelby, Tuscaloosa and other counties) | $75 every 3 months | $30 per quarter |
| HealthSpring Preferred (HMO) H9725-009-004 (North Carolina: Alamance, Durham, Orange counties) | $40 every 3 months | $30 per quarter |
| HealthSpring Preferred Savings (HMO) H4513-068-002 (Tennessee: Shelby and nearby counties) | See your 2026 Evidence of Coverage | No general OTC allowance; OTC hearing aid kit at a $399 copay |
If you’re a current member, your 2027 Annual Notice of Change shows your plan’s new amount. If the cut matters to you, compare plans during Medicare Open Enrollment, October 15 to December 7, 2026. See Medicare Open Enrollment.
How the HealthSpring OTC benefit works
- Card: Your allowance loads onto the HealthSpring Flex card. The card has no PIN and gives no cash back.
- Schedule: Money loads at the start of each quarter.
- Rollover: Unused money doesn’t carry over to the next quarter or the next year.
- Program administrator: The 2026 OTC booklet names Convey. The 2027 Summary of Benefits doesn’t name a vendor.
- Eligible items: Only items in the OTC catalog or approved at checkout.
Some HealthSpring plans also load rewards or grocery money on the same Flex card. That’s covered in our HealthSpring Flex card guide.
HealthSpring OTC catalog: what you can buy
The OTC catalog lists approved items by category. Medicare OTC catalogs typically include categories such as these (check your plan’s catalog for the exact list):
- Pain relievers, cold and allergy medicine
- Vitamins and supplements
- First aid supplies and bandages
- Dental care such as toothpaste and denture care
- Personal care and incontinence supplies
- Home health items such as thermometers and blood pressure monitors
Use the catalog for your plan year. The 2026 booklet is on healthspring.com; check HealthSpringFlex.com for the current item list. Not sure how OTC cards work in general? Read Medicare OTC cards explained.
How to order HealthSpring OTC items
| Method | How |
|---|---|
| Online | Sign in at HealthSpringFlex.com and use the Shop section. You can scan items with your phone camera to check if they’re eligible. |
| Phone | 1-866-851-1579 (TTY 711), Monday to Friday, 8 a.m. to 11 p.m. ET |
| Send the order form to OTC Servicing Center, PO Box 526266, Miami, FL 33152-9819 | |
| In store | Use the Flex card at participating stores such as Walmart, Walgreens, Dollar General and CVS |
Shipping is free and takes about 5 to 7 business days. Catalog items can’t be returned. HealthSpring’s sources differ on how often you can place delivery orders: the 2026 booklet says one delivery order per quarter, while its extra-benefits page (updated July 2026) says one online, phone or mail order per month, with unlimited in-store use. Ask the OTC line which limit applies to your plan.
Where else can you use an OTC card?
Each carrier picks its own store list. For a cross-carrier look, see Walmart OTC card, CVS OTC benefits and Does Target accept OTC cards? To check what’s left on your card, see how to check your OTC card balance. Comparing carriers? Read Humana OTC and Aetna OTC.
Frequently asked questions
Is there a HealthSpring OTC catalog for 2027?
Yes, 2027 plans that include OTC use a catalog through HealthSpringFlex.com. The item list can change each year, so use the version for your plan year.
Does HealthSpring OTC money roll over?
No. Unused quarterly money expires at the end of each quarter and at the end of the year.
What is the HealthSpring OTC phone number?
1-866-851-1579 (TTY 711), Monday to Friday, 8 a.m. to 11 p.m. ET, according to HealthSpring’s OTC booklet.
Is HealthSpring the same as Cigna?
HealthSpring was Cigna’s Medicare Advantage brand. Health Care Service Corporation (HCSC) completed its purchase of Cigna’s Medicare business in 2025, and the plans continue under the HealthSpring name.
Can I buy groceries with my HealthSpring OTC allowance?
Not with the OTC allowance itself. Some plans add a separate grocery benefit for members who qualify. Check your Summary of Benefits.
Medicare365 is not affiliated with or endorsed by HealthSpring, Cigna, HCSC or any U.S. government agency. Benefits vary by plan and county; check your plan’s Evidence of Coverage or call the number on your member ID card.