IR_150810_141637 UHCSCO_150810_141637 Part of your UnitedHealthcare ® Senior Care Options health plan. July 2016 Health Products Benefit Use your Benefit Credits today. Get the health care products you may need at no cost to you. FirstLine Medical is the supplier of all products within this mailing. UnitedHealthcare Insurance Company manages FirstLine Medical through its affiliate OptumRx. UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. 0716 Two ways to order today: Call FirstLine Medical Customer Service toll-free: 1-866-837-4633 TTY: 711 8 a.m. — 8 p.m. ET, Monday — Friday 8 a.m. — 5 p.m. ET, Saturday Customer Service Representatives for alternative languages are available to take your call. Complete the order form and place it in the postage-paid envelope and mail. No postage is needed if you use the envelope included. 30MA2016
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IR_150810_141637UHCSCO_150810_141637
Part of your UnitedHealthcare® Senior Care Options health plan.
July 2016
Health Products BenefitUse your Benefit Credits today.Get the health care products you may need at no cost to you.
FirstLine Medical is the supplier of all products within this mailing. UnitedHealthcare Insurance Company manages FirstLine Medical through its affiliate OptumRx.
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year.
0716
Two ways to order today:
Call FirstLine Medical Customer Service toll-free:
1-866-837-4633 TTY: 711 8 a.m. — 8 p.m. ET, Monday — Friday 8 a.m. — 5 p.m. ET, Saturday
Customer Service Representatives for alternative languages are available to take your call.
Complete the order form and place it in the postage-paid envelope and mail. No postage is needed if you use the envelope included.
30MA2016
The Health Products Benefit Catalog is a Medicaid Supplemental Benefit.
Get health productsyou may need.Your health plan gives you Benefit Credits to order personal health care products from this catalog. Each quarter you’ll receive Benefit Credits. Benefit Credits add up each quarter, but expire at the end of the year. Place your order today. Your order will be delivered right to your shipping address.
It’s simple:• No out-of-pocket costs when you use your Benefit Credits
• No charge for shipping, handling and taxes
• Easy to order by phone or mail
• Items offered under this plan benefit may only be used by the plan member
Two ways to order:
Call FirstLine Medical Customer Service toll-free:
1-866-837-4633 TTY: 711 8 a.m. — 8 p.m. ET, Monday — Friday 8 a.m. — 5 p.m. ET, Saturday
Customer Service Representatives for alternative languages are available to take your call.
Complete the order form and place it in the postage-paid envelope and mail. No postage is needed if you use the envelope included.
Contact Lens CaseFor storage and cold disinfection of hard and soft lenses.
4808 $4.00 1.5 oz.
Antiperspirant Roll-on
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The health information provided in the catalog is general in nature and is not medical advice or a substitute for professional health care. It is provided for your information and convenience only. UnitedHealthcare Insurance Company (UHIC) does not guarantee the accuracy or completeness of the information, and does not recommend or endorse the products which are referenced in the catalog.
This catalog contains a listing of all products offered through FirstLine Medical. Benefit Credit amounts vary by health plan and some products in this catalog may not be available to all members.
Note: Your Health Products Benefit only covers items listed in this catalog.
If your item is not in stock, an item of similar or greater value may be substituted in your order.
Exchange Policy: If you receive a damaged item, please call FirstLine Medical immediately. The item will be exchanged for an identical item at no cost to you. Please note: Only damaged products can be exchanged within 30 days of purchase, no other returns are allowed.
4517 $2.00 Tweezers
4530 $1.00 Nail Clippers
3074 $6.00 12 fl. oz.
Daytime Multi-Symptom ReliefCompares to DayQuil® Cold & Flu. May help relieve severe cold symptoms.
3001 $6.00 20 caplets
Day/Night Combo PackCompares to Tylenol® Cold Multi-Symptom Day & Night. 12 daytime/8 nighttime caplets.
2972 $5.00 3.53 oz.
Medicated Chest RubCompares to Vicks® Vaporub®.
3069 $7.00 Day (Berry) 6 ct. 3077 $7.00 Night (Honey Lemon) 6 ct.
Flu & Severe Cold & Cough PacketsCompares to Theraflu®.
3089 $50.00 Steam Inhaler
Personal Steam InhalerSoothing steam penetrates nasal, sinus and throat passages.
