On January 15, 2022 a federal mandate requiring health plans to cover member-purchased over the counter (OTC) COVID 19 tests went into effect. This mandate allows members to purchase up to 8 home test kits per covered member per 30 day period.
Premera members may obtain these test kits by either visiting an in-network Express Scripts Pharmacy or online directly through Express Scripts via mail order with free shipping.
This link is a communication that can be shared with your employer groups. The communication includes links to resources including Express Scripts participating retail pharmacies and the online option. The member reimbursement claim form and instructions for requesting reimbursement for COVID home test kits can be found here.
The February 10th Premera Producer News Bulletin includes information regarding coverage of the COVID-19 home test kits https://www.premera.com/wa/producer/news/.
An update will also be included in the upcoming Premera Employer News Bulletin later this month. The COVID-19 FAQ’s at have been updated as well https://www.premera.com/visitor.
Please direct any member questions to Premera Customer Service for assistance.
Thank you!
We’re here to help. If you have any questions about small group plans, please contact Connexion’s PBC WA Small Group Team at 1-888-742-1475.