COVID-19 At Home Test Kit Coverage
Effective 1/15/22:
In response to new state and federal guidelines, the ESHCA, Inc. Health Benefits will cover at-home COVID-19 tests at no cost for many members and dependents.
Did you know?
All Americans are also able to order free at-home COVID-19 tests through the federal government website, covidtests.gov (4 tests).
How it will work:
1) Point of sale no-cost tests: It is recommended that individuals purchase at home tests at an MVP participating pharmacy, using their member ID card (covered in full).
2) Reimbursement: If a test is purchased at a non-participating MVP pharmacy, retail store or on-line, reimbursement of up to $12 per FDA approved test will be allowed. In this case, members will be able to submit a Claim Reimbursement Request directly to MVP. Members should save the receipts and the box the test came in.
Note: as stated, reimbursement in non-participating pharmacy, retail or on-line, is limited to $12 per FDA approved test, the remaining balance would be an “out-of-pocket” expense to the member.
Who is eligible?
Members are eligible for no-cost tests or reimbursement. Members and dependents can acquire up to eight tests each at no cost per 30-day period if the tests were purchased on or after Jan. 15, 2022. When purchasing tests for dependents you will need to use their MVP ID number.
Please note: If multiple tests are included in one kit, each test in the kit counts once toward the total of tests allowed.
Which at-home tests are eligible?
Please note the following regarding coverage for COVID at-home tests at no cost or for reimbursement:
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Tests must be authorized by the U.S. Food and Drug Administration (FDA) and not require a lab for processing
Where else can I get free at-home tests?
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All Americans are able to order free at-home COVID-19 tests through the federal government website, covidtests.gov.
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Check with your county health departments. Many health departments periodically offer free tests.
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The federal government is also providing up to 50 million free, at-home tests to community health centers and Medicare-certified health clinics for distribution at no cost to patients and community members. Learn more on the federal Health Resources & Services Administration website.
Questions?
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Visit the Member page on MVP's website for COVID-19 Updates.
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Contact Donna Carney at ESHCA’s office – 315/895-5303 or email at dcarney@eshca.org.