Frequently Asked CareCard Questions - For Members
What is the CareOregon Advantage CareCard?
The CareOregon Advantage CareCard comes pre-loaded with funds, and has three separate categories of funds, called “wallets”:
- $1,500 to spend on dental services
- In 2023, you get $1,580 ($395 per quarter) to spend on health items and healthy foods. This amount increases to $1,620 ($405 per quarter) in 2024.
- The quarterly amount will be automatically loaded on to your card for you to buy health items and healthy foods at stores like Albertsons, Walgreens, Walmart, Fred Meyer, Farmbox Rx and more.
- Rewards for completing healthy activities for eligible members
- You could earn extra funds added to your card each year, just for making time for your health. Please note: Some screenings or activities are only available to members who meet program conditions or when recommended by a provider.
- Use your CareCard to pay for the dental services that Medicare and Medicaid don’t cover or only partly cover, like crowns, root canals, nightguards and more.
How do I get a CareOregon Advantage CareCard?
Your CareCard will be mailed to you after you sign up for CareOregon Advantage Plus. We will only send you a new card if you report losing it or if we make a change to the program.
Where can I use it?
Your card will come preloaded with $1,500 to spend on dental services with your dental provider. This $1,500 is good for the entire year and can be used to cover services that Medicaid and Medicare don’t cover or only partly cover, like
dentures, crowns, root canals and more.
Your card will also have $395 loaded onto it (increased to $405 in 2024) at the beginning of each quarter, to be spent on health items like cold and flu care, and healthy food items like meat and produce. The CareCard can be used at many pharmacies and retail stores including Rite Aid, Walmart, Walgreens, Dollar General, Fred Meyer, Safeway, Albertsons and more. To find a full list of participating retailers, go to mybenefitscenter.com and log in with your CareCard number. You also can find a list of participating retailers using the OTC Network mobile app. Download the app at Google Play or the iTunes App Store by searching for “OTC Network.”
You can get eligible items delivered to your home at no additional cost through Medline. You’ll need your CareCard number:
- To place an order online, visit athome.medline.com/card
- To place an order over the phone, call 833-569-2330, TTY 711, Monday through Friday, 5 a.m. to 5 p.m.
You will receive your order within two business days after it is processed.
You can also get fresh groceries delivered to your home at no additional cost with Farmbox Rx. You’ll need your CareCard number:
- To place an order online, visit farmboxrx.com/careoregonadvantage
- To place an order over the phone, call 888-416-3589, TTY 711, seven days a week, 7 a.m. to 3 p.m.
Can I save the amount from month to month?
Once you become a member, we will send you a card in the mail with money pre-loaded on it. The $1,500 for dental services will be available to you for the entire year until you use it up.
At the beginning of each calendar quarter (January 1, April 1, July 1 and October 1), money for health items and healthy foods will automatically be added to the same card. Any money left on your card at end of each quarter will expire. It does not carry over to the next quarter. Use the money on the card before the end of each quarter to get the full amount. Go to mybenefitscenter.com for more details.
How do I use it?
When the card comes in the mail, activate it by calling 833-684-8472 or by visiting mybenefitscenter.com. Then, you can go shopping at any participating retailer. Make sure you present your CareCard when you bring your covered items to the checkout counter. Whatever amount you spend on eligible items will be deducted from your card, up to the allowable amount. Any remaining balance will be listed at the bottom of your receipt and can be used up until the next benefit period starts.
Important: You must choose "credit" when the card reader asks how you want to use your card. If you choose "debit," the card will not work!
The CareCard "OTC Network" mobile app
An app for both Android and iPhone makes using this benefit a whole lot easier. You can check your account balance, scan barcodes at retail locations, search the list of eligible items and more. Download the app at Google Play or the iTunes App Store by searching "OTC Network."
What is covered?
Your CareCard covers over 90,000 eligible health items and eligible healthy foods. A searchable list of health items that are covered can be found by following these steps:
- Go to mybenefitscenter.com
- Enter the 19-digit number from the front of your card
- Once you are inside the member-specific area, click on "Product" in the upper blue bar. This will bring up the Eligible Products searchable list.
- From the "Retailers" drop down menu on the right, choose the store where you want to search (like Walgreens, Walmart or Rite Aid).
