At-home COVID-19 tests covered by insurance under federal requirement

federal policy now requires private insurers provide coverage or reimbursement for over-the-counter/at-home COVID-19 tests. Under the new policy:

  • At-home COVID-19 tests purchased at participating in-network pharmacies are covered by the Washington University pharmacy benefit. Employees should present their Express Scripts member ID card when checking out at the pharmacy counter so your test automatically rings up at no cost to you.
  • If you happen to purchase your test at an out-of-network pharmacy or are accidentally charged, you can submit your receipt for reimbursement up to $12 a test. Please follow the instructions on the Express Scripts Claim Form (PDF) to submit for reimbursement.
  • The plan will cover up to eight tests per member, per month. As an example, a household of one covered employee, a spouse, and two covered dependents can purchase up to 32 tests per month. If a test is sold in packaging containing more than one test, each test is counted separately (i.e., one box = two tests).

For questions, please contact Express Scripts Customer Services at 1-877-880-1877 or visit the Express Scripts COVID-19 Resource Center.