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With your receipt, you may use an online claims submission process through CVS Caremark and the CVS Caremark mobile app (available for Android and Apple ) is available.

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If your purchase does not ring up at $0 and/or you purchased an FDA-approved test kit for the full cost online or in-store after January 15 th, 2022, please save your receipt as proof of purchase.

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How to Claim Medicare Reimbursement for OTC Covid-19 Tests

Your at-home COVID-19 test kit should automatically ring up at no cost to you.

Check out at the pharmacy counter and show your GIC SilverScript card.

Members can purchase OTC COVID-19 test kits from participating pharmacies at no-cost at the time of purchase Take your GIC SilverScript card to any in-network pharmacy that elects to offer Covid-19 test kits through this program. Medicare Directions for Purchasing OTC COVID-19 Tests In-Store

#Cvs covid test reimbursement update#

Please note that CVS SilverScript does not currently have an online order option available, but the GIC will update members if and when it becomes available. Members are encouraged to call their local store to determine their participation. As of now, not every CVS pharmacy is participating. Claims for at-home OTC COVID-19 test kits will automatically process at $0 when checking out at a participating pharmacy.

Most OTC COVID-19 test kits are covered through the CVS SilverScript pharmacy benefit. CVS SilverScript (Medicare Members) Medicare Coverage of OTC COVID-19 Tests ** Please note that pharmacy purchase limits on at-home COVID-19 test kits may apply. * Should any difficulties occur during in-store purchases, claims for at-home COVID-19 test kits using UPC codes from any retail or online provider can always be manually submitted. Printable copies of these forms, sample forms, and additional information on obtaining eight free COVID-19 tests (four 2-pack testing kits) from Express Scripts are available on the GIC Express Scripts site, including a step-by-step order guide and a claims self-service guide. Halfway down the page will be instructions to start submitting a claim online. To submit a claim online, once you log in to your Express Scripts account, click the “Benefits” tab at the top of the page and then the “Forms” option. You will be prompted to log in to your online Express Scripts account for specific information.

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To obtain additional information, submit a claim online, or to download a printable copy of the reimbursement form, please visit the COVID-19 Resource Center.A receipt of purchase is required for reimbursement.Reimbursements for at-home test kits will be capped at $12 per test kit (or $24 per 2-pack).

Members can claim reimbursements for FDA-approved tests purchased online or in-store for at-home test kits purchased on or after Jan.

How to Claim Non-Medicare Reimbursement for OTC Covid-19 Tests Purchased Online or In-Store

Acknowledgment of the terms is required before clicking the “Submit Order” button.

Complete the order form by selecting the name of the subscriber or dependent(s) associated with the order (Be sure to check that the mailing address and subscriber email address are correct ).

Click the “Order At-home COVID-19 Tests” link.

Log into your Express Scripts account at.

Non-Medicare Directions for Ordering COVID-19 Tests from Express Scripts Online Your at-home COVID-19 test kit should automatically ring up at no cost to you.

Check out at the pharmacy counter and show your Express Scripts ID card.

Bring an at-home COVID-19 test kit to the pharmacy counter, not the regular checkout lane.

Take your Express Scripts ID card to a retail pharmacy in your network Non-Medicare Directions for Purchasing OTC COVID-19 Tests Members are eligible for up to eight at-home COVID-19 tests (up to four 2-pack testing kits) per individual at the pharmacy counter every 30 days for a $0 copay. Express Scripts (Non-Medicare Members) Non-Medicare Coverage of OTC COVID-19 TestsĬlaims for at-home OTC COVID-19 testing kits will automatically process at $0 copay when checking out at in-network pharmacy counters or ordering at-home testing kits from Express Scripts Pharmacy online. Over-the-Counter (OTC) COVID-19 testing coverage will be administered through the GIC’s pharmacy benefits: Express Scripts for non-Medicare plan members, and CVS SilverScript for our Medicare members. Coverage became effective on Saturday, January 15, 2022, and will remain in place until the end of the public health emergency. On Monday, January 10, 2022, the Federal Government issued guidance that health insurance carriers and health plan sponsors (such as the Group Insurance Commission) are required to cover the cost of up to eight Food and Drug Administration (FDA)-approved at-home tests (four 2-pack testing kits) per individual for COVID-19 every 30 days.