COVID-19 and your plan
Over-the-counter (OTC) COVID-19 at-home test kits
What you need to know
What’s covered?
Based on the guidelines provided by the Biden administration, RCBP will cover up to four (4) OTC COVID-19 diagnostic antigen rapid home tests per 30-day period for each person covered under your plan. For example, a family of four covered under RCBP could be reimbursed for up to 16 tests per 30-day period.
Note: Each test is counted separately even if multiple tests are sold in a single kit. So, if you buy one kit that includes two tests, we’ll reimburse you for up to two kits.
Other things to keep in mind:
- Tests must be approved, cleared or authorized by the U.S. Food and Drug Administration.
- These tests don’t require an order from your doctor to qualify for reimbursement. Tests ordered by a provider are not subject to the reimbursement limit.
- Tests must be used to diagnose a potential COVID-19 infection. Tests used for employment, school or recreational purposes are not eligible for reimbursement.
How do I get reimbursed?
Direct Coverage of OTC COVID-19 tests:
To keep you from having up front out-of-pocket costs, most OTC COVID-19 tests are covered through CVS Caremark®. Members can obtain an OTC COVID-19 test with no upfront out-of-pocket cost, simply by presenting your RCBP ID card to any in-network pharmacy that elects to offer COVID-19 tests.
You may also order COVID-19 tests online for pickup at your local CVS Pharmacy®.
- Login or register for the Aetna member website.
- Select ‘Get Test Kits and Reimbursements’ and then select ‘Order Tests from a CVS Pharmacy’. You will be redirected to the CVS Pharmacy website.
- Select how many at home tests you need and enter your zip code to find the closest CVS Pharmacy locations with test inventory.
- Enter the information from your RCBP ID card
- Place an order for store pick-up.
You may also access directly from Caremark.com or the CVS Caremark® mobile app (available for Android and Apple).
Direct Member Reimbursement:
An online claims submission process through Caremark.com and the CVS Caremark® mobile app (available for Android and Apple) are available.
- Sign in or register at Caremark.com.
- Upload your proof of purchase; this can be a digital receipt or photo of a paper receipt.
To submit a paper claim, download the form below and mail to:
CVS Caremark, P.O. Box 53992, Phoenix, AZ 85072-3992.
You will be reimbursed $12 for each at-home test or the amount you paid out-of-pocket – whichever is lower.