New Federal rule: Beginning January 15th COVID-19 at-home test kits will be covered by insurance.

Find out which tests are covered and how to get them at little or no cost to you.

For tests purchased between January 15th through January 23rd you may scan receipts and send claims directly to PURMS by emailing notice@purms.org

For tests purchased after January 23rd you have three options for coverage:

1. Pay $0 at a preferred network pharmacy: Visit a Walmart or Rite Aid pharmacy and simply go to the pharmacy counter, present your member ID card, and ask to have your OTC at-home COVID-19 test kits submitted to your plan for coverage.

2. Purchase a kit and then submit an electronic form for reimbursement: You can also purchase an OTC at-home COVID-19 test kit at other stores or online retailers. Keep your purchase receipt(s) to submit for reimbursement. To receive the quickest possible reimbursement of up to $12 per test, submit an electronic claim form by visiting optumrx.com/testinfo.

3. Purchase a kit and then print and mail in a paper reimbursement form: If you prefer to submit your claim by mail, you can print a form at optumrx.com/testinfo and then mail it in. Reimbursement applies up to $12 per test. Please note: you will receive reimbursement more quickly if you submit an electronic claim.

Which COVID-19 tests are covered?

Coverage includes OTC at-home COVID-19 test kits authorized by the Food and Drug Administration (FDA). The most common tests are BinaxNOW™, Flowflex™, InteliSwab™, On/Go™ and QuickVue®.

Is there a limit to how many tests will be covered?

Yes. Covered members can get up to 8 individual tests per month, e.g., a family of 4 would be eligible for 32 tests a month.

Visit optumrx.com/testinfo for the latest updates and information.