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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 (including Medicare Advantage members) are eligible for coverage through The Centers for Medicare & Medicaid Services (CMS). For specifics on eligibility, costs and where to purchase tests, see details below.

 

at-home Covid-19 test coverage: At a glance

 

Commercial Members with Pharmacy Benefits

Medicare Members

All U.S. Households
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).

Every U.S. household is eligible to order four free at-home, COVID-19 tests from the Federal Government.
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.

Four free at-home, COVID-19 tests from the Federal Government.
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 CVS website at CVS.com.

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 or Medicare Advantage, and purchase FDA-authorized, self-administered, self-read, at-home COVID-19 tests through a participating pharmacy or health care provider there is no cost. Find a participating provider.

No
Where can I get a test at no cost?

To get tests at no out-of-pocket cost:

  1. Visit an in-network pharmacy* and show your member ID card when checking out at the pharmacy counter. *Pharmacies not participating in this program include Kroger, Costco, and a small subset of independent pharmacies.
  2. Order through the CVS website at CVS.com or via the CVS Pharmacy mobile app, for pick up or in-home delivery:
    1. From the homepage, click on the Health tab
    2. Click on COVID-19, Learn About At Home Tests
    3. Select Request at-home COVID-19 Tests and follow the prompts with additional questions. You can select pick up or in-home delivery.
    4. You’ll need a CVS.com account to proceed to the next step. Sign in or create one now. CVS.com accounts are different than Caremark accounts. To order OTC tests, you need a CVS.com account.
    5. Have your insurance card on hand and provide the requested information to order your free tests. Include the 9 digit member identification number, do not include the three character prefix.

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).

Visit covidtests.gov
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:

  1. Start your reimbursement online through MyBlue
    1. Sign in to MyBlue
    2. Go to Pharmacy Benefit Manager under My Medications
    3. Look for the At-home COVID-19 test reimbursement banner at the top of the page, click Submit a reimbursement claim
    4. Complete and submit the digital reimbursement form. Note: You will need to upload your receipts.
  2. Mail-in form
    1. Complete, print, and mail the CVS Caremark Over-the-counter, at-home COVID-19 Test Reimbursement Claim Form* found here

If you have any questions about ordering online, call CVS from 8:30am-7:00pm EST at 1-800-SHOP-CVS (1-800-746-7287).

If you have any questions about your reimbursement claim submission, call CVS Customer Care 24/7 at 1-877-817-0477 (TTY: 711).

*CVS Caremark is an independent company that has been contracted to administer your pharmacy benefits for Blue Cross Blue Shield of Massachusetts. CVS Caremark is part of the CVS Health family of companies.

Medicare members should follow the steps above to receive tests up front without any out-of-pocket expense.

N/A

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 ordered through the CVS website at CVS.com.

  • BinaxNow™ COVID-19 Antigen Self-Test
  • CareStart™ COVID-19 Antigen Home Test
  • CLINITEST®' Rapid COVID-19 Antigen Self-Test
  • COVID-19 At Home Test (Roche)
  • COVID-19 Rapid Self Test (Genabio)
  • CVS COVID-19 At Home Test (CVS)
  • Flowflex™ COVID-19 Antigen Home Test
  • iHealth®´ COVID-19 Antigen Rapid Test
  • Indicaid COVID-19 Rapid Test
  • InteliSwab™ COVID-19 Rapid Test
  • On/Go™ COVID-19 AG At Home Test
  • PILOT COVID-19 At Home Test (Roche)
  • 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. *Pharmacies not participating in this program include Kroger, Costco, and a small subset of independent pharmacies.

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 Pharmacy Benefit Manager under My Medications. Look for the At-home COVID-19 test reimbursement banner at the top of the page lab, click Submit a reimbursement claim, then complete and submit the digital reimbursement form. You can also complete, print, and mail the CVS Caremark Over-the-counter, at-home COVID-19 Test Reimbursement Claim form found here. If you have any questions about your reimbursement claim submission, call CVS Customer Care 24/7 at 1-877-817-0477 (TTY: 711).

Eligible commercial members that only have medical benefits through Blue Cross: Complete and submit this form.

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.

If you're a member of the Federal Employee Program, please visit the COVID-19 Resource Center at fepblue.org.