To place an OTC order over the phone call:  1-855-350-0074 (TTY 711)

MEMBER SERVICES Contact Line: Please first call the number found on the back of your member ID card for accurate and faster service. 

Gateway Health Plan was founded in 1992 in Pennsylvania. They offer services such as: Disease management, health and wellness programs and preventative care. They offer HMO plans with a Medicare Contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered. They offer two Medicare Assured Plans, Diamond and Ruby in the following areas:

Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bucks
Butler
Cambria
Chester
Clarion
Crawford
Cumberland
Dauphin
Delaware
Erie
Fayette
Forest
Greene
Huntingdon
Indiana
Lancaster
Lawrence
Lebanon
Lehigh
 
Mercer
Montgomery
Northampton
Perry
Philadelphia
Schuylkill
Somerset
Venango
Washington
Westmoreland
York

Their goal is to provide benefits or arrange for benefits to be provided to those who are eligible and enroll or sign up.

What is the Over the Counter Benefit?

It is a supplemental over-the-counter (OTC) benefit that allows members to order OTC medications at no additional cost. It is an allowance provided for Over-the-Counter items. This benefit will help with the cost of necessary health care items that are not covered as a medical or pharmacy expense under your plan. In addition, it can help you save money on a wide selection of products like pain relievers, cold medications, first aid supplies, dental care and much more.

Get access to hundreds of retail wellness products when you use the quarterly over-the-counter allowance. And even better, any unused portion of your quarterly allowance can be rolled over to the next quarter.

Why use the OTC benefit?

  • Save Money — Members can get OTC items they need without spending money out of pocket. Get an allowance per each quarter to use on a wide range of health-related items such as cold remedies and personal care items.
  • Easy Access — OTC orders are delivered straight to members’ homes. No need to drive anywhere.
  • Save Time — One less trip to the pharmacy means members get to spend more time on what matters most.
  • FREE Shipping — There are no shipping or handling fees.

No Extra Costs!

These products are all provided at no extra cost but by using a credit / pre-determined allowance provided under the benefit. The orders will be shipped to their home at no extra charge.

Currently Gateway Health works with Fieldtex to allow their members to take advantage of their OTC benefit. The OTC online program makes it possible for current eligible plan members to easily order items using their home delivery services. Members who are eligible for this health benefit program are able to order over-the-counter products online from the comfort of home by going online, calling an order in or mailing it in. With this supplement benefit, their members can order items such as:

  • Cough and cold allergy medicines
  • Vitamins
  • Medicines for the eyes
  • Pain medicine
  • Products for the stomach and bowel
  • First aid care
  • Hygiene products
  • Mosquito spray
  • Mouth and teeth cleansing products
  • Skin care
  • & a lot more!

These products are all provided at no extra cost when part of an eligible plan. They simply use credits / a pre-determined allowance provided under the benefit. The orders are shipped to their home at no extra charge. There are three ways that members of this program can submit their prescription orders:

  • Eligible members can go online (see below on how to set up an account). This is the fastest, easiest, and most convenient way to order 24/7.
  • Eligible members can call over the phone: 1-855-350-0074 (TTY 711)
  • Order by Mail.

DO YOU QUALIFY?

You will need to make sure you check your plan’s Summary of Benefits of your personal current plan to confirm if a plan offers this benefit. If it does, you must also check the plan’s specific OTC allowance frequency, as it can be either monthly or quarterly. The allowance amount varies and depends on the plan. You may call the number provided at the beginning of this article for direction.

Only some plans include a quarterly allowance. The credits can be used to pay for select over-the-counter medications and supplies, including allergy medication, digestive health treatments, first aid supplies, pain relievers, and more. If your plan includes this benefit, review your Evidence of Coverage to find your exact quarterly allowance amount.

NOTE: please visit the site directly to verify the details and obtain more information. 

  • https://www.gatewayhealthplan.com/medicare/member-tools/medication-benefits/over-the-counter-medications

NOTICE: This information is not a complete description of benefits available. Contact the company directly for more information about their plans.

If you need to access the sign in or registration page, follow the easy steps below. We have provided a quick guide for you to find out how you can sign in to a current account or activate a new online account and gain access to manage it online. Be sure you have your personal information on hand.

What you need to register / sign up to a Gateway Medicare Assured Health Plan account online:

  • Internet Access
  • Member ID information
  • Personal information
  • Email address

Below are the steps you need to follow to register for a new online account and sign in:

  1. Visit: https://www.fieldtex-gateway.com/ in your internet browser on your device.
  2. Click on the red and white “Create account” link located under the “First-time visitor?” section and you will be directed to: https://www.cvs.com/otchs/avmed/register
  3. Type in your Member ID in the field provided. (Found on the front of your ID card.)
  4. Type in your Password in the field provided. (Your password is your birth date in the format “MMDDYY”.)
  5. Click on the blue “LOG IN” button.
  6. Begin managing your online account.

Below are the steps you will need to follow to login to a current account:

  1. Visit: www.fieldtex-gateway.com in your internet browser on your device.
  2. Type in your Member ID in the field provided.
  3. Type in your current Password in the field provided.
  4. Click on the blue “LOG IN” button.
  5. Begin managing your online account.

Important Useful Tips for creating / processing / submitting your order:

  • Expect 7 – 10 days for delivery of in-stock items. You will be notified if an item is out of stock and may take longer for delivery. If mailing your order, please allow 1 week for mail delivery to Fieldtex. Mail orders will be processed the month in which they are received.
  • RETURN POLICY: call Fieldtex Products immediately at 1-800-353-7763 (TTY Hearing Impaired: 711). The item will be exchanged for an identical item at no cost to you. Please note that only damaged products can be exchanged within 30 days of purchase, no other returns are allowed. They will not substitute brand name products with generic products.
  • DELIVERY ISSUES: Gateway Health and Fieldtex Products are not responsible for lost or stolen packages. For delivery issues, please contact your local post office.
  • Limitations and restrictions may apply. Up to 9 items may be ordered from each category per quarter. Diagnostic equipment, including kitchen scales, are limited to 2 like-items per year.

2020 / 2019 Gateway OTC Catalog / Catalogue:

MAIL ORDER FORM:

  • If you are ordering by mail: Please follow the instructions to complete the order form. Mail it to the address listed on the form.

If you still have questions about your plan, you may call the phone number found on the back of your health plan member card.

Gateway Health member services:
PA: 1-800-685-5209
OH: 1-888-447-4505
NC: 1-855-847-6430
KY: 1-855-847-6380