3082 $3.00 2 packs of 30 dropsHoney Lemon Regular 3081 $4.00 2 packs of 25 drops Black Cherry Sugar-free
Cough Drops Regular or Sugar-FreeCompares to Halls®.
3119 $5.00 6 oz. Menthol2943 $5.00 6 oz. Cherry
Sore Throat Spray — Sugar-FreeCompares to Chloraseptic®. For temporary relief of minor sore throat and mouth pain.
2837 $5.00 18 lozenges
Sore Throat LozengesCompares to Cepacol®. Cherry flavor.
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5507 $40.00 Talking Ear and Forehead Thermometer Speaks in 6 languages. 1 second result. 2 AAA batteries included.
2698 $14.00 Clear 30 ct.
Curad® Nasal StripsStrips may relieve nasal congestion and reduce snoring. One size fits most.
1612 $12.00 60 caplets
Dairy Aid Compares to Lactaid®. May help prevent gas, bloating or diarrhea.
5470 $8.00 Digital ThermometerLCD display.
3355 $12.00 100 tablets
Mucus Relief May help relieve chest congestion. Thins and loosens mucus.Pe
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184813 $6.00 14.2 fl. oz.
Dandruff Shampoo Plus Conditioner Compares to Head & Shoulders® 2 in 1 Classic Clean.
4820 $5.00 12 fl. oz.
ShampooWaterfall Mist. Infused with watermint extract and vitamin E. Hypo-allergenic.
4790 $5.00 12 fl. oz.
ConditionerWaterfall Mist. Infused with watermint extract and vitamin E. Hypo-allergenic.
4833 $6.00 16 fl. oz. Fresh Scent4847 $6.00 16 fl. oz. Peach Scent
Interplak® OptiClean™ Rechargeable ToothbrushExclusive triple-clean heads for cleaning, polishing and gum care. 2 brush heads included.
4984 $7.00 2.4 oz.
Super Poligrip® Denture AdhesiveZinc-free. Original.
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4901 $2.00 Denture CupRound denture cup with translucent lid. 3.75" diameter x 2" high. 8 ounce capacity.
5063 $3.00 Each
Tongue Cleaner May help improve oral hygiene.
4968 $3.00 Each
Denture BrushColors may vary.
5059 $1.00 .15 oz.
Moisture Lip Balm SPF 15 Compares to ChapStick®.
1703 $8.00 Each
Deluxe Pill Organizer Dispenses four times a day: morning, noon, evening and bedtime.
1902 $13.00Medium 1930 $13.00Heavy
Exercise BandsMay help improve strength, coordination and range of motion. Includes 1 roll, 6" wide x 6 yards long.
Extra-Soft (yellow)Soft (red)
Medium (green)Firm (blue)
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1683 $2.00 Each
Pill Box 7-day medication organizer. Ideal for daily need of multiple pills. Covers indicate day of week. Brightly colored to locate easily.
1669 $17.00 Pocket PedometerTracks number of daily steps. Records distance and calories burned. Easy-to-read display. 7-day memory.
1644 $8.00 Hand ExerciserMay help improve grip and dexterity. Specify
resistance strength when ordering.
5082 $10.00 1.5 fl. oz.
Biotene® Dry Mouth SprayComplete oral moisturizer for maximum hydration. May help refresh, moisten and keep mouth odor-free.
5132 $10.00 4.3 oz.
Biotene® Dry Mouth ToothpasteReduces bacteria and aids healing of gums. May help prevent cavities.
Mouth MoisturizerWater-based formula soothes and moisturizes lips and oral tissue with vitamin E and coconut oil.
5074 $6.00 .5 oz.
1012 $2.00 2 fl. oz. 5106 $9.00 16 fl. oz.
Dry Mouth Oral RinseMint flavor.
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5018 $3.00 2 pack
Medicated Lip Treatment Compares to Carmex®.
4985 $2.00 100 yards
Dental Floss — Waxed Mint
4848 $12.00Oral Care SystemTwenty oral swabs, a 2-oz. bottle of Biotene® rinse, five packets of mouth moisturizer gel, and a medicine cup.
5095 $5.00 4.3 oz.
Sensitive ToothpasteCompares to Sensodyne®.
5066 $2.00 5.5 oz.
Aim™ Mint Gel
4890 $3.00 16 fl. oz.
