obtain trials at network retailers
The tests will be covered by your pharmacy benefit. To obtain these tests at no out-of-pocket cost to you, you must use your prescription drug insurance card at a preferred in-network pharmacy. you do not need a prescription for these tests at the covered limit. Simply go to the pharmacy counter at any Rite Aid (including Bartell Drugs), Sam’s Club, Walgreens (including Duane Reade), or Walmart and present your prescription drug insurance card along with the tests you are purchasing. pharmacy list is subject to change. For the most recent list of preferred network pharmacies, call unitedhealthcare customer service toll-free at (866) 868-0609 (tty: 711), 7 a.m. to 5 p.m. m. to 7 p.m. m. CT, Monday through Friday, 7 a.m. to 5 p.m. m. to 3 p.m. m. ct on Saturday.
obtain trials from out-of-network retailers
if you purchase a test from a retailer, either online or in person, that does not provide over-the-counter covid-19 home testing as part of the unitedhealthcare preferred pharmacy network, you are responsible for paying the full out-of-pocket cost and seek direct reimbursement from healthselect medicarerx. healthselect will reimburse you up to $12 per test (not per box). To submit a rebate request online, please complete the COVID-19 Over-the-Counter Proof Rebate Form and attach a copy of your receipt. You can find a printable version of the COVID-19 OTC Testing Reimbursement Form on the optumrx website. You can print and mail the completed form, along with your purchase receipts to:
optumrx claims departmentp.o. box 650334dallas, tx 75265-0334
Helpful notes for filing claims:
- Enter the ID number on your prescription drug insurance card, not your health insurance card.
- You can submit your claim now for covid-19 test kits purchased on or after January 15.
- submit your claim within one year from the date of purchase.
- Coverage allows up to eight tests per plan participant per calendar month. For example, if your HealthSelect coverage includes you, your spouse and three children, each calendar month your household can receive up to 40 tests (eight tests for each person on the plan) at no cost to you.
- Under federal guidelines, the plan covers only specific tests. call unitedhealthcare’s toll-free customer service number at (866) 868-0609 (tty:711) or see the “Frequently Asked Questions About COVID-19 Home Test Kits” under which home test kits covid-19 are covered for the most up-to-date list of covered tests. The list will be updated as new fda-licensed or approved tests become available.
- some covid-19 home test kit packages from other countries contain more than one test. Your covered calendar month limit is based on the number of tests, not the number of boxes.
- For example, if you have individual coverage and purchase boxes that contain two tests in each box, your insurance will cover four boxes (for a total of eight tests) in a calendar month.
- if you purchase a test from a retailer, either online or in person, that does not provide over-the-counter home covid-19 testing as part of the unitedhealthcare preferred pharmacy network or without your unitedhealthcare ID card prescriptions, you are responsible for paying the full cost out-of-pocket and seeking direct reimbursement from healthselect medicarerx. the online and mail-in rebate processes are detailed above.
- If you apply for direct reimbursement, your coverage is still limited to the approved tests listed in the “Frequently Asked Questions about COVID-19 Home Test Kits” under Which COVID-19 Home Test Kits? -19 are covered?, up to eight tests per insured participant each calendar month.
- If you request a direct refund (with a purchase receipt), you are eligible to receive a payment of up to $12 for each proof (not for each box).
- Your medical benefits will continue to cover other doctor-administered covid-19 tests, such as pcr tests at doctors’ offices and other testing sites.
See also: How To Submit An Insurance Claim
More information about your coverage and reimbursement for over-the-counter covid-19 home screening tests can be found by logging into your account on the healthselect medicarerx plan website. The Centers for Medicare and Medicaid Services (CMS) website has information on general access to OTC home testing for COVID-19. Anyone can request home tests for COVID-19 at no cost to the federal government by visiting www.covidtests.gov.
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