Otherwise, Anthem members can buy test kits from pharmacies or retailers and submit a claim for reimbursement. If you are eligible you will see this option after logging in. What’s covered: Certain Anthem members may be able to order at-home diagnostic test kits either on the insurer’s Sydney Health app or online. Reimbursement details: If you have health insurance through Anthem, the insurer has a straightforward page that covers how its reimbursement policy works. If you have additional questions, insured members have a variety of ways to contact the company. Of note: Members can submit claims for up to eight kits per insured individual every 30 days.Ĭompany information: UnitedHealthcare’s FAQ page is vague. How to get reimbursed: Members should sign in to their online accounts for more information on how to submit reimbursement claims. The FAQ page advises enrollees to sign in to to learn more about their specific benefits. What’s covered: Specific benefits related to at-home Covid test reimbursements depend on your specific health insurance plan and how your employer has chosen to administer the benefit. Reimbursement details: If you have health insurance through UnitedHealthcare, the insurer offers a FAQ page that offers a few details about covering the costs of at-home tests. UnitedHealthcare Home Covid Test Reimbursement Of note: Aetna specifies that “tests must be used to diagnose a potential Covid-19 infection” and tests used for employment, school or recreational purposes aren’t eligible for reimbursement.Ĭompany information: Insured members have a variety of ways to contact the company for more information on how to get their at-home Covid-19 tests reimbursed. Only tests bought on or after Januare eligible for reimbursement. After logging into your account, choose “Learn About Test Kits & Reimbursement” for more information. How to get reimbursed: According to Aetna, members with pharmacy benefits can submit reimbursement claims through their Aetna member website. Lab-based PCR home collection kits are not covered under the reimbursement policy. What’s covered: There is no mention of a preferred pharmacy or retailer for obtaining a test even though Aetna is part of CVS Health, which owns the pharmacy chain. Reimbursement details: If you have health insurance through Aetna, the insurer has an easy-to-navigate page that details the reimbursement policy. Here’s what you need to know about the reimbursement policies for the five largest health insurance companies. For example, a package of two tests could be eligible for up to $24 in reimbursement. If the insurance company has a process for you to buy the tests without up-front costs, it’s only required to reimburse $12 per test if it doesn’t, then it must cover the full cost of the test, even if it’s more than $12.Įach test is counted separately, even if multiple tests are sold in a single package. Otherwise, you must buy the test and then submit a claim to your insurance company. If an insurer offers a way for covered individuals to obtain a test with no out-of-pocket costs-such as through a preferred pharmacy or retailer-that’s your best option for getting test kits free of charge. You don’t need an order from your physician to qualify, and tests ordered by a healthcare provider-such as for someone with underlying conditions-aren’t subject to the reimbursement limit. For instance, a family of four is eligible to request 32 tests. Insurers must cover the cost of eight tests per insured individual each month. The policy only covers over-the-counter Covid-19 tests authorized and approved by the U.S. If you get a Covid booster at certain pharmacies, they may ask if you’d like to order free tests and pick them up at your booster appointment. Alternatively, they can buy test kits and submit claims for reimbursement. Medicaid coverage rules vary by state.Īmericans with private health coverage can obtain tests for free online or in select pharmacies and retailers by showing proof of insurance. Medicare Part B also covers up to 8 free at-home Covid-19 tests each month, and will continue to cover the costs until the public health emergency is declared over by the Department of Health and Human Services. Test reimbursements are available to people with private, employer-sponsored or student health insurance. Insurance companies and group health plans have been required to cover the costs of over-the-counter, at-home Covid-19 tests since the beginning of 2022. What the At-Home Reimbursement Policy Covers Americans with private health insurance can get reimbursed by their insurers for up to eight tests a month for themselves and each person on their plan. The free at-home Covid test program from the federal government was suspended in September, but there are still ways to get Covid-19 tests at no cost. With a surge of Covid-19 cases expected this winter, now is the time to stock up on free at-home tests.
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