[Live] Home Covid Tests Covered & Reimbursed By Health Insurers, Beginning January 15 (Max 8 per Month, $12 Each)

Update 1/15/22: This new insurance benefit is now live. Below are links to some options which  can get reimbursed (some affiliate links are found below):

Multi-pack tests would presumably count as separate tests for reimbursement, e.g. if you buy a two-pack for $24 you should be able to get the entire $24 reimbursed, but you may want to check with your insurer to verify that. (See also these comments.)

Original Post 1/11/22:

A new rule set in place for U.S. health insurance companies requires them to cover the cost of at-home tests ordered online or purchased from a store. Insurance companies will be required to cover up to $12 per test and up to 8 over-the-counter tests per person each month. This new benefit begins on January 15.

White House press release | FAQ

Pharmacies might be able to give you the products for free and bill insurance directly. If not, you can submit a claim to insurance and get reimbursed afterward. It’s useful to have some at-home tests on hand in case you need to test before travel or after getting symptoms, I’ll probably order a few to keep on hand in case of need.

These rapid Covid tests are still available on Amazon at 2 for $19.80 (affiliate link) so they’d be totally covered beginning January 15, though you might have to submit a claim with insurance.

There are likely non-rapid tests available also for at-home use which require mailing out the test; not sure how much those cost. If anyone has more information on the best options to use, ideally keeping within the $12 allowance, feel free to share in the comments below. We appreciate when readers show respect to each other in the comments. Thanks

Hat tip to Dansdeals

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Atme
Atme (@guest_1603505)
April 21, 2023 15:39

Insurance coverage mandate to end on 5/11. It was a fantastic way to get some free spending

 William Charles  Chuck

Brian C 🐕
Brian C 🐕 (@guest_1412212)
July 20, 2022 11:31

Does anyone know if this program is still in place?

Jason
Jason (@guest_1350115)
March 18, 2022 20:15

My ‘insurer’ (UMR, part of United Healthcare, but not really an insurer, admin for employer self-insurance) declined my claim for January, but the only way I found out was by logging and viewing the claim. That said I need to submit to to my Rx provider, so I’ve done that today. The Rx folks have a form on their website. It might be that other insurers are trying to fob the claim off in this way, legitimately or not. P2 submitted directly to United and was reimbursed without an issue.

AFK
AFK (@guest_1343522)
March 5, 2022 21:42

Anyone received reimbursement from their insurer? Filed my claim on 31JAN and yet to receive a check

Andy
Andy (@guest_1343544)
March 5, 2022 22:14

I got mine from my HMO.
I sent 2 claims for Jan and feb for costco 5 pack. They only reimbursed me for 8 tests.
I need to follow-up with them.

jd
jd (@guest_1343749)
March 6, 2022 04:13

express scripts approved my claims the next business day and got the check in about a week

Tanya
Tanya (@guest_1335083)
February 20, 2022 12:48

Anybody had success filing an online claim with Aetna? They are really making the process difficult.

Budget Jetsetter
Budget Jetsetter (@guest_1336630)
February 22, 2022 22:29

Isn’t it just a form you fill out and upload a receipt?

MC
MC (@guest_1343753)
March 6, 2022 04:23

Express Scripts wants a pharmacy receipt, pharmacy NPI, etc. for normal claims, and didn’t specify any exceptions for covid tests bought off the shelf. I googled the NPI for Costco RX in Seattle WA where my order shipped from, and wrote “Online order from Costco.com for retail Covid-19 test, no pharmacy receipt available” in the note. It was approved so I guess they were ok with that, but YMMV.

Sparky
Sparky (@guest_1352776)
March 24, 2022 13:05

Family of 4 here. Aetna reimbursed me February for antigen tests from Walmart and Amazon with the general claim pdf form sent via secure message. In early March I bought 6 emed.com kits and received a check in the mail a lot quicker than past reimbursements. In late March I bought 6 more emed.com kits and used the easier general claims online form and it looks like it’s going to be reimbursed as well-disbursing charges across multiple members even though I claimed these as P2 instead of P1.

SB
SB (@guest_1362193)
April 11, 2022 22:01

Have you been able to get reimbursement from Aetna for the travel purpose covid test kit from Emed? That is actually great, but Aetna on their website mentioned they do not reimburse for the travel purpose kit.

https://www.emed.com/products/covid-at-home-testkit-six-pack

Sparky
Sparky (@guest_1362215)
April 11, 2022 22:24
  SB

Yes, I specifically got reimbursed for it. You can make monitoring appointments I think for the binaxnow separately.
I saw a service for under $20 that monitors you as well for the Ihealth test kits.
I just ordered some of the lucira tests (LAMP). We’ll see if they still reimburse for those. I bought 4 of those a year ago.
You can also order them directly from CVS for no cost for aetna.

SB
SB (@guest_1362241)
April 11, 2022 23:02

The one available in CVS “BinaxNOW COVID-19 Antigen Self Test” is not valid for international travel. Did you get reimbursed for the purchases in late march?

Sparky
Sparky (@guest_1362252)
April 11, 2022 23:13
  SB

Yes, got reimbursed for emed purchase (qty 6) except for shipping charge.

SB
SB (@guest_1362267)
April 11, 2022 23:27

Sorry, I am still asking again, so you were reimbursed both times right? just want to be sure before I buy.

Sparky
Sparky (@guest_1362269)
April 11, 2022 23:28
  SB

Correct.

SB
SB (@guest_1362276)
April 11, 2022 23:42

Thanks a lot!

jeffrey leach
jeffrey leach (@guest_1365256)
April 14, 2022 14:55
  SB

3rd batch of emed got reimbursed. (At least according to the Aetna claims site). This time shipping was covered as well. Even the insurance company doesn’t know their own rules after mergers and running on multiple different mainframes and software packages. https://www.pushkin.fm/episode/six-levels-down/ I’m sending in for reimbursement for a couple of LAMP tests to see if they still get reimbursed. https://checkit.lucirahealth.com/ They don’t come with telehealth monitoring, but can be ordered here with telemonitoring. https://www.azova.com/testing/lucira/

Sparky
Sparky (@guest_1370536)
April 21, 2022 20:49

Qty 2 lucira was reimbursed plus tax.

Davis
Davis (@guest_1334875)
February 19, 2022 21:42

1/17: Bought a two-pack off Amazon, submitted receipt to United HealthCare and included the tax
2/19: Check for the amount I specified

Arl12
Arl12 (@guest_1322272)
January 27, 2022 20:54

Is state sales tax also reimbursable or just the price for rapid test?

zhi lu
zhi lu (@guest_1317115)
January 18, 2022 13:04

https://special.usps.com/testkits
 Chuck

USPS has 4-Count At-Home COVID-19 Tests for FREE. Shipping is free.
Limit of one order per residential address
One order includes 4 individual rapid antigen COVID-19 tests
Orders will ship free starting in late January

B
B (@guest_1317106)
January 18, 2022 12:51

Gov test thru USPS are live

https://special.usps.com/testkits

This is the USPS link from

https://www.covidtests.gov/

Henry
Henry (@guest_1316529)
January 17, 2022 10:13

I do not want my tax dollars spent on this kind of dumb shit. How much money have they wasted on this charade?

Afakaliki
Afakaliki (@guest_1316838)
January 17, 2022 20:08

What else should we not spend YOUR TAX DOLLARS on? Taking notes…