Per the President’s Executive Order, At-Home Rapid COVID-19 tests will be covered at 100% effective January 15, 2022. The State Health Plan (Plan) will offer this coverage to Plan members enrolled in the 80/20 and 70/30 PPO Plans as well as the High Deductible Health Plan (HDHP) via the pharmacy benefit. There is a limit of 8 At-Home Rapid tests per 30 days. This does not apply to tests purchased prior to January 15, 2022.
Plan members will have two options for coverage of At-Home Rapid COVID-19 tests:
- Purchase your At-Home Rapid COVID-19 test at a local pharmacy using your State Health Plan ID card. When purchased at the pharmacy with your ID card, there should be no cost to the member, or
- Purchase an At-Home Rapid COVID-19 test online or in a store and submit a receipt and claims form for reimbursement
Members electing to purchase the test and submit a claim should use the Prescription Reimbursement Claim form located on the Plan’s website.
Members should submit a receipt that clearly indicates the test purchased, along with the claims form. Expect the claims reimbursement process to take between 30 and 90 days.