Aetna Nations Benefits Card Activation: The Aetna NationsBenefits card is a benefit card given to eligible Aetna Medicare members. It can help pay for approved over-the-counter health products and, on some plans, other items such as healthy food or personal care products. The exact benefits depend on the Aetna plan you have, so not every member gets the same allowance or spending options.
In 2026, Aetna mainly refers to this benefit as the Aetna Medicare Extra Benefits Card. Some plans use an OTC Wallet, while others may also include an Extra Supports Wallet. You should check your plan documents to see which benefits are included with your card.
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Aetna Card Activation in 2026
A new card needs to be activated before you can use it. Aetna says the card that arrives by mail will include instructions showing the phone number, website or app you should use for activation. Depending on the plan, activation can be done by phone, through the website or with the CVS OTC Health Solutions app.
The older Aetna NationsBenefits activation page, Aetna.NationsBenefits.com/activate, should not be treated as the current universal activation page. The Aetna NationsBenefits website now states that benefits are no longer accessible there and tells members to contact their health plan.
- Visit https://www.aetna.com
- Go to the official website to begin the activation process.
- Fill in the required personal details, including your member ID and card number.
- Follow the on-screen instructions to activate your card.
For a 2026 Aetna Medicare Extra Benefits Card, use the activation instructions that came with your card. After activation, you can sign in through the service listed for your plan and check your available benefit amount.
Check Aetna Card Balance and Available Benefits
Your card balance depends on your plan and benefit wallet. The allowance can be used only for approved products and services covered by your plan. Some members may have an OTC allowance, while eligible members can also have an Extra Supports Wallet for categories such as healthy foods, personal care items, transportation or utilities.
To check your balance:
- Sign in to your Aetna member account to view your current balance.
- Use the benefit service linked to your plan to check your available amount.
- Check your plan’s Evidence of Coverage for benefit details.
- Look at your benefit catalog to see which products are covered.
- Check the catalog to find out how much you can spend and which items are eligible.
Keep in mind that benefit amounts can expire. Aetna says unused OTC allowances do not carry over to the next benefit period. The exact timing can vary by plan, so checking your plan documents is important.
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MyBenefits App and OTC Shopping
Older Aetna NationsBenefits plans used the MyBenefits app for tasks such as checking benefits, finding stores and checking whether an item was eligible. Users could open the Barcode Scanner, point their phone at the full UPC barcode and check the product.
Some older plans also allowed members to shop at participating stores by selecting debit at checkout. The card did not require a PIN, and eligible purchases used the available OTC allowance. These details came from earlier NationsBenefits materials, so current cardholders should follow the instructions in their own plan materials because Aetna’s benefit system has changed.
Aetna’s current 2026 OTC program lets eligible members shop for approved products in participating stores, online or by phone. Covered items can include cold and allergy medicine, pain relievers, dental supplies, first-aid products and other health and wellness items.
Aetna OTC Ordering Options
Aetna currently offers several ways to use an eligible OTC benefit. Members can shop online through CVS.com/Aetna, use participating retail stores or place an order by phone. Aetna says phone ordering is available at 1-844-428-8147, with automated ordering available 24 hours a day. Store availability and eligible products can vary by plan.
