Information about the COVID test program.
The federal public health emergency for COVID-19 ended May 11, 2023. Many plans are not required to cover COVID OTC tests after May 11. Please check with your plan for COVID OTC test coverage information.
During the public health emergency, the at-home OTC COVID-19 test program allowed eligible at-home COVID-19 OTC diagnostic tests to be processed through the pharmacy benefit at no cost or through reimbursement. The program was designed to help group health plans and private insurance companies meet the federal mandate.
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What is a COVID OTC test kit?
A COVID-19 "over-the-counter" or OTC test can be used completely at home to detect active infections of COVID-19.
Do I need a prescription for a COVID OTC test?
COVID OTC test kits may require a prescription if they are covered by your plan. Please check with your plan for details
How can I find out if COVID OTC tests are reimbursed by my health plan?
Ask your employer or health plan.
How will I be reimbursed if I paid out-of-pocket for my COVID OTC tests?
If you purchased a COVID OTC test kit on or after January 15, 2022 and before May 12, 2023, as long as MedImpact handles Direct Member Reimbursement (DMR) on behalf of your health plan, you may submit a DMR form to MedImpact to determine if the claim is eligible for reimbursement. Many plans are not required to cover COVID OTC tests after May 11. Please check with your plan for COVID OTC test coverage information.
Can I be reimbursed for COVID OTC tests purchased before January 15, 2022 or after May 11, 2023?
Plans are not required to reimburse for COVID OTC tests purchased before January 15, 2022 or after May 11, 2023. Please check with your plan for COVID OTC test coverage information.
What if I have Medicare or Medicaid?
Medicare and Medicaid plans have different rules. Please check with your plan regarding coverage
I don’t have a printer. How can I request a copy of the reimbursement form?
Please call the number on the back of your ID card and ask for a member reimbursement form to be mailed to you.