OTC Benefits Administered By Fieldtex

Medicare Advantage Over The Counter Benefits Administered By Fieldtex

Pricing Request Form

Our Over The Counter Benefit Specialists can calculate the approximate cost of your Custom Supplemental OTC Benefit Program Per Member Per Month (PMPM) or Per Member Per Quarter (PMPQ) using the information below.

  • We will email you with your estimated PMPM or PMPQ cost.
  • How many members are you considering offering an OTC Benefit to?
  • How much money are you planning to offer per Benefit Cycle?
  • In order to calculate OTC Benefit Cost per member, we need your benefit frequency.
  • What states are your members located in.
  • This field is for validation purposes and should be left unchanged.