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:

  • 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?

  • All Americans are able to order free at-home COVID-19 tests through the federal government website, covidtests.gov.

  • Check with your county health departments. Many health departments periodically offer free tests.

  • 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?