Your benefit card is worth hundreds of dollars a year. Most people never use it.

If you have a Medicare Advantage plan, there is a good chance you were given an OTC card, a flex card, or both. Industry estimates suggest roughly 70% of OTC benefits go unused every year. That is real money, and it disappears if you do not spend it.

The short version: Your plan gives you an allowance for everyday health items, and sometimes groceries, dental, vision, or utilities. Most allowances expire monthly, quarterly, or yearly. Use it or lose it.

Start here

What can I buy with my OTC card?

The full list of what typically qualifies, what never does, and how to check your own plan's catalog.

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Where can I use my card?

Walmart, CVS, Walgreens, online stores, and why your card gets declined at some registers.

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Flex cards, explained honestly

What a flex card really is, what the TV ads get wrong, and how to avoid flex card scams.

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Bigger benefits people miss

Hearing aid allowances and safety devices your plan may help pay for.

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Why this site exists

These benefits are genuinely confusing: every plan has its own card, its own catalog, its own rules, and its own expiration schedule. Insurance companies send the card in the mail with a booklet most people never open. Then billions of dollars in benefits quietly expire.

This site was created by someone who spent nearly 20 years inside the Medicare Advantage industry, watching members leave money on the table year after year. Every guide here is written in plain English, with no insurance jargon, and none of it requires you to buy anything or change your plan.

Three rules that solve most problems

  1. Activate the card the day it arrives. Many cards do not work until you call the number on the sticker or register online.
  2. Learn your expiration schedule. Monthly and quarterly allowances usually do not roll over. Put a reminder on your calendar for the last week of each period.
  3. Check your plan's catalog before you shop. Every plan has an approved item list. Two minutes of checking saves you an embarrassing moment at the register.

Latest guides

Why your grocery allowance shrank for 2027

Grocery allowances are not the same as your OTC card, and more 2027 ANOCs are cutting them. Here is what to check.

Read the guide →

What happens to unused OTC dollars?

Most allowances do not roll over. The 2026 use-it-or-lose-it rules, how to check your balance, and what to do before dollars expire.

Read the guide →
Who writes this site?

OTC Card Answers is written and reviewed by a healthcare operations professional with nearly 20 years of experience in Medicare Advantage and Medicaid plans, including work on supplemental benefits and member experience. Read more on the About page.