COVID-19 Testing

In-Person and At-Home Test Kit Reimbursement by Health Plan

• Health Net CanopyCare HMO Members

  At-Home Test Kits

  Health Net 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 Health Net’s in-network pharmacies and show your Health Net ID card, so you do not have to pay up front out-of-pocket.

  If you purchased any FDA approved at-home COVID-19 test(s) outside of Health Net's in-network pharmacies (e.g., Amazon, grocery store, etc.), Health Net will reimburse you for the cost of the test after you complete the Member Reimbursement Form.

  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.
  
  Please print and submit the invoice or 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. Mail your claim to the address listed on the form.

  In-Person PCR Testing

  Contact your Health Net CanopyCare provider to schedule in-person COVID-19 testing. For more information, members can call Health Net at (833) 448-2042 or visit healthnet.com/COVID19 for more information.
• Health Net CanopyCare FAQ

  How do I get an at-home COVID-19 test for free?

  If you have pharmacy coverage as part of your Health Net plan, you can get an over the counter (OTC), FDA-approved, EUA at-home COVID-19 test at no cost if you visit one of Health Net’s in-network retail pharmacies. View approved in-network pharmacy test kit list (PDF).

  Get the test from the pharmacy itself. Do not get a test and pay for it at the store’s normal register. If you pay for the test at the normal register, then you will need to submit a medical claim form to get reimbursed.

  Visit our website to find an in-network pharmacy for your plan type.

  
  Are there tests not covered through pharmacy?

  COVID test kits that are not covered include:

  • Kits that have to be sent to a lab (collection kits)
  • Kits that are not indicated as "OTC"
  • COVID kits obtained outside of the United States

  I have a Health Net group medical plan, but the prescription coverage is through another company. How do I get an at-home COVID test for free?

  Check with your pharmacy to see if they can bill the vendor through their pharmacy system. You can then get an OTC at-home COVID-19 test at no cost. You can also purchase an OTC FDA- approved, EUA at-home COVID-19 test and be reimbursed by Health Net for the cost of the test. Please complete and submit a Health Net medical claim form.

  I bought an at-home COVID-19 test on my own, will I be reimbursed?

  Yes. If you bought an OTC FDA-approved, EUA at-home COVID-19 test at any place outside of our in-network pharmacies (e.g., Amazon, grocery store, drug store, etc.), you will be reimbursed for the cost of the test kits (up to $12 per test) as follows:

  • Purchase an at-home test that is on the FDA-approved EUA list. View the FDA-approved EUA at-home test list. Tests available without a prescription will include "OTC" (for over-the-counter at-home tests) in the Attributes column.
  • Complete and submit a separate claim form for each member:
    Claim form – English (PDF)
    Claim form – En Español (Spanish) (PDF)
    
    You must include a copy of your receipt. On your receipt, write or circle (if the information is on the receipt):

  • The name of the OTC COVID Test Kit.
  • The UPC code found on the box.
  • Complete Section 1 and Section 2 of the claim form
    
    For Section 3, include this information in the fields as follows:

  1.  The store where you bought the test kit (Amazon, grocery store name, drug store name, etc.)

  2.  The address of the store if applicable.

  3.  Write "COVID-19 Home Test" and the number of tests.

  4.  The date you purchased the kit(s).

  5.  The amount being asked for reimbursement.
  
   

  • Sign and return your claim form (don't forget the receipt).
    Mail to:
    
    Health Net, LLC
    Commercial Claims
    PO Box 9040
    Farmington, MO 63640-9040

  
  You will be reimbursed based on federal guidance set on January 10, 2022, which states:

  • The cost of the at-home test – up to $12 per test
  • Maximum of 8 tests per covered member in a 30-day period
  • A single testing kit box that includes two tests would count as two (e.g. $12 x 2 = $24)

  If you purchased a physician ordered, FDA/EUA approved test before January 15, 2022, Health Net will reimburse the member when the claim form is turned in based on what you paid.

  If I bought an FDA-approved EUA at-home COVID-19 test on Amazon, how do I show my proof of purchase?

  Please print an image of the digital receipt and submit it along with the claim form. If you can’t provide a digital receipt, please put the order or invoice number for the purchase on the claim form. This is for proof of purchase and tracking. See above FAQ on how to be reimbursed.

  Will Health Net limit the number of tests that a member can get for free?

  Yes. Health Net will cover 8 OTC FDA-approved, EUA at-home COVID-19 tests purchased over-the-counter per covered member in a 30-day period. This follows the federal guidance released on January 10, 2022.
• Blue Shield of California Trio HMO, Access+ HMO, and PPO-Accolade Members

  At-Home Test Kits

  Blue Shield will provide coverage for at-home COVID-19 tests for personal use that were purchased on or after January 15, 2022. 

  Members can submit their claims electronically by visiting blueshieldca.com. Click on the link that reads "Blue Shield will reimburse you for over-the-counter COVID-19 at home tests. Learn how to file a claim." 

  You can also submit a Subscriber's Statement of Claim form and proof of purchase receipt. The proof of purchase receipt should include the name of the retailer, including the street address, or if purchased online, the website address, date of purchase, UPC code for the at-home test kit, and the cost of the at-home test kit. Mail your claim for reimbursement to the address listed on the form.

  In-Person Testing

  Blue Shield recommends you visit an in-network testing site whether you have a healthcare provider order or not. However, diagnostic testing ordered or performed by licensed or authorized out-of-network health care providers is also covered.

  If you have symptoms or think you have been exposed to someone who has COVID-19, contact your healthcare provider. They can tell you where to get a test if needed. Visit Blue Shield's Testing for COVID-19 FAQ page for more details.
  
