Here’s the reimbursement process:
1. Save the purchase receipt(s) and cut out the UPC code(s) on the test box(es).
2. Download and print the reimbursement form(s).You will need one form for each plan-covered individual who will be using the test.
3. Mail the form(s), along with the UPC code(s) and receipt(s), to the address on the form.
If you don’t send in complete documentation, we will return the form with a request for additional information. To process the claim, the physical copy of the product barcode is required. You must mail in the required documentation.
We will provide reimbursement for eight over-the-counter tests per 30-day period for each covered individual on the plan.
You can purchase tests at local retailers or online.
Tests must be authorized, cleared or approved by the U.S. Food and Drug Administration. See the list of qualifying tests.