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COVID-19 Home Testing Kits
As of January 15, 2022, Ambetter Members can get COVID-19 Home Testing kits at no cost. The best way to get a testing kit is to go to one of Ambetter’s in-network pharmacies. If you purchase a testing kit outside of Ambetter’s in-network pharmacies, you will simply complete a Member Reimbursement Form - OTC Covid Test (PDF). The following FAQs will assist you in this process. (updated 3/1/22)
Yes. Ambetter is making COVID-19 tests available at no cost if you go to an in-network pharmacy.
To receive a COVID-19 test directly shipped to you at no cost from an in-network pharmacy, please contact your in-network pharmacy to process your benefits and arrange mailing.
Ambetter is currently working with our pharmacy partners to ensure the COVID-19 tests are available at no cost if you go to an in-network pharmacy. If you purchased the at-home COVID-19 test at the pharmacy we will reimburse you for the cost of the test after you complete the Member Reimbursement Form - OTC Covid Test (PDF).
The reimbursement will be limited up to the amount set in the federal guidance ($12, or the cost of the test if less than $12, per test per covered individual) released on January 10, 2022.
If you purchased a kit prior to January 15, 2022, Ambetter will reimburse when accompanied by a physician prescription.
Yes, if you purchased the at-home COVID-19 test at any location outside of our pharmacies (e.g., Amazon, grocery store, etc.), we will reimburse you for the cost of the test after you complete the Member Reimbursement Form - OTC Covid Test (PDF).
The reimbursement will be limited up to the amount set in the federal guidance ($12, or the cost of the test if less than $12, per test per covered individual) released on January 10, 2022.
If you purchased a kit prior to January 15, 2022, Ambetter will reimburse when accompanied by a physician prescription.
Please print an image of the digital receipt along with the member reimbursement form. If you are unable to produce a digital receipt, please put the order or invoice number for the purchase on the reimbursement form for tracking and validation.
Yes, Ambetter will only cover 8 at-home COVID-19 tests obtained over-the-counter per covered individual in a 30 day period, consistent with the federal guidance released on January 10, 2022.
If you have questions please call us and we can assist.