  Trio HMO members can call: (855) 747-5800. 
  Access+ HMO members can call: (855) 256-9404.
  PPO-Accolade members can call (866) 336-0711.
• Kaiser Permanente Members

  Self-Tests

  COVID-19 home antigen tests provide results usually within 30 minutes. Rapid tests can be used in most cases, including if you have symptoms, think you’ve been exposed to someone with COVID-19, or before gathering indoors with people who may be at high risk.

  iHealth self-tests: The shelf life of the iHealth brand of COVID-19 home antigen tests has been extended by the FDA. You can visit the iHealth website and enter the test’s lot number to see whether your test has been affected and view the new expiration date. 

  • Order self-tests from the federal government at covidtests.gov. Every home in the U.S. is eligible to have 8 free self-tests delivered without shipping fees. 
  • Order self-tests from Kaiser Permanente. If you're a member with a kp.org account, you can order self-tests to be delivered to your home at no cost. If you don’t have a kp.org account, you can create one here.
  • Get self-tests at a Kaiser Permanente facility. Self-tests may be available in our pharmacies. We’re currently distributing iHealth and FlowFlex test brands. 
  • Get self-tests from participating retail pharmacies. Medicare members can visit Medicare.gov for participating pharmacies and present your Medicare ID card at the pharmacy counter. All other members can visit Costco, Rite Aid, and Walmart, and show your photo ID and Kaiser Permanente ID card at the pharmacy counter. Availability of tests may vary.
  • Buy self-tests outside Kaiser Permanente. Self-tests may be available online or at local retailers. You can submit a claim to get reimbursed for tests purchased on or after January 1, 2022. 

  
  In-Person Testing

  Kaiser Permanente members can sign in to kp.org or use the Kaiser Permanente app and self-schedule a COVID-19 test through an e-visit. Individuals who don’t have online access can call the appointment line for assistance:  Northern CA (866) 454-8855 (TTY 711); Southern CA (833) 574-2273 (TTY 711). Kaiser Medicare Advantage members call (800) 443-0815.

  When you receive testing at Kaiser Permanente, you get:

  • Easy online scheduling – testing appointments can be scheduled 24/7 and are usually available within 1-2 days.
  • Convenient access to testing locations – testing is available at most Kaiser Permanente facilities.
  • Reliable and accurate test results – usually available within 48 hours, often quicker, depending on demand.
  • New test results automatically saved to medical record – care teams are notified and can follow-up with members as needed.
  • Kaiser Diagnostic Testing Flyer
• UnitedHealthcare PPO Companion Plan and UnitedHealthcare Medicare Advantage Members

  At-Home Test Kits

  UnitedHealthcare Medicare Advantage PPO

  San Francisco Health Service System (SFHSS) plan UHC Medicare Advantage PPO members will have their costs covered for U.S. Food & Drug Administration (FDA) authorized or approved OTC at-home COVID-19 tests purchased on or after January 15, 2022.

  Participants enrolled in the UHC Medicare Advantage PPO plan are eligible to get up to eight (8) individual COVID-19 test kits per covered participant each calendar month without a prescription. Coverage includes OTC at-home COVID-19 test kits authorized or approved by the Food and Drug Administration (FDA). Look for an FDA Emergency Use Authorization label on the package. The most common tests are BinaxNOWTM, i-Health®, InteliSwabTM, On/GoTM, COVID-19 At-Home test kits (Roche) and QuickVue®.

  • Beginning April 4th until the COVID-19 public health emergency (PHE) ends, Medicare has a new initiative that will cover up to eight over-the-counter COVID-19 tests each calendar month, at no cost to you. You can get over-the-counter COVID-19 tests at any pharmacy or health care provider that participates in this initiative.
     
  • Check with your pharmacy or health care provider to see if they are participating. If so, they can provide your tests and will bill Medicare on your behalf.
     
  • A partial list of participating pharmacies can be found at medicare.gov/medicare-coronavirus.
     
  • You should bring your red, white, and blue Medicare card to get your free tests (even if you have a Medicare Advantage Plan or Medicare Part D plan). If you forgot your Medicare card, the pharmacy may be able to get the information it needs to bill Medicare without the card. 
     
  • Prior to April 4th, if you purchased a COVID-19 test kit from a store or online retailer, submit your purchase receipt(s) for a reimbursement of up to $12 per test kit, for a total of 8 kits each calendar month.  

   

  Download UHC Medicare Advantage PPO's Home Testing Kit Reimbursement Instructions here.

  To order free at-home COVID-19 test kits from the federal government, visit covidtests.gov.

  
  In-Person Testing

  Talk to your primary care provider or other health care professional if you think you need COVID-19 testing. Find a testing site using UHC's Testing Center Locatorhere. 

  You will have $0 cost-share (copayment, coinsurance or deductible) on medically appropriate COVID-19 testing during the national public health emergency period. For more details about UHC's COVID-19 testing coverage, click here. UHC PPO Companion Plan members call (866) 282-0125. UHC Medicare Advantage members call (877) 259-0493.
   

  UnitedHealthcare PPO Companion Plan 

  UnitedHealthcare (UHC) is covering most commercial individual and group health plan members’ FDA-authorized or approved OTC COVID-19 at home tests without a doctor’s prescription or clinical assessment. UHC's COVID-19 at home test benefit includes up to 8 tests per member per 30 days. Start by visiting UHC's Over-the-Counter At-Home COVID-19 Test page.

  UnitedHealthcare non-Medicare PPO members can get free at-home COVID tests at UnitedHealthcare Preferred Retailers at no cost. Please check their Preferred Retailer list for a location near you. UnitedHealthcare is working to add additional Preferred Retailers. 

  Submit a receipt online to UnitedHealthcare at myuhc.com or use the over-the-counter COVID-19 at home test reimbursement form.

  • UHC At-Home Testing Flyer
  • UHC Home Test Reimbursement Form