CVS/caremark Contact Information: Group Number: RX1955 Member ID: Aetna Member ID Number: Use 000 followed by your EIN (example 000123456) CVS Customer Service: (888) 202-1654 CVS Specialty Pharmacy: (800) 237-2767 WOONSOCKET, R.I., Feb. 15, 2022 /PRNewswire/ -- Starting today, eligible CVS Health (NYSE: CVS) consumers can visit CVS.com or the CVS App to utilize a new digital service that simplifies the process for locating, ordering, and picking up at-home COVID-19 test kits with zero upfront out-of-pocket cost and without the need for the consumer to submit a claim to their health insurance provider. At-Home COVID-19 Test Reimbursement GW medical plan participants are able to purchase over-the-counter (OTC) at-home COVID-19 tests via your CVS Caremark Pharmacy Benefit, which will cover up to eight OTC COVID-19 home tests, per 30-day period, for each person covered under your plan. As a part of the CVS Caremark family, you: Watch the video to get to know us better. CarePass TM. In addition to the eight free COVID-19 tests (four 2-pack testing kits) described above, all GIC members also can order up to four free tests from the Federal Government. You can find out by using theCheck Drug Cost and Coveragetool. Specialty pharmacies provide medications for those special treatments. Look for an FDA Emergency Use Authorization label on the package. Sign in or register to see how much youve spent on medications. %PDF-1.7 The Department of Financial Regulation issued an emergency regulation requiring health insurers to cover the costs of COVID-19 antigen at-home tests (commonly referred to as "rapid" tests). Health Benefits and the COVID-19 Pandemic, COVID-19 Over-The-Counter (OTC) Testing Kits: Updated 2/4/22. Wherever and whenever people need us, we help them with their health whether that's managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. 530. * Should any difficulties occur during in-store purchases, claims for at-home COVID-19 test kits using UPC codes from any retail or online provider can always be manually submitted. To find out if your plan covers your medication, use the Check Drug Cost and Coverage tool. Claims for at-home OTC COVID-19 test kits will automatically process at $0 when checking out at a participating pharmacy. Blue Cross commercial members also have the option of mail-ordering up to eight tests per month from Express Scripts Pharmacy. Health plans are required to have a reimbursement process for members purchasing at-home tests (up to the limit), whether purchased online or in-person. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 14 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Find a covered pharmacy that is convenient. While it doesnt include every available medication, it includes options to treat most health conditions. Direct Coverage: The cost of the OTC COVID-19 test will be covered at the pharmacy point-of-service. Login to find specialty pharmacies included in your plan. Yes. Visit Covid Testing Resources for detailed instructions for requesting reimbursement. If you currently receive your prescriptions by mail, you can also skip sign-in and use guest refill to enter your date of birth and Rx number. Use thePharmacy Locatortool to see what in-network pharmacies are located near you. Our purpose is simple and clear: Bringing our heart to every moment of your health. Use the Find a Pharmacy tool to locate one near you. The amount is determined by your plan sponsor's pharmacy benefit. ",#(7),01444'9=82. The 9-digit number must be from a CVS Caremark prescription. Box 53992 . Sign in or register to check the status of your mail service order. Consumers can enter their insurance information when checking out online and CVS Pharmacy will process the claim with the individual's health insurance provider on their behalf. SilverScript, administered by CVS Caremark, provides an Automatic Refill and Renewal program for home delivery, CVS Pharmacy Pickup and Delivery Options, CVS Specialty Pharmacy and over 66,000 pharmacies are . Effective April 4, 2022, Medicare will cover up to eight (8) at-home COVID-19 tests per person every 30 days or four (4) two-test, rapid antigen at-home tests every 30 days without a prescription. Sign in or register to see how much youve spent on medications. 10%*. Now, in addition to on-campus COVID testing and free at-home tests delivered by the U.S. Yes. Or, there could be new, lower-priced options. Sign in or register to print or access your digital ID card. Plan & Benefits. 0000039018 00000 n Questions can be best addressed by CVS Caremark at 800-294-6324 or SEHP at SEHPBenefits@ks.gov. Preventive drugs on the CVS Caremark Preventive Drug Therapy List (PDF) are not subject to the deductible. When your doctor prescribes a formulary medication, youll pay your plans required copay or coinsurance at the pharmacy. After 2 months of getting my meds at CVS they offered to fill . Commercial members may receive reimbursement for up to eight over-the-counter COVID-19 at-home tests per covered individual in the household per 30-days without a healthcare provider order or clinical assessment. Eligible patients with commercial health plans and Medicare may present their prescription insurance information at CVS Pharmacy locations within Target to obtain tests. The convenient delivery to your home or work is at no extra cost. All rights reserved, Navigating changes to medications or pharmacies, Have access to convenient pharmacies covered by your plan, Can choose home delivery of your medications, Get personalized tools and services to help you stay on