At-home COVID-19 tests now covered by your medical plan

Federal guidelines were released last week that require all health plans to pay for FDA-approved over-the-counter (OTC) at-home COVID-19 tests purchased on or after Jan. 15, 2022.

If you’re covered by a King County employee medical plan, see the information below about how to get reimbursed. The processes are still being worked out by the health plans, and plans are working to obtain adequate supplies as soon as possible. For now, be sure to save your receipts for at-home COVID-19 tests purchased on or after Jan. 15, 2022.

For SmartCare (Kaiser Permanente) members:

Mail a Member Reimbursement Form and your receipt(s) to Kaiser Permanente. Visit Kaiser’s COVID-19 testing web page for up-to-date information. You can also schedule an in-person COVID-19 test at a Kaiser Permanente facility, if medically appropriate.

For KingCare and KingCare Select (Regence/CVS) members:

CVS, the pharmacy benefit manager for Regence plans, is currently developing its process with network pharmacies to directly bill CVS for at-home COVID-19 tests, but it’s not complete. If your local pharmacy has COVID-19 tests available, you may be able to get them at no cost. If the pharmacy can’t direct bill, you’ll need to buy the test and submit a claim for reimbursement to CVS online or through the CVS app. If you need help, call CVS at 800-552-8159. Have your CVS member ID card handy. The King County group ID number is 0385.

For more information, see the At-home COVID-19 tests FAQ and go to How to get your At-Home Over-The-Counter COVID-19 Test for Free. More information will be shared with employees as it becomes available.