Overseas members receive 100% coverage for the cost of OTC COVID-19 tests approved by local health authorities and purchased at overseas retail locations. If you are overseas and purchase tests from a US-based retailer, then the stateside coverage rules outlined above will apply.
Please note: the Express Scripts Home Delivery pharmacy can ship to APO, FPO, and DPO addresses.
For members outside the US, FSBP will cover locally-approved OTC COVID-19 tests purchased at overseas locations at 100%.
In the U.S., all FDA-approved OTC COVID-19 tests are approved for US-based members. However, only a limited number of tests are included in the Express Scripts program.
NDC/UPC | BRAND NME | GENERIC DRUG NME | PACKAGE DSC | PACKAGE SIZE QTY |
---|---|---|---|---|
08337000158 | INTELISWAB COVID-19 HOME TEST | COVID-19 ANTIGEN TEST | KIT | 2 |
11877001140 | BINAXNOW COVID-19 AG SELF TEST | COVID-19 ANTIGEN TEST | KIT | 2 |
14613033967 | QUICKVUE AT-HOME COVID-19 TEST | COVID-19 ANTIGEN TEST | KIT | 25 |
14613033968 | QUICKVUE AT-HOME COVID-19 TEST | COVID-19 ANTIGEN TEST | KIT | 5 |
14613033972 | QUICKVUE AT-HOME COVID-19 TEST | COVID-19 ANTIGEN TEST | KIT | 2 |
56362000589 | IHEALTH COVID-19 AG HOME TEST | COVID-19 ANTIGEN TEST | KIT | 2 |
56964000000 | ELLUME COVID-19 HOME TEST | COVID-19 ANTIGEN TEST | KIT | 1 |
82607066026 | FLOWFLEX COVID-19 AG HOME TEST | COVID-19 ANTIGEN TEST | KIT | 1 |
82607066027 | FLOWFLEX COVID-19 AG HOME TEST | COVID-19 ANTIGEN TEST | KIT | 2 |
82607066028 | FLOWFLEX COVID-19 AG HOME TEST | COVID-19 ANTIGEN TEST | KIT | 5 |
82607066047 | FLOWFLEX COVID-19 AG HOME TEST | COVID-19 ANTIGEN TEST | KIT | 25 |
No, coverage is available in the US, only with respect to the OTC COVID-19 tests, without an order or individualized clinical assessment from a health care provider. When obtaining tests through the ESI program,
For overseas requirements, please refer to local health authorities.
Please submit an itemized receipt through our online Member Portal showing the date of purchase, the store or supplier from which you made the purchase, and specific listing of the type and number of tests you purchased. Include in your submission a note detailing the quantity of tests purchased for each covered family member, e.g. 2 for Martin, 2 for Brittany, 6 for Emilio.
The fastest way to submit your claim is through our online Member Portal. Please use the new “Claims for COVID-19 Over-The-Counter Testing Kits” option and include the information and documentation detailed in the previous paragraph. We also recommend you sign up for electronic funds transfer (EFT) to receive your reimbursement as quickly as possible.
You can mail claims to the Plan. Please include the requested information.
For tests purchased through the ESI program, the Plan pays 100% of the cost.
For tests purchased outside the ESI program from a stateside supplier, the Plan will reimburse a maximum of $12 per test.
For tests purchased by members outside the US from overseas suppliers, the Plan will reimburse 100% of the cost of the test.
The Plan forwards all claims with member responsibility to FSAFeds. Please visit www.fsafeds.com for information on how that program is handling OTC COVID-19 tests.
Beginning on April 4, 2022, Medicare Part B began coverage of OTC COVID-19 tests. You can obtain up to 8 tests per month at no cost to you until the end of the public health emergency. You must obtain tests at participating pharmacies. You can find the full details for the program, including a partial list of participating pharmacies, by visiting the Medicare Coronavirus website.
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