Over-the-Counter (OTC) COVID-19 Diagnostic Tests

Effective January 15, 2022 - Coverage for over-the-counter at home COVID-19 diagnostic tests

For tests purchased on and after January 15, 2022, the Plan will cover FDA-authorized over-the-counter at-home COVID-19 diagnostic tests without any cost-sharing requirements, prior authorization, or other medical management requirements, regardless of whether ordered by a health care provider. Reimbursement will only be provided for tests purchased from a pharmacy or a retailer and is limited to eight (8) tests per covered person per 30-day period, unless prescribed by a health care provider.

Coverage will be limited as permitted by law, and restrictions will be explained in upcoming notices. The Plan is working on the implementation of this new benefit, and we will provide additional information regarding how to take advantage of this benefit soon.  In the meantime, please keep receipts of all purchased tests and call the Plan at 888-636-6252 (NALC) for further information on how to obtain reimbursement.

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