Find information to help you take your medications safely. The other is called direct coverage. If you are concerned about the severity of your symptoms or they are worsening, please contact your doctor. Members are eligible to receive up to 8 tests per member per month without any up-front out-of-pocket cost and through reimbursement via our claims process. When should I get tested if Ive been exposed to someone with COVID-19? Continue to stay current with vaccination and boosters, which provide the best protection against severe illness from COVID-19 along with wearing a mask in public settings, keeping a distance from others, washing hands often, and staying home when sick. >> 5 of the 6 insurers with a direct coverage option (Blue Cross Blue Shield of North Carolina, Centene/Ambetter, Guidewell (Florida Blue), Humana, and United Health Group) also lay out how enrollees can seek reimbursement for costs they have fronted with retailers outside the preferred network, typically by mail and one also providing an online option. Use this tool from the CDC to find a testing location near you. 2022 Kaiser Foundation Health Plan of Washington. Many UnitedHealthcare members are now able to purchase over-the-counter (OTC) at-home COVID-19 tests, at little or no cost to you. Starting Saturday, new federal rules will require private insurers to cover the at-home coronavirus tests that Americans buy in pharmacies and other . The form includes a checklist of eligible test kits. To do so, go to Coverage & Costs and select Submit a claim., Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057. If you test positive on an at-home COVID-19 test, please report your test results through the e-visit feature and you will receive further instructions, including when you should contact your physician, who will assess your symptoms and may prescribe available treatments based on clinical guidance. Remember, because of the Omicron variant, at-home COVID-19 tests are in high demand in many places. Shipping costs depend on your plan you can see your shipping fees when you enter your insurance information. Will Kaiser Permanente reimburse me for self-tests that I purchase? If you get a Covid booster at certain pharmacies, they may ask if youd like to order free tests and pick them up at your booster appointment. PDF Member Reimbursement Form for Over the Counter COVID-19 Tests Are big banks following through on their climate pledges? Medicare covers up to 8 over-the-counter COVID-19 tests each calendar month, at no cost to you, until the Public Health Emergency ends on May 11, 2023. If you buy one of these boxes, your insurance will count that as two from your eight available monthly tests. Do not submit for at-home COVID-19 test reimbursement without signing the claim form or your submission will be rejected. Select Request at-home tests and follow the instructions to enter the appropriate information from your insurance card. Are the expiration dates on the self-test boxes accurate? Over-the-counter, at-home COVID-19 Test Reimbursement Claim Form Important! Report results to Kaiser Permanente to help us better understand how the virus is spreading in our communities. We searched for the 10 tests that appeared on the websites of the retailers surveyed. Families First Coronavirus Response Act (FFCRA), Coronavirus Aid, Relief, and Economic Security (CARES) Act, 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue Shield of California, Care First, Cigna, CVS Group/Aetna, and Kaiser Permanente) are currently relying on reimbursement practices (i.e., do not have a direct coverage option) and have varied reimbursement policies. As we have written elsewhere, despite recent efforts to increase supply of tests, it can still be challenging to find a home COVID-test online and at pharmacies. Of note: In some cases, you can send a saliva home-collection kit back to Kaiser Permanente for processing. The White House has also announced that the federal state of emergency for COVID will then end on May 11. As such, employers may wish to take stock of their COVID-19 policies and reevaluate . COVID-19 testing: Choose a home test or an in-person PCR Test. Testing | My Doctor Online You can use your benefit to purchase tests at over 65,000 pharmacies nationwide. 525 0 obj <<87eb5716d496e66ad97a5840018ab8c4>]>>stream (Medicare won't cover over-the-counter COVID-19 tests if you only have Medicare Part A (Hospital Insurance . Not fully vaccinated? Something went wrong. If you have an appointment for a COVID-19 PCR test with us, you can use the drive-thru or walk-up testing sites available at our medical centers. Ask your employer or health plan. In most cases, among the limited tests that were available, shipping dates for tests were over a week out. The care team member doing your test will be wearing personal protective equipment (PPE) to keep themselves and you safe. Another insurer, (Health Care Service Corporation) does not provide any specific information and instead instructs enrollees to contact their health plan administrator. Americans with private health coverage can obtain tests for free online or in select pharmacies and retailers by showing proof of insurance. How does reimbursement for COVID tests work? One insurer (Humana) with direct coverage did not list a maximum reimbursement amount. How to get at-home test costs covered: Submit a reimbursement claim form by mail. Check with the pharmacy for more information. If a pharmacy is unable to process your purchase through your benefit, you have the option of paying for the test and requesting reimbursement (be sure to keep your receipt). Learn more about COVID-19 and pregnancy at kp.org/maternity-covid. Request for confidential communications forms, Learn more about link terms and conditions. In total, this provided 480 opportunities to buy a test (6 x 10 x 8).
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