COVID-19 testing FAQs - Hero Image

COVID-19 testing FAQs

COVID-19 over-the-counter (OTC) at home testing

On January 10, 2022, the Departments of Labor, Treasury and Health and Human Services released guidance to support the Administration’s directive that health insurers and group health plans cover the cost of FDA-authorized or approved over-the-counter (OTC) at-home COVID-19 tests purchased on or after January 15, 2022.

What are the highlights of the at-home COVID-19 test purchased on or after January 15, 2022?

Beginning February 1, 2022, Surest health plan members will only be able to use their Pharmacy benefits to access FDA authorized or approved over-the-counter (OTC) at-home COVID-19 diagnostic tests without a doctor’s prescription. This at-home COVID-19 test benefit includes up to 8 tests per member per calendar month.
Surest members should consult their Pharmacy Benefit Manager to determine if they will be able to obtain tests with no up-front cost and without having to submit a form for reimbursement.
Members should consult their Pharmacy Benefit Manager to learn about options for reimbursement for purchases of over-the-counter (OTC) at-home COVID-19 diagnostic tests.
Surest members can search Benefits.Surest.com for the specific over-the-counter (OTC) at-home COVID-19 diagnostic test they wish to purchase to be linked to their Pharmacy Benefit Manager’s website.
Members can contact their employer if they are unsure of their Pharmacy Benefit Manager.

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Question:

Which OTC at-home COVID-19 tests are part of this program?

Any FDA-authorized or approved test is covered as part of the program. Typically, FDA-authorization is shown on the test packaging.

Question:

How many COVID-19 tests will be allowed per member, per month?

Under this program, each covered member is able to be reimbursed for 8 over-the-counter (OTC) COVID-19 tests every 30 days.

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