CARRIER |
CLAIM SUBMISSION PROCESS |
RETAIL PURCHASE WITHOUT CLAIM SUBMISSION |
RESOURCES |
Aetna |
Members can submit for reimbursement through Aetna's member portal. |
Members can show their ID card to a network pharmacy to receive the test at no cost. Note that not all network pharmacies are prepared to process through insurance at this time; if the pharmacy is unable to process then members can purchase the test and submit for reimbursement. |
OTC Home Testing Reimbursement FAQs
At Home Test Flyer
|
Anthem Blue Cross |
Members can submit for reimbursement through Anthem's member portal (select Claims & Payment after logging in).
Members can also order tests online using the Sydney Health mobile app or at anthem.com/ca. |
Not available at this time. |
Article on OTC Tests |
Blue Shield of California |
Members can submit for reimbursement using the Blue Shield Statement of Claim form. |
Not available at this time. |
How to File a Reimbursement
COVID Testing Grid
|
Cigna + Oscar |
Members can obtain tests through Cigna + Oscar’s Direct Coverage program. |
C+O recommends members show their ID card to the pharmacy and request they bill your insurance. They understand this may not be accepted as many pharmacies are still working through how to set up this process. |
OTC Home Test Reimbursement |
Health Net |
Members can submit for reimbursement using the Health Net claim form. |
Not available at this time. |
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Kaiser Permanente® |
Members can submit for reimbursement through Kaiser's member portal. To submit, select "Coverage & Costs", then select "Submit a medical claim". |
Members may visit a participating retail pharmacy, such as Walmart and Rite Aid, to pick up tests at no cost. Visit kp.org to see a list of participating retailers.
Members will need to present their photo ID and Kaiser ID card at the pharmacy counter. Availability of tests may vary.
|
COVID Resources |
MediExcel Health Plan |
A claims reimbursement process will be available soon. |
Not available at this time. MediExcel hopes to have resources available soon. |
COVID Resources |
Sharp Health Plan |
Members can submit for reimbursement using the Sharp OTC COVID test reimbursement form. |
Not available at this time. |
COVID Resources |
Sutter Health Plus |
Members can submit for reimbursement using the Sutter claim form. |
Not available at this time. |
COVID Resources
COVID Member Flyer
|
UnitedHealthcare |
Members can submit for reimbursement through UHC's member portal. |
Members who have pharmacy benefits administered by OptumRx will have no up-front cost when purchasing through Walmart Pharmacy or Rite Aid Pharmacy (members can determine they are through OptumRx by the logo on their ID card).
UHC is working to add additional retailers. |
OTC Home Testing FAQ
COVID Resource Center
|
Western Health Advantage |
A Claim Reimbursement webpage is available through the WHA Pharmacy partner OptumRx and will accept receipts dated on or after January 15, 2022. |
Members may visit a preferred network pharmacy to receive tests at no cost. Preferred network locations will be updated as more become available; check the WHA COVID page for a current list. |
COVID Testing Reimbursement Letter |