Retail Information/Process

• eternalHealth members will be able to get up to 8 over the counter COVID home tests per calendar month at no additional cost to them ($0).
• Below are the following ways a member can access this benefit.
  • Option 1: Go to any in-network pharmacy, which can be found here, and show your eternalHealth Member ID at the pharmacy counter to get the COVID-19 test kit reimbursed at point-of-sale, similarly to how you would for any prescription medication. If for any reason, an in-network pharmacy is unable to process your covid test kits or if you forget to show your eternalHealth Member ID at checkout, please use the process outlined above in ‘Option 2’, and submit a DMR form, along with a copy of the receipt.
  • Option 2: If you purchase a COVID-19 test kit at any retail location or online (ex. Amazon, etc.), you can submit a copy of your receipt along with a Direct Member Reimbursement (DMR) form to get reimbursed up to $12 per individual kit. You can find the DMR form here, please submit it to the address listed on top of the form or onto your pharmacy member portal and you will be reimbursed within 30 days.

Other Helpful Information:

• No prescription is required to obtain COVID-19 test kits.
• No cost of test kits will be applied towards your pharmacy deductibles or out-of-pocket plan benefit limits.
• No additional utilization management edits will be applied.
• If you have any questions at all, please feel free to contact eternalHealth’s Customer Service Representatives at 800-891-6989 (TTY 711).

National COVID-19 Tests Distribution Program (Mail Order Option)

• Any household can order four free test kits online at https://www.covidtests.gov/ or https://special.usps.com/testkits
• This program is not operated by eternalHealth. COVID-19 Testing Product availability is based on US government supplies.
  eternalHealth Coverage Parameters
• Select a product from our list (shown below).
  • Maximum reimbursement of up to $12 per individual test kit.
  • Maximum of 8 individual test kits per calendar month per member.
• As a reminder, if you are submitting a paper direct member reimbursement form, please save your receipt(s) so that you can submit a copy along with the form.

Covered Products: (as of 02/03/22)

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