Non-Medicare Prescription Plan - CVS Caremark
COVID Home Test Kits
Effective January 15, 2022, State of Delaware Aetna or Highmark Delaware Health Plan Members with Prescription Coverage through CVS Caremark may obtain over-the-counter (OTC) COVID-19 tests without a prescription at no cost until the end of the Public Health Emergency. COVID Home Test Kits will be limited to eight tests per member per 30 consecutive days under the plan.
There are two options to obtain tests under the plan:
Direct Member Reimbursement – Members can upload a copy of their purchase receipt at Caremark.com to submit for reimbursement for tests purchased on or after January 15, 2022. Members can purchase over-the-counter COVID-19 tests from any pharmacy or merchant of their choice*. Post-service claims will be reimbursed at a cap of $12 per test. Learn More.
Members may also submit a Paper Claim to CVS Caremark for reimbursement.
*Members will be required to attest that the test was purchased for personal use, not employment, that it has not been reimbursed by another source (including reimbursement under an FSA, HRA or HSA), and was not purchased for resale.
Obtain at Pharmacy - Members can obtain an over-the-counter COVID-19 test with no upfront out of pocket cost, simply by presenting their CVS Caremark Prescription ID card to any in network, participating retail pharmacy. Tests eligible for direct reimbursement at the pharmacy are:
- CFLOWFLEX COVID-19 AG HOMETEST
- ON/GO COVID-19 ANTIGEN SELF-TEST
- BINAXNOW COVID-19 AG CARD HOME TEST
- INTELISWAB COVID-19 RAPID TEST
- QUICKVUE AT-HOME COVID-19 TEST (2 Pack)
- QUICKVUE AT-HOME COVID-19 TEST (5 Pack)
IMPORTANT: Pharmacies may not currently have the system capabilities, available supply or staffing capacity to submit claims for over-the-counter COVID-19 tests at the pharmacy counter. If a member is instructed to pay cash for over-the-counter COVID-19 tests, the member should retain their receipts and submit a claim for post-service direct member reimbursement.
Questions about reimbursement or participating pharmacies may be directed to CVS Caremark at 1-833-458-0835.