COVERAGE DETAILS
Testing
Covered at 100% when medically necessary, including the related office, urgent care,
emergency room and telehealth visit which
resulted in a COVID-19 testing.
Over the Counter COVID Tests
Eight (8) covered per member, per month when billed through the pharmacy or submitted for manual reimbursement using the OTC Covid-19
Order COVID Tests
Click here to order four (4) free tests per residential household - https://special.usps.com/testkits.
Direct -to-Consumer Options
Test kits can be ordered through the following mail order pharmacies. You may be responsible for any additional shipping costs, if applicable.
Serve You RX – Call 800.759.3203
Costco Pharmacy – Visit www.costco.com/home-delivery
- Select Mail Order
- Register for a new account
-
o You do not need to be a Costco member to use their mail order service
- Select: Fill New Prescription
- Select: My Doctor will Call or Fax. I do not have a written prescription”
- In the Physicians Info Fields:
- Enter Physician Name: Costco Test
- Enter Physician Phone: (800) 111-1111
- Enter Physician City: Seattle
- Enter Physician State: WA
- Enter Drug Information: COVID Tests
COVID Vaccines
Covered at 100%.
Inpatient Treatment for COVID-19
Subject to cost sharing following your plan design.
Out-of-Network Coverage
Subject to the in-network cost sharing structure for treatment of COVID-19.