MouthwashAlcohol-free.
5083 $2.00 5.5 oz.
Pepsodent® Toothpaste
3003 $4.00 .33 oz.
Oral Pain Relief Gel Compares to Orajel®.
4878 $3.00 90 count
Interdental Flossups May help reduce plaque buildup.Mint flavor.
4926 $8.008 count
Interdental Gum BrushesReusable microfine bristles help remove plaque. Gentle on sensitive gums.
4806 $7.00275 count
BrushPicksSafely removes food debris. May help stimulate gums.
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7023 $10.00 8 oz.
Remedy® Cleanser No Rinse Foam Multi-purpose cleanser that cleans and conditions skin.
7060 $4.00 4 oz.7062 $8.00 14 oz.
Soothe & Cool® Cornstarch Body Powder Absorbs moisture and odor.
1097 $5.00 8 oz.
Soothe & Cool® Unscented No Rinse Cleanser Cleansing spray for sensitive skin. Sweat-resistant. Hypoallergenic.
7041 $13.00 4 oz.
Remedy® Calazime™ Skin Protectant Nourishing barrier paste protects skin and may help treat diaper rash and cracked skin. Non-allergenic. Active Ingredients: Menthol 0.2% and Zinc Oxide 20%.
7052 $4.00 48 count 7076 $8.00 100 count
Aloetouch® Personal Cleansing Wipes Durable wipes with a touch of soothing aloe. pH-balanced, hypoallergenic and alcohol-free. Do not flush in toilet.
5912 $8.00 4 oz.
Remedy® Z-Guard® Skin Protectant PasteMay help relieve chapped or cracked skin, minor cuts, scrapes and burns. May help treat incontinence-related skin conditions. Active Ingredients: White Petrolatum 57% and Zinc Oxide 17%.
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5275 $2.00 200 count
Cotton BallsSoft, white and absorbent.
5265 $3.00 300 count
Cotton SwabsDouble-tipped.
Epsom Salt Multi-use product. Most commonly used as an aid in soaking minor sprains and bruises.
5373 $3.00 16 oz.
5389 $5.00 .5 oz.
After Bite ReliefTemporary relief of pain and itching due to bites from mosquitos, flies, fleas, chiggers, ticks, and other biting insects.
First Aid Kit Includes bandages, tape, gauze, exam gloves, cold pack, tweezers and cleansing towelettes.
5150 $12.00
5166 $7.00 1.35 oz.
Spray BandageForms a protective seal over wounds. Quick-dry formula is flexible, breathable and stays on hard-to-cover areas. Cannot ship to P.O. boxes.
5664 $4.00 200 prep pads 5672 $3.00 16 fl. oz.
Isopropyl AlcoholFirst aid antiseptic. Cannot ship to P.O. boxes.
Adhesive Bandages Long lasting, sure-stick adhesive stays secure even when wet.
5191 $2.00 2" x 5 yds5193 $2.003" x 5 yds 5197 $3.00 4" x 5 yds 5199 $3.00 6" x 5 yds
Elastic Bandage Latex-free bandage with velcro closures. Breathable bandage with compression and stretch.
4750 $64.00 Open 4739 $70.00 Closed
Size HipsS 30"–38"M 36"–44"L 40"–48"
XL 44"–56"XXL 48"–60"
Hip Protector Open or ClosedSeamless brief made of 100% soft textile. Washable. Color: White. Measure hips at widest point to size. Unisex.
Specify size when ordering.
4629 $12.00 Each
4689 $12.00 Each
Specify size when ordering.
4744 $23.00 Each
4630 $10.00 Each
Specify size when ordering.
Size WristS 5"–6"M 6"–7"L 7"–8"
XL 8½"–10"
Size KnuckleS up to 31⁄₄"M up to 33⁄₄"L up to 41⁄₄"
Wrist Compression May help support a weak or injured wrist. Fits either right or left hand. Latex-free. Measure around wrist to size.
Thumb Brace For arthritis and tendonitis. Keeps thumb in neutral position. Fits right or left hand. Latex-free. Made with neoprene, nylon and elastic.
Carpal Tunnel Brace May help relieve wrist pain. Cotton Lycra® ErgoBeads™ cushions and protects. Can be frozen for additional relief. Reversible to fit left or right hand. Measure across knuckles to size.
