COVID-19 At-Home Test Coverage

Updated 11/29/2022

Starting January 15, 2022, Health New England began covering the costs of FDA-authorized, rapid, at-home COVID tests for commercial, Medicaid and Medicare Advantage members for the duration of the public health emergency.

  • We will cover up to eight (8) over-the-counter at-home individual tests per month (every 30 days starting from first purchase). The tests are without any cost-share and without any need for prior clinical assessment.
  • As a reminder, members are covered with no limits for FDA-authorized COVID diagnostic tests, including at-home tests, if ordered or administered by a health care provider following an individualized clinical assessment.
  • In the interim, we ask members to save copies of receipts for any FDA-approved, at-home COVID-19 tests purchased on or after January 15. Members can submit for reimbursement by printing and mailing the form located here.

FDA- Approved At-Home COVID-19 Tests:

  • BINAXNOW COVID-19 AG CARD HOME TEST
  • ELLUME COVID-19 HOME TEST
  • FLOWFLEX COVID-19 ANTIGEN HOME TEST
  • INTELISWAB COVID-19 RAPID TEST
  • ON/GO COVID-19 ANTIGEN SELF-TEST
  • QUICKVUE AT-HOME COVID-19 TEST
  • IHEALTH COVID TEST KIT
Resources

Options to Get a COVID-19 Test
1. Place Your Order for At-Home COVID-19 Tests

If you need additional support placing an order, you can call 1-800-232-0233 (TTY 1-888-720-7489), 8 a.m. to midnight, 7 days a week, to get help in English, Spanish and more than 150 other languages.

2. Health New England’s Preferred Pharmacy Network
You can get FDA-authorized COVID-19 test kits at:
  • Baystate Health Pharmacies
  • Kinney Drugs
  • Rite Aid (including Bartell Drugs)
  • Sam’s Club
  • Walgreens
  • Walmart
There will be no upfront cost and no requirement to submit for reimbursement.
  1. Locate a test and bring it to the pharmacy counter
  2. Ask to have your OTC at-home COVID-19 test kits submitted to your plan for coverage
  3. Present your member ID card

3. At-⁠Home Tests at Retailers and Pharmacies
At-⁠home tests are available for sale around the U.S. Check with local retailers and pharmacies to see where at-⁠home tests are available. There are quantity limits mentioned above. Health New England members can be reimbursed for the cost of tests from other vendors up to $12 per test. Keep your receipts and use the reimbursement form.
4. 20,000+ Free Testing Sites
No-cost COVID-⁠19 tests are available to everyone in the U.S. at more than 20,000 sites nationwide. Find resources in your state.


HNE