AT-HOME COVID-19 TESTS.
We’ve got you covered.
We’re covering eligible commercial members for FDA-authorized, at-home COVID-19 tests, purchased on or after January 15, 2022, for the duration of the federal public health emergency. All Medicare members (with Part B) are eligible for coverage through The Centers for Medicare & Medicaid Services (CMS) and Medicare Advantage members are also covered through Blue Cross. For specifics on eligibility, costs and where to purchase tests, see details below.
The free at-home COVID-19 test program offered by the federal government was suspended on September 2, 2022, due to lack of funding. For more information visit COVID.gov/Tests
at-home Covid-19 test coverage: At a glance
Commercial Members with Pharmacy Benefits
|How do I know if I’m eligible?||Look for the Rx symbol on your member ID card. If there’s no Rx symbol, your pharmacy coverage is through another carrier. Please follow up with your employer to confirm your coverage options.||
Medicare Members with Part B coverage, including those enrolled in a Medicare Advantage plan, will be eligible for free at-home tests through The Centers for Medicare & Medicaid Services (CMS).
Additionally, Blue Cross Medicare Advantage members are eligible for reimbursement under their Blue Cross Medicare plan. Look for the Medicare Advantage logo in the lower right corner of your member card or call 1-800-200-4255.
|What am I eligible for?||
Up to eight FDA-authorized, self-administered, self-read, at-home COVID-19 tests, per member, per month.
|Up to eight FDA-authorized, self-administered, self-read, at-home COVID-19 tests per month.|
|Will there be a cost?||
A select list (see FAQ below) of tests is covered at no cost when purchased at an in-network pharmacy or ordered through the Mail Order Pharmacy.
Any FDA-authorized, at-home COVID-19 test purchased at another retailer outside of our pharmacy network will be reimbursed up to $12 per test.
If you have Medicare Part B, and purchase through a participating pharmacy or health care provider there is no cost. Find a participating provider.
For Medicare Advantage members, FDA-authorized, at-home COVID-19 tests paid for out of pocket will be reimbursed up to $12 per test. Coverage effective until Dec. 31, 2022. See reimbursement details below.
|Where can I get a test at no cost?||
To get tests at no out-of-pocket cost:
Medicare Part B members: To get tests at no out-of-pocket cost, visit a participating pharmacy or health care provider.
You may be asked to show your red, white, and blue Medicare card to get your free over-the-counter COVID-19 tests (even if you have another card for a Medicare Advantage Plan or Medicare Part D plan).
|I purchased an FDA-authorized test and paid out of pocket; how do I get reimbursed?||
FDA-authorized, at-home COVID-19 tests purchased at out-of network retail locations will be reimbursed at up to $12 per test. To submit:
If you have any questions, you can call Express Scripts 24/7 at 1-855-690-8347.
Medicare Advantage members: Complete and submit this form.
have additional questions? we've got answers.
Eligible members can get reimbursed for the purchase of any self-administered, self-read, at-home COVID-19 tests that have received emergency use authorization from the FDA, as well as tests that have received full FDA approval.
Commercial Members with pharmacy coverage can get the following FDA-authorized tests at no cost when purchased at an in-network pharmacy or through the Mail Order Pharmacy:
- BD Veritor™ At-Home COVID-19 Test
- BinaxNow™ COVID-19 Antigen Self-Test
- CareStart™ COVID-19 Antigen Home Test
- CLINITEST®' Rapid COVID-19 Antigen Self-Test
- COVID-19 At Home Test
- Ellume COVID-19 Home Test
- Flowflex™ COVID-19 Antigen Home Test
- iHealth®´ COVID-19 Antigen Rapid Test
- InteliSwab™ COVID-19 Rapid Test
- On/Go™ COVID-19 AG At Home Test
- QuickVue®´ At-Home OTC COVID-19 Test
Our pharmacy network includes many retail pharmacies such as CVS Pharmacy™, Walgreens, and Walmart — as well as some local neighborhood pharmacies. Find an in-network pharmacy here.
Find a partial list of pharmacies participating in the Medicare COVID-19 Over-the-Counter (OTC) tests initiative through through CMS here. Or go to the pharmacy's website or call the relevant pharmacy for details on participating locations and how to order.
All eligible members will be reimbursed for FDA-authorized, at-home COVID-19 tests, up to $12 per test (up to eight tests per member, per month), when they complete and submit the appropriate form below:
Commercial Members with pharmacy benefits through Blue Cross: Sign in to your MyBlue account, or create a new one, then go to Express Scripts® under My Medications. Click Benefits, then Forms, then complete and submit the reimbursement form. If you have any questions, you can call Express Scripts 24/7 at 1-855-690-8347.
Eligible commercial members that only have medical benefits through Blue Cross: Complete and submit this form.
Medicare Advantage members: Complete and submit this form. This coverage will be effective until December 31, 2022.
If there is no Rx symbol on your member ID card, your pharmacy coverage is through another carrier. Please follow up with your employer to confirm your coverage options for at-home, COVID-19 tests. If your employer confirms that you're eligible, complete and submit this reimbursement form.
No, only tests bought on or after January 15, 2022, are eligible for reimbursement.