track with your health. Copyright @ 2022 CVS Caremark. Your plan asks CVS Caremark to monitor your list of covered medications and make changes when lower-cost, clinically appropriate options become available. Massachusetts residents: health insurance mandate. Claims for at-home OTC COVID-19 testing kits will automatically process at $0 copay when checking out at in-network pharmacy counters or ordering at-home testing kits from Express Scripts Pharmacy online. An official website of the Commonwealth of Massachusetts, This page, COVID-19 Over-The-Counter (OTC) Testing Kits: Updated 2/4/22, is, On Monday, January 10, 2022, the Federal Government issued guidance that health insurance carriers and health plan sponsors (such as the Group Insurance Commission) are required to cover the cost of, Non-Medicare Coverage of OTC COVID-19 Tests. Sign in or register to see if your Rx is covered and how much it will cost. | Pharmacy Members of select insurance plans may also access tests with no up-front cost by visiting the pharmacy counter at their local CVS Pharmacy. A quantity limit isthe highest amount of medication covered by your plan for a period of time(for example, 30 tablets per month). Generic medicine manufacturers then pass the savings on to consumers. Refill your mail service Rx without signing in. For certain medications, your plan may cover an additional amount after the limit is reached. Medicare Directions for Purchasing OTC COVID-19 Tests In-Store, Members can purchase OTC COVID-19 test kits from participating pharmacies at no-cost at the time of purchase. Do not submit for at-home COVID-19 test reimbursement without signing the claim form or your submission . Your commercial plan will reimburse you up to $12 per test. providing consumers with access to comprehensive COVID-19 testing services. You or your pharmacy can ask your doctor to start a PA. Then, your doctor can submit an electronic prior authorization request to Caremark. % If your exception request is still denied after the appeal, a second level appeal could also take up to 15 business days to process. After signing in at caremark.com, you'll see a list of all prescriptions ready for refill. Coverage is available for members eligible with Medicare Part B FFS or Medicare Advantage Benefits. Use the Check Drug Cost tool to view a list of alternative medications. Get started by signing in or registering for an account at caremark.com. The CVS Caremark mobile app is ready to help you quickly refill a prescription, find a network pharmacy, check drug costs, and much more. <> Medicare DMR form, English (PDF, 233KB . Patients who may be ineligible for advance reimbursement, or patients who choose to purchase pay for the kits upfront and submit receipts directly to their insurer may: Order at-home COVID-19 test kits for delivery throughCVS.com or the CVS Pharmacy apppay today and get reimbursed option; or, Visit a local CVS Pharmacy and purchase test kits directly at the checkout at the front of the store. When you search for a drug, you can see how much of the medication costs your plan pays and how much you pay. Watch the video to learn more. Some prescription plans may require an extra level of approval for certain medications. These helpful tools are waiting for you at Caremark.com whenever you need them. If approved, you can fill your prescription. As of now, not every CVS pharmacy is participating. If multiple tests are sold in one package, i.e., if one package includes two tests, it counts as two tests and not one test package . The EUA is supported by the Secretary of Health and Human Services' (HHS) declaration that circumstances exist to justify the emergency use of diagnostics (IVDs) for the detection and/or diagnosis of the virus that causes COVID-19. Note that both preferred and non-preferred medications may require a prior authorization. Fill in the requested information about the medication and dosage and you'll receive a message telling you if your drug is covered and what your copay amount will be. . NDC / UPC. $75. 0000040747 00000 n Depending on your plan, your doctor may be able to request prior authorization for coverage. <> You must provide your Medicare Beneficiary ID (MBI) from your Medicare red, white, or blue card. Those without computer access or who need additional assistance may request . At-home COVID-19 tests are excluded from all coupon discounts and promotions, including CarePassand ExtraBucks Rewards. Watch the video to learn more about PA, how the review process works, and what you can expect. Where you get your medication depends on your plan, but you can decide the most convenient way to fill your prescriptions. Once your doctor submits the request, it will be reviewed by CVS Caremark and a decision will be made. At this time at-home COVID-19 test orders may only be picked up inside our stores. You may purchase your own antigen test or PCR test to perform yourself at home. They will enable you to view the details of your plan. Sign in or register to request a new 90-day Rx. You may also submit a paper claim for reimbursement. You can select from lots of covered pharmacies. Home > Profile > Submit Prescription Claim A receipt of purchase is required for reimbursement. Fill in the requested information about the medicine and dosage and you'll receive a message telling you if your medicine is covered and what your co-pay amount will be. Name of Covid-19 Test Kit: _____ Number of Covid-19 Test Kits you are submitting for reimbursement: _____ Additional comments: STEP 3 Mail completed forms with receipts to: CVS Caremark P.O.