COVID-19 Information

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)

NDCProduct Name/Label
11877001133BINAXNOW COVID-19 AG CARD HOME TEST
11877001140BINAXNOW COVID-19 AG SELF TEST
50010022431CARESTART COVID-19 AG HOME TEST
50010022432CARESTART COVID-19 AG HOME TEST
50010022433CARESTART COVID-19 AG HOME TEST
56964000000ELLUME COVID-19 HOME TEST
51044000842EVERLYWELL COVID-19 HOME COLLECT
82607066026FLOWFLEX COVID-19 AG HOME TEST
82607066027FLOWFLEX COVID-19 AG HOME TEST
82607066028FLOWFLEX COVID-19 AG HOME TEST
82607066047FLOWFLEX COVID-19 AG HOME TEST
56362000589IHEALTH COVID-19 AG RAPID TEST
56362000590IHEALTH COVID-19 AG RAPID TEST
56362000596IHEALTH COVID-19 AG RAPID TEST
08337000158INTELISWAB COVID-19 RAPID TEST
00042022224PIXEL COVID-19 HOME COLLECTION KIT
14613033967QUICKVUE AT-HOME COVID-19 TEST
14613033968QUICKVUE AT-HOME COVID-19 TEST
14613033972QUICKVUE AT-HOME COVID-19 TEST

z

Want to get your COVID-19 test kit reimbursed?

If you were billed for your COVID-19 test kit, complete this form, and attach the original receipt for each COVID-19 test kit to get reimbursed.

Mail the signed & completed forms with receipts to :
OptumRx Claims Department, PO Box 650334, Dallas, TX 75265-0334
Page Last Updated On: June 23, 2022