Carpal Tunnel Night Brace May help with carpal tunnel syndrome, forearm tendinitis and arthritis. Fits left or right hand. Latex-free. One size fits most.
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5298 $5.00 1" x 10 yds.5290 $7.00 2" x 10 yds.
Cloth TapeA strong cloth tape for general purpose bandaging.
5314 $2.00 10 sponges (4" x 4")
Gauze SpongesSterile, soft and absorbent. May be used for cleansing, covering cuts, scrapes and minor burns.
5316 $3.00 3 rolls
Gauze RollsSterile wrap for securing dressings. Contains 3 rolls, 4" x 75" each.
1135 $12.00 1 mask
Pain Relief MaskIdeal for relief of headaches, sinus pain, tired and puffy eyes.
5355 $9.00 7" ice bag
Ice Bag Ice bag is an ideal cold therapy for ankles, knees, elbows and thighs.
5317 $5.00 4 pads
Heated Pain Relief Pads Fast-acting heat provides 12 hours of pain relief. Adhesive backing for peel and stick placement. Disposable, single use. Do not adhere pad directly to skin, adhere to clothing only.
5309 $6.00 5 patches
Extra Strength Cold & Hot Pain Relief Therapy Patch Compares to Icy Hot® Patch. For temporary relief of minor aches and pains of muscles and joints.
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5331 $8.00 2 pack
Reusable ColdHot PackGel-filled pack provides hot or cold pain relief.
5367 $13.00 Warm or Cold Water Bottle — Rubber LatexMay help soothe aches and pains.
4640 $36.00 Each
Specify size when ordering.
Size Knee CapS 13"–14"M 14"–15"L 15"–16"
XL 16"–18"XXL 18"–20"
Knee Brace Four-way stretch, 1/8" neoprene material provides uniform compression. Removable U-Buttress can be positioned in the superior or inferior position. Measure around the knee cap with a straight leg to size.
4635 $18.00 1 pair
4613 $10.00 Each
4602 $12.00 Each
4671 $12.00 Each
Specify size when ordering.
Specify size when ordering.
Specify size when ordering.
Specify size when ordering.
Size Ankle JointS 7"–9"M 9"–11"L 11"–13"
Ankle Support Contoured compression provides flexibility and support. Fits either foot. Open heel. Made with four-way stretch neoprene. Measure around ankle joint to size.
Size KnuckleS up to 3⅛"M up to 3½"L up to 4"
Size ForearmS 7"–9"M 9"–11"L 11"–13"
XL 13"–15"
Size Mid-ThighS 14"–16"M 16"–18"L 18"–20"
XL 20"–22"XXL 22"–24"
Arthritis Gloves May help relieve arthritis hand pain and swelling. Provides mild compression to enhance blood circulation. Cotton lycra. Measure across the knuckles to size. One pair.
Elbow Support Knitted elastic provides moderate compression. Fits either elbow. Latex-free. Made with neoprene. Measure around forearm to size.
Curad® Pull-Over Knee Support Provides moderate compression. Made with latex-free elastic. Measurethigh circumference 6" above mid-knee capwith leg straight to size.
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5333 $21.00 Ankle/Elbow/Knee Therapy Brace Hot & Cold Use for sprains, strains, arthritis, tendonitis and bursitis.
5294 $5.00 .5 oz.
Sport Sunscreen Stick SPF 50 Broad spectrum UVA/UVB sun protection. Water- and sweat-resistant. Hypoallergenic.
5695 $7.00 8 oz. SPF 30 5697 $9.00 8 oz. SPF 50
Sunscreen Lotion Compares to Coppertone® UVA/UVB protection. Water-resistant.
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5341 $25.00 Wrist Therapy Brace Hot & Cold Use for sprains, carpal tunnel, arthritis and tendonitis. Fits left or right wrist and includes a removable splint.
5882 $7.00 8 oz.
Sunburn ReliefAloe and lidocaine gel may help cool, soothe and relieve sunburn pain.
5707 $6.00 16 oz.
Aloe VeraMay help soothe and cool skin.
4628 $35.00
4611 $34.00Each
4562 $20.00 1 pair Arm4597 $20.00 1 pair Leg
Specify size when ordering.
