Over-the-counter (OTC) COVID-19 at-home test kits

New federal guidelines let you get reimbursement for eligible over-the-counter COVID-19 tests purchased January 15, 2022 or later.   The Plan will cover up to eight (8) 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 the Plan could be reimbursed for up to 32 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 four kits.

Other things to keep in mind:

• Tests must be approved, cleared or authorized by the S. Food and Drug Administration.
• These tests don’t require an order from your physician to qualify for reimbursement. Tests that are 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.
• You will be reimbursed $12 for each at-home test or the amount you paid out-of-pocket – whichever is lower.

How do I get reimbursed?

Direct Coverage:

As of April 4, 2022, Medicare covers up to four over-the-counter COVID-19 tests each month, at no extra cost to you. You must get the tests at participating providers or pharmacies. You might need to show your red, white, and blue Medicare card to get your free over-the-counter COVID-19 tests.

Direct Member Reimbursement:

Download the form below and mail to: Aetna, P.O. Box 981106, El Paso, TX  79998-1106.

Important: Use your Aetna ID that starts with a “W.”  If you have any questions on filling out the form, please call 1-800-638-8432.