Yes. HMSA will cover the cost of OTC at-home COVID-19 diagnostic tests for HMSA commercial plan members during the public health emergency, which ends May 11, 2023.

HMSA will reimburse commercial plan members for the price of the tests, including shipping and sales tax, up to $12 per test for OTC at-home COVID-19 tests. Members can be reimbursed for up to eight tests per month. Tests must be authorized, cleared, or approved by the FDA. Not all tests are authorized, cleared, or approved by the FDA. Tests that will be covered should say “OTC” for over-the-counter at-home tests. To see if a test is covered, visit the FDA website for a list of authorized, cleared, or approved over-the-counter at-home COVID-19 diagnostic tests ³. This reimbursement applies from Jan. 15, 2022, through May 11, 2023.

HMSA will not reimburse for tests purchased on or after May 12, 2023. Eligible members may request reimbursement on My Account for tests purchased on or before May 11, 2023, within one year from the date of purchase. For example, if the test was purchased April 1, 2023, you must request reimbursement by April 1, 2024.

For self-insured plan members, please check with your employer.

For all EUTF members with an EUTF prescription drug plan through CVS Caremark/SilverScript:

• If you bought tests between Jan. 15 and Feb. 28, 2022, this purchase is no longer eligible for reimbursement.
• If you bought tests from March 1, 2022, through May 11, 2023, submit your reimbursement form to HMSA. Eligible members may request reimbursement on My Account for tests purchased on or before May 11, 2023, within one year from the date of purchase. For example, if the test was purchased on April 1, 2023, you must request reimbursement by April 1, 2024.

If you’re an EUTF retiree and don’t have an EUTF prescription drug plan through CVS Caremark, submit your reimbursement to HMSA.

If you’re a HMSA Federal Plan 87 member, HMSA will continue to reimburse for the price of the tests, including shipping and sales tax, up to $12 per test for OTC at-home COVID-19 tests. Members can be reimbursed for up to eight tests per month. Tests must be authorized, cleared, or approved by the FDA. Not all tests are authorized, cleared, or approved by the FDA. Tests that will be covered should say “OTC” for over-the-counter at-home tests. To see if a test is covered, visit the FDA website for a list of authorized, cleared, or approved over-the-counter at-home COVID-19 diagnostic tests ³. HMSA Federal Plan 87 members can submit their reimbursement form to HMSA through My Account.

This OTC reimbursement benefit doesn’t include HMSA QUEST Integration (Medicaid) plan and HMSA Medicare Advantage plan members.

If you’re an HMSA Medicare Advantage member, here are your options:

• Medicare will cover OTC COVID-19 tests if you have Medicare Part B, including those enrolled in a Medicare Advantage plan. As of April 4, 2022, Medicare members with Part B can get up to eight tests per month through May 11, 2023.
• Until May 11, 2023, you can get OTC COVID-19 tests at any pharmacy or health care provider that participates in this initiative. Check with your pharmacy or health care provider to see if they participate or go to medicare.gov ⁸ to see a list of participating pharmacies. You must show your red, white, and blue Medicare card to get your free tests even if you have a Medicare Advantage plan or Medicare Part D plan.
• Medicare won’t cover the tests if you have only Medicare Part A (hospital insurance).

If you’re an HMSA QUEST Integration (Medicaid) member:

• As of Aug. 1, 2022, HMSA QUEST Integration members can go to an HMSA participating pharmacy⁹ and get OTC at-home COVID-19 diagnostic tests at no cost through Sept. 30, 2024. Members can get up to four tests per day from participating pharmacies (if available) with a maximum of eight tests per month at no cost. You must show your HMSA QUEST Integration card to get your free tests.

Medicare will cover OTC COVID-19 tests if you have Medicare Part B, including those enrolled in a Medicare Advantage plan.

Medicare members with Part B can get up to eight tests per month through May 11, 2023.

You can get OTC COVID-19 tests at any pharmacy or health care provider that participates in this initiative. Check with your pharmacy or health care provider to see if they participate or go to medicare.gov ⁸ to see a list of participating pharmacies.

You must show your red, white, and blue Medicare card to get your free tests even if you have a Medicare Advantage Plan or Medicare Part D plan.

Medicare won’t cover the tests if you have only Medicare Part A (hospital insurance).

The reimbursement benefit and distribution from our preferred provider doesn’t apply to HMSA Medicare Advantage plans.

As of Aug. 1, 2022, HMSA QUEST Integration members can go to an HMSA participating pharmacy¹⁰ and get OTC at-home COVID-19 diagnostic tests at no cost.

HMSA QUEST Integration plan members can get up to four tests per day from participating pharmacies (if available) with a maximum of eight tests per month at no cost through Sept. 30, 2024. You must show your HMSA QUEST Integration card to get your free tests.

The reimbursement benefit and distribution from our preferred provider doesn’t apply to HMSA QUEST Integration plans.

HMSA commercial plan members can submit a receipt for reimbursement on hmsa.com¹¹. You’ll only be reimbursed for tests that were bought on or after Jan.15, 2022, through May 11, 2023. Eligible members may request reimbursement on My Account for tests purchased on or before May 11, 2023, within one year from the date of purchase. For example, if the test was purchased April 1, 2023, eligible members must request reimbursement by April 1, 2024. HMSA will not reimburse for tests purchased on or after May 12, 2023.

HMSA will reimburse you for the price of the tests, including shipping and sales tax, up to $12 per test. You can be reimbursed for up to eight tests per month. You’ll need your receipt and a copy of the UPC bar code from the test. Tests must be authorized, cleared, or approved by the FDA. Tests that will