Size Hip CircumferenceL 34"– 38"
XL 38"– 42"XXL 42"– 46"
Size Ankle CircumferenceS 16"M 17"L 19"
XL 23"
Back Support with Suspenders Helps protect back during lifting. Heavyweight elastic side panels provide compression to abdomen and lower back. Suspenders distribute weight evenly.
Curad® Back Support Two 4" side pulls provide compression and support. Overlapping front closure provides support in the abdominal area. Latex-free elastic. Fits waist sizes 33"–48".
Heelbo® Heel and Elbow Protector May help reduce pressure, shear and friction. Flexible, stretch weave for comfortable fit. Air-cushioned, contoured foam pad reduces rolling and binding. Machine washable. Colors may vary.
Protective Arm or Leg Sleeve Provides mild compression and protects fragile skin from everyday scrapes, shearing and bumps.
4619 $15.00 1 pair
Specify size when ordering.
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1170 $6.00 4 oz.5736 $12.00 8 oz.1181 $15.00 16 oz.
Remedy® Nourishing Skin CreamMay help soothe red, sore or irritated skin.
5696 $5.00 2 oz.5685 $9.00 4 oz.5687 $25.00 32 oz.
Remedy® with Olivamine® Skin Repair CreamAnti-bacterial non-greasy formula.
5632 $17.00 4 oz.
Vein Healing CreamMay help diminish the appearance of varicose veins, spider veins and broken capillaries.
5667 $17.00 4 oz.
Pain Relief CreamMay help with pain relief for feet and heels, arthritis, joints, sore muscles and shingles. Fragrance-free.
5740 $8.00 4 oz.
Remedy® HydraGuard® Skin Repair Cream May help with red, cracked and scaly skin while soothing dry, itchy skin.
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5774 $8.00 Firm-Wrap Short Stretch Compression BandageProvides compression and high resistance to stretch. 3.15" x 5.47 yards. 100% cotton. Latex-free. Machine wash and dry.
5834 $6.00 Lamb’s Wool Padding Compares to Dr. Scholl’s®. Protects tender areas between toes and soft corns.
Jobst® Sensifoot™ Diabetic Socks Non-binding tops stay up. Acrylic padding provides cushioning and helps keep feet cool and dry. Anti-microbial finish helps prevent bacteria and fungi on sock. Made of acrylic, nylon and spandex.Colors: Black or White
Curad® Knee High Stockings Controlled compression may help circulation and reduce leg fatigue. Colors: Black or Tan
Jobst® Thigh High Stockings — 8–15 mmHg Controlled compression may help circulation and reduce leg fatigue. Mild compression. Colors: Black or Beige
Curad® Compression Dress Socks 8–15 mmHg Controlled compression may help circulation and reduce leg fatigue. Over the calf style. Color: Black
Specify color and size when ordering.
Specify color and size when ordering.
Specify color and size when ordering.
Specify size when ordering.
Size Women’s Shoe Size
Men’s Shoe Size
S 7–9 6–8M 9½–11 8½–10L 11½–13 10½–12
XL 12½–14
Size Women’s Shoe Size
Men’s Shoe Size
S 6–8½ 6–8M 9–10½ 8½–10L 11–13 10½–12
Size Women’s Shoe Size
Men’s Shoe Size
S (A) 6–8½ 6–8M (B) 9–10½ 8½–10L (C) 11–13 10½–12
XL (D) 11–13 (XL Calf) 12–14
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116070 $2.00 Women’s6061 $2.00 Men’s
Air Foam Insoles Compares to Dr. Scholl’s®. Trim-to-fit sizing. 1 pair included.
6013 $13.00 Women’s6111 $13.00 Men’s
Massaging Gel Insoles Compares to Dr. Scholl’s®. Trim-to-fit sizing. 1 pair included.
Toe BuddyCushions, protects and keeps toes in their correct position for all-day comfort. Interchangeable for right or left foot. Washable, reusable. One size fits most.
5844 $18.00 4 pack
Bunion GuardSoft gel shield cushions and protects sore bunions from pressure and friction. Washable and reusable. Interchangeable for left or right foot. One size fits most.
5801 $10.00 1 guard
Toe ProtectorMay help to relieve ingrown nails, corns, hammer toes and toe tips.
5823 $7.00 S, L, XL
Specify size when ordering.
Hammer Toe CrestMay help relieve pressure and pain on toe tips. One size fits most.
