Anthem Members Will be Reimbursed for Over-the-Counter COVID-19 Tests

A recent announcement from the federal government intends to increase access to COVID-19 testing. As of January 15, 2022, members can get reimbursed by their health plan without cost share for the costs of over-the-counter diagnostic COVID-19 tests until the end of the Coronavirus Public Health Emergency. Diagnostic tests are performed if members are experiencing COVID-19 symptoms or have been recently exposed.

When should an employee take a test?

The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on their current health vaccination status and history of infection.

Where can employees find a test?

• Visit COVIDtests.gov for information on free tests that may be available through government programs.
• Anthem has a limited number of at-home diagnostic test kits available for certain members to order online. Log in using the Sydney Health mobile app (see attached flyer for details) or at anthem.com. If the member is eligible to order an at-home test, they will see an option to place an order.
• Employees can still use in-person diagnostic COVID-19 testing sites. These may include their doctor’s office, a pharmacy or health clinic, or an urgent care center. They can use our  COVID-19 Test Site Finder to find a testing location close to them.
• Over-the-counter diagnostic tests can be purchased online, at a local pharmacy, or from a big-box store.

Can employees visit the emergency room for a test?

As hospitals and emergency departments are overwhelmed, employees should avoid going to the emergency room (ER) to be tested. They should only visit the ER or call 911 if they’re experiencing life-threatening symptoms.

How are the over-the-counter tests covered?

From January 15, 2022, until the end of the Coronavirus Public Health Emergency, each member on a group plan can get up to eight over-the-counter tests each month. If they purchase a test kit that includes two rapid tests, that will count as two of their eight covered tests.

How will employees be reimbursed?

Members will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022.  The member may have to pay out of pocket at the time of purchase but should keep their receipt and submit a claim online.  The member will log in to anthem.com and following the steps in the attached document titled How Members File for At-Home COVID Test Reimbursement.

 

Click this link to find Anthem’s COVID-19 resource site with more information on the over-the-counter kits.

Contact your Cornerstone representative with any questions.