How to Get Free COVID-19 Tests Through Insurance | Time They may also order up to two sets of four at-home tests per household by visiting COVIDtests.gov. The over-the-counter COVID-19 tests will be covered at a reimbursement rate of up to $12 per test, with a quantity limit of eight tests per covered individual every 30 days for test kits obtained . Aetna Better Health will cover the treatment of COVID-19 or health complications associated with COVID-19. Providers will bill Medicare. Note: Each test is counted separately even if multiple tests are sold in a single package. Your plan may require reasonable documentation of proof of purchase with a claim for reimbursement for the cost of an OTC COVID-19 test. For CVS Health testing initiatives, see section titled, COVID-19 drive-thru testing at CVS Pharmacy locations. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. As an Aetna member, per the Federal Government, you are eligible for insurance reimbursement under a qualified plan for FDA-authorized COVID-19 at-home tests purchased on or after January 15. If as part of that visit the provider administers or orders a test for influenza, strep, or other respiratory infection, that additional testing will also be covered without member cost sharing. This page provides MassHealth Coronavirus Disease (COVID-19) guidance and information for all MassHealth providers. So if someone calls you to sell you an insurance policy or change your current policy even if the person says they represent Aetna call us first at the number on your ID card or 1-800-872-3862 (TTY: 711). For members with Aetna pharmacy benefits, you can submit a claim for reimbursement through your Aetna member website. Kaiser members can go to " Coverage & Costs " and select "Submit a medical claim.". The information you will be accessing is provided by another organization or vendor. 8/31/2021. In case of a conflict between your plan documents and this information, the plan documents will govern. 1-800-557-6059 | TTY 711, 24/7. The member's benefit plan determines coverage. Aetna Medicaid Illinois is here for you during the coronavirus (COVID-19) pandemic, no matter what. Yes. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Your benefits plan determines coverage. You can find a partial list of participating pharmacies at Medicare.gov. This applies whether you purchased your health . Also, new federal guidelines allow members with private, employer-sponsored and student health commercial insurance to request reimbursement for over-the-counter COVID-19 diagnostic tests that are purchased on or after January 15, 2022 without physicians orders1. Each main plan type has more than one subtype. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. In effort to expand testing capabilities, U.S. Department of Health & Human Services (DHS) authorized pharmacists to order and administer COVID-19 tests, including serology tests, that the FDA has authorized. Some pharmacies may not be able to process claims for OTC COVID-19 tests at the pharmacy counter. At-Home COVID-19 Self-Test Coverage & FAQs for Members - Aetna Send it to the address shown on the form. Of note: Aetna specifies that "tests must be used to diagnose a potential Covid-19 infection" and tests used for employment, school or recreational purposes aren't eligible for reimbursement.
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