Over-the-counter (OTC) at-home COVID-19 test kits
Over-the-counter (OTC) at-home COVID-19 test kits are covered by some insurance carriers and are available for free. The pharmacy plan (OptumRx) will cover at-home COVID-19 test kits. Click here to submit a reimbursement request using this online form.
If employees are covered under Medicare, Medicaid or CHIP, these instructions do not apply. Employees should contact their health plan or state agency for specifics on coverage of at-home COVID-19 test kits. Coverage rules may vary by state and plan.
Who is covered for at-home COVID-19 test kits?
OLLU Group Plan Members have a pharmacy plan which covers at-home COVID-19 tests and are eligible to get up to eight individual tests per covered member, every month.
Which tests are covered?
Coverage includes at-home COVID-19 test kits authorized by the Food and Drug Administration (FDA). The most common tests are BinaxNOW™, CLINITEST®, Flowflex™, i-Health®, InteliSwab™, On/Go™, QuickVue and At-home test kits (Roche)®.
How to get a test kit?
To purchase a kit without submitting a reimbursement form, employees can purchase FDA-authorized COVID-19 test kits at a Rite Aid Pharmacy (including Bartell Drugs), Sam’s Club Pharmacy or Walmart Pharmacy. Employees should go to the pharmacy counter, present their member ID card, and ask to have their OTC at-home COVID-19 test kits submitted to their plan for coverage.
Employees can also purchase an FDA-authorized over-the-counter COVID-19 test kit at other stores or online retailers. Employees should retrieve their purchase receipt(s) to submit for reimbursement.
Employees’ plan will reimburse for up to eight tests per covered member, per month without a prescription. The plan will reimburse up to $12 per test by submitting a claim.
Please note: Some pharmacies and other stores are experiencing supply shortages for these tests.
Is there a limit to how many tests will be covered?
Yes. Covered members can get up to eight individual tests per month. (e.g., a family of four would be eligible for 32 tests a month.)
How to submit a claim?
If employees paid out-of-pocket for a test they purchased on or after Jan. 15, 2022. Click here to submit a claim.
A separate claim must be submitted for each covered member. If employees prefer, they can also print a mail-in form.
When to submit a claim?
Employees can submit a claim now for covered tests purchased on or after Jan. 15, 2022. Submit the claim within one year of the purchase date. Reimbursement will be available through the end of the emergency health period.
Where to get a test kit at no cost without submitting a reimbursement form?
Employees can purchase FDA-authorized COVID-19 test kits at a Rite Aid Pharmacy (including Bartell Drugs), Sam’s Club Pharmacy, or Walmart Pharmacy. There will be no upfront cost and no requirement to submit for reimbursement. Simply go to the pharmacy counter, present the member ID card, and ask to have the OTC at-home COVID-19 test kits submitted to their plan for coverage.
Where to learn more about at-home tests?
Order 4 free at-home tests from covidtests.gov