If you haven't registered your CareCard yet, you can do it at mybenefitscenter.com. If you have any questions, or cannot access a computer, please call Customer Service during business hours and we can help you.
Please note: Some items may be covered under your Medicare or Medicaid coverage. When an item is covered by Medicare or Medicaid, you should not use your CareCard to buy it, because it is covered by other coverage and is not part of your supplemental CareCard benefit. For example, gauze may be covered under Part D when it is being used, by prescription, to inject insulin. Or over-the-counter loratadine, by prescription, may be covered by Medicaid. In these situations, you should present your prescription and your CareOregon Advantage Member ID card at the pharmacy counter.
What is not covered?
Here are some of the items that are not covered with this CareCard benefit. Because this list can change periodically, make sure you always check mybenefitscenter.com.
- Alternative medicines; botanicals, herbals and neutraceuticals
- Baby medicines
- Cosmetic products of any kind
- Cleansers or soaps
- Convenience items; scales, fans, foot insoles, gloves
- Dehydration drinks
- Dietary supplements
- Eye and facial makeup preparations
- Face cream
- Fingernail polish
- Grooming devices
- Hair color / hair products
- Herbal supplements
- Men’s grooming
- Replacement items; contact lens’ containers
- Teeth whitening products
How do I earn rewards for completing healthy activities?
You could earn extra reward funds added to your CareCard each year, just for making time for your health. Simply complete qualifying healthy activities like an annual wellness visit, certain screenings or participating in a qualifying
health program. All healthy activities must be completed by December 31 of every year. Your rewards will be loaded onto your card approximately 30 days after you complete an activity, and you will have 90 days after the end of the
year to spend your rewards.
Complete a health activity from the list below and we’ll take care of the rest. You do not need to fill out any forms or call us. You can check your rewards balance at mybenefitscenter.com, by calling 833-684-8472, or by using the OTC Network mobile app.
|Health Activity||Who Qualifies||Reward in 2023|
|Complete an Annual Wellness Exam or equivalent visit with your provider||All members||$50|
|Complete a Health Risk Assessment by filling out a form on paper or online, or over the phone with a CareOregon Advantage Plus representative||All members||$15|
|Get a flu shot at the pharmacy or from your provider||All members||$25|
|Complete a colorectal cancer screening||Members with a provider's recommendation||$50|
|Complete a bone density screening||Members with a provider's recommendation||$25|
|Complete a mammogram||Members with a provider's recommendation||$50|
|Complete a diabetic eye exam||Members with a diabetes diagnosis||$15|
|Complete an A1c test||Members with a diabetes diagnosis||$15|
|Complete a kidney function test (eGFR and uACR)||Members with a diabetes diagnosis||$15|
|Talk to a pharmacist about your medications treating diabetes and/or hypertension||Members with a diabetes or hypertension diagnosis||$60 ($15 per quarter)|
|Talk to a pharmacist about your medications treating heart disease||Members with certain heart conditions||$60 ($15 per quarter)|
|Get a comprehensive medication review||Members enrolled into the Medication Therapy Management Program||$25|
|Rewards for Everybody|
|Get a flu shot from the pharmacy or
|Complete an Annual Wellness Exam or equivalent visit with your provider||$50|
|Complete a Health Risk Assessment by filling out a form on paper or online, or over the phone with a CareOregon Advantage Plus representative||$25|
|Rewards for Services Recommended by Your Provider|
|Complete a mammogram||$50|
|Complete a colorectal cancer screening||$50|
|Rewards for Members Taking Certain Blood Pressure Medications|
Talk to a pharmacist about your ACE inhibitor or
Angiotensin receptor blocker (ARB)
|$25 each call, up to $50|
Complete one call and fill the drug often enough
to cover at least 80% of the time that you are
supposed to be on this drug
|Rewards for Members Enrolled into the Medication Therapy Management (MTM) Program|
Complete a comprehensive medication review
with a pharmacist
|Rewards for Members Diagnosed with Diabetes|
|Complete a diabetic eye exam||$25|
|Complete a diabetic kidney exam||$25|
|Complete an A1c test||$25|
|Earn all three diabetic rewards||$50|
What if I have questions or want more information?
Take a look at our CareCard handout for more information. Choose a plan year and language below.