Free At-Home COVID-19 Tests for State Plan Members

Effective April 4, 2022, the State Plan will no longer provide Medicare retirees coverage for over-the-counter COVID-19 tests, as the coverage is now available via Medicare Part B.

Free federally Issued At-Home covid-19 Tests 

Available for all U.S. homes, State Plan membership not required.

• Every home in the U.S. is eligible to order free at-⁠home tests. 
• Order tests at COVIDtests.gov. 

Direct-to-consumer at-home covid-19 tests 

Available to all State Plan members, except Medicare Retirees.

Available from Costco pharmacy (membership not required)

Each order contains 2 boxes with 5 COVID-19 tests per box, for a total of 10 at-home COVID-19 tests.

Place an order, follow these steps:

• Go to costco.com/home-delivery
• Select Mail Order
• Register for a new account or sign into your existing account
  • You do not need to be a Costco member to use their mail order service
• Select: New Prescription
  • Select: “My doctor will call or fax Costco. I do not have a written prescription”
  • In the Physician Information fields: 
    • Enter Physicians Name: Costco Test
    • Enter Physicians Phone: (800) 111-1111
    • Enter Physician City: Seattle
    • Enter Physician State: Washington
    • Enter Drug Information: COVID Tests
  • Select shipping option
  • Click Next and Confirm Prescription Request
  • Click Complete Prescription Request to complete order

purchase At-Home covid-19 Tests from retailer

Available to all State Plan members, except Medicare Retirees.

• Purchase at a Navitus In-Network Pharmacy
  • Members will need to present their Navitus Pharmacy ID card at time of purchase at the pharmacy window. 
  • At-home test cost is processed at point of sale with no out of pocket cost to the member.
  • To find an in-network pharmacy, login to your account at navitus.com and click "Pharmacy Search." 
• For Purchases Made Out of Pocket
  • Members pay for the at-home test up front then submit a claim to Navitus for reimbursement of up to $12 per test.
  • Submit reimbursement claims using the OTC COVID-19 At Home Test Claim Form.
  • Due to high claims volume, reimbursement claims for at-home COVID-19 tests may take up to 90 days to process.

Reimbursement Details

• At-Home COVID-19 tests will be covered at a reimbursement rate of up to $12 per test.
• Limit of eight at-home tests per State Plan Member every 30 days.
• The quantity limit does not apply to test ordered by a health care provider.
• Tests packaged in multi-packs will be reimbursed accordingly.
• At-home COVID-19 tests must be authorized by the U.S Food and Drug Administration (FDA) to be eligible for reimbursement.
• Not eligible for at-home tests purchased before January 15, 2022.

Medicare retirees

Effective April 4, 2022, the State Plan will no longer provide coverage for over-the-counter COVID-19 tests for Medicare primary plan members as the coverage is now available via Medicare Part B.

• Learn more about Medicare coverage for at-home COVID-19 tests.
• General information about Medicare & COVID-19.