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Information about the COVID test program.

The at-home OTC COVID-19 test program allows eligible at-home COVID-19 OTC diagnostic tests to be processed through the pharmacy benefit at no cost or through reimbursement during the public health emergency.  The program was designed to help group health plans and private insurance companies meet the federal mandate.

case study
REIMBURSEMENT FORM
Get started with your reimbursement.
If you paid out of pocket for your at home over-the-counter COVID-19 test after January 15, 2022, and MedImpact processes paper claims for your plan, you may be eligible for reimbursement using the form below.
  • Submit one form per eligible member.
  • Complete the member information.
  • Complete as much information as possible. Fields marked with an asterisk (*) are required.
  • This program does not apply to Medicare and Medicaid members.
  • No printer? Request a form by calling the number on the back of your ID card.

Here's what you need to know.

Which tests are covered?

At-home over-the-counter COVID-19 diagnostic tests authorized by the U.S. Food and Drug Administration (FDA) are covered.

Where can I obtain a test?

To obtain an at-home over-the-counter COVID-19 test without submitting a DMR form, visit a participating network pharmacy and bring the at-home over-the-counter COVID-19 tests to the pharmacy counter. Present your member ID card and ask to have the at-home over-the-counter COVID-19 tests submitted to your pharmacy plan for coverage. Since some pharmacies are experiencing supply shortages for these tests, you may want to call the pharmacy in advance.

PLEASE NOTE: CVS, Walgreens, Publix, and Kroger will not process at-home over-the-counter COVID-19 tests through your MedImpact pharmacy benefit. If you purchase tests at these stores or through another pharmacy or retailer that is unable to bill directly under your pharmacy benefit, you will need to pay for the tests and submit a reimbursement request.

Starting January 19, 2022, US households can order four
free at-home COVID-19 tests from the federal government
through COVIDTests.gov.

How do I get reimbursed?

Please ask your employer or health plan if you are eligible for reimbursement.

If you purchased a COVID OTC test kit on or after January 15, 2022, as long as MedImpact handles Direct Member Reimbursement (DMR) on behalf of your plan, you may submit a DMR form to MedImpact to determine if the claim is eligible for reimbursement.
HERE TO HELP

Need more info?

What is a COVID OTC test kit?

Which COVID OTC test kits are covered?

Are Polymerase Chain Reaction (PCR) test reimbursable?

Do I need a prescription for a COVID OTC test?

Where can I obtain an at-home COVID OTC test?

What is the advantage of purchasing the COVID OTC test at the pharmacy?

How can I find out if COVID OTC tests are reimbursed by my health plan?

How will I be reimbursed if I paid out-of-pocket for my COVID OTC tests?

Can I be reimbursed for COVID OTC tests purchased before January 15, 2022?

How many COVID OTC tests can I get?

Can I get all 8 COVID OTC tests at once?

How much will I pay for a 9th COVID OTC test within 30 days?

What if I have Medicare or Medicaid?

I don’t have a printer. How can I request a copy of the reimbursement form?

Additional information about test kits.

The US government is also purchasing 500 million at home test kits that will be available by mail for free beginning January 19 at COVIDTests.gov