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At-Home Over-the-Counter Antigen COVID-19 Tests

Current as of March 31, 2023

Effective May 11, 2023, the ongoing Public Health Emergency (PHE), Over-the-Counter (OTC) COVID-19 tests will no longer be covered or eligible for reimbursement through your Select Health benefits.

For up-to-date coverage information on in-office COVID-19 tests administered by a provider, visit the COVID-19 coverage page. Please reference the OTC test information below to learn about your coverage prior to the PHE end date scheduled for May 11, 2023.

 

  • Select Health Medicare Members – OTC COVID-19 tests are covered if you have a healthcare provider’s order. For reimbursement, complete the form and attach the required documentation.
  • Select Health Community Care Members – OTC COVID-19 tests are covered if you have a healthcare provider’s order.
  • Individual Plans and Group Members – Select Health covered members may be eligible for timely submitted reimbursement for FDA-approved OTC COVID-19 home tests purchased between January 15, 2022 – May 11, 2023. . 

Follow these steps for reimbursement:

  1. You can submit receipts for up to eight (8) OTC tests per member per month without a healthcare provider’s order at the lesser of actual test cost or $12 per test. For example, if you purchase four (4) kits with two tests included in each kit, this will count as eight tests.
  2. Complete the reimbursement form and attach the required documentation.
  3. Keep a copy of all of the documents you submit for reimbursement.

The standard reimbursement time is 30 days or less; however, reimbursements may take longer depending on circumstances. The maximum time a member has to submit for reimbursement is one year from the date of purchase. A reimbursement check will be mailed to the subscriber.

Note: This option may not apply to all Select Health plans. If you have questions, please contact Member Services - Select Health Medicare: 855-442-9900 (TTY:711) / Select Health: 800-538-5038.