Over-the-counter COVID-19 tests

Pharmacy access

Members may receive their free over-the-counter COVID-19 antigen test at in-network pharmacies when purchases are made at the pharmacy counter with their member ID card.

If a member makes a retail purchase (e.g., at the front registers) the member will be charged out-of-pocket for the cost of COVID-19 tests but may seek direct reimbursement from Navitus, Dean Health Plan's pharmacy benefit manager. See the Member Reimbursement for COVID-19 tests section for more information.

Find an in-network pharmacy near you. Visit the Navitus website to see a full listing of their participating network of national chains, regional chains, and group pharmacies.

Direct-to-consumer shipping program

Members can order tests online or by phone. Tests are free through select mail order pharmacies when you provide your health plan coverage information found on your member ID card. Participating pharmacies are:

1. Rollover the Pharmacy link in the top bar. Click Mail Order from the drop down menu.
2. Register for a new account. (You do not need to be a Costco member to use their mail order service. A credit card is required because if you choose expedited shipping, you will need to pay shipping costs.
3. Select: fill new prescription.
4. Select: "My doctor will call or fax. I do not have a written prescription."
5. In the physician info fields:

• Enter physicians name: Costco Test
• Enter physicians phone: (800) 111-1111
• Enter physician city: Seattle
• Enter physician state: WA
• Enter drug information: COVID Test

Members who purchase COVID-19 antigen tests directly and wish to be reimbursed by Navitus must file a manual claim with them.

Each FDA-approved COVID-19 antigen test will be reimbursed at a rate up to $12 per individual test. Provider ordered COVID-19 tests, including provider ordered OTC PCR tests are eligible for coverage under standard plan benefits, and are not subject to the maximum benefit of 8 tests per member per month. Only over-the-counter antigen tests for personal uses are eligible for reimbursement.
Note:

1. Plan participants not using Navitus, Dean Health Plan's pharmacy benefit manager (PBM), should confirm their coverage with their PBM.
2. Tests purchased to fulfill employer directed testing requirements are not eligible for reimbursement.

Medicare Part B members can access tests at any participating health care provider or pharmacy. Members should bring their red, white, and blue Medicare card to get their free tests (even if they have a Medicare Advantage Plan or Medicare Part D plan), but the pharmacy may be able to get the information it needs to bill Medicare without the card.

Medicare cannot process a claim submitted directly by a beneficiary for a COVID-19 over-the-counter test. Participating pharmacies and health care providers will bill Medicare for the over-the-counter test on the member's behalf.

Medicare members can also access free tests through a number of channels established by the federal government. Medicare beneficiaries can:

• Request free over-the-counter tests for home delivery at covidtests.gov.
• Access low-to-no-cost COVID-19 tests through healthcare providers at over 20,000 free testing sites nationwide. View a list of community-based testing sites, or call 1-800-Medicare (1-800-633-4227) with questions about where to find a test.