![]() ![]() A maximum amount of $12 per test will be reimbursed to members who do not obtain the test through Direct Coverage. ![]() Circumstances in which costs could be incurred for OTC Covid-19 tests: *In CA tests may be reimbursable subject to additional state law and guidance, as applicable. Your tests must be for personal diagnostic use, have not been and will not be reimbursed by another source, and have not been and will not be for resale. COVID-19 tests for employment or back-to-school purposes are not reimbursable under the federal CARES Act.* Reimbursement guidelines: FDA Authorized OTC COVID self-tests will be reimbursed and include the following. Learn more by visiting our at home COVID reimbursement page here! Also, ideally, your receipt should only include the purchase of tests and no other items. This quantity limit applies to over-the-counter tests without a prescription. Test kits that contain two tests per kit are counted as two tests. Each test is counted separately, even if multiple tests are sold in a single package. In addition, we’ll only reimburse up to two over-the-counter tests, per individual covered under your plan, per 30 consecutive days 1. You must be an active member enrolled in individually purchased health care or on a small group plan or Medicare Advantage plan. Your tests must be purchased on or after January 15, 2022. In order to reimburse you for a COVID-19 at-home test, here’s what needs to happen: What are the requirements for reimbursement? If you purchase an over-the-counter COVID-19 test from an in-network location and are charged for your test, keep your receipt and submit a claim to us for reimbursement. Select “Submit a prescription claim” and follow the prompts listed there.(You can always access your member ID number through your online account here) Be sure to have your member ID available if you haven’t previously created an account with Caremark. Please visit and sign in or register.Just use the OTC COVID Test Paper Claim form or follow the steps below: How do I get reimbursed? Don’t sweat – if you purchased the tests on or after Janufrom an in-network location, you’ll still be able to get reimbursed. I paid for my at-home tests out of pocket. (And don’t worry, at-home tests are still a low cost way to get tested!) You can log into your member account to search your network. If you need more at-home tests, you’ll just need to pay the out-of-pocket cost. Oscar now covers up to two $0 at-home COVID-19 tests per month (per member) when purchased at an in-network location 1.If you go to the pharmacy counter, you may be able to present your member ID and ask them to bill your insurance just like you would a medication at no cost to you.These do not require a deep nasal swab like the PCR testing early in the pandemic did and are generally easy to use. You can get a reliable over-the-counter COVID rapid test at a variety of retailers (like CVS).To submit your self-test or at-home test results visit MakeMyTestCount. On this website funded by the NIH, all test results and information is secure. Your actions can make a significant difference in the fight against COVID-19. For example it can help determine if a COVID surge is occurring, enabling them to take preventative measures or provide assistance or warning hospitals that a spike in cases may occur. This valuable information helps researchers and public health teams. Your test results are important! By reporting them, whether positive or negative, you're contributing to public health efforts. Don't let the expiration date on the label discourage you from using them if they have been extended! Make your test count! To make sure your "expired" self-test kit at home is still useful, visit the FDA COVID-19 test kits page where you'll find that many kits have had their shelf life extended. household is eligible for 4 free at-home test kits. You can order free self-test kits by visiting /tests. Consistently testing negative multiple times can boost your confidence in being free from COVID-19 infection. ![]() To ensure accurate results, it is important to follow the instructions provided by the FDA and the manufacturer, including guidance on the frequency of testing. Self-tests, also known as at-home tests, typically involve antigen tests that can be administered at any location without the need to visit a particular testing center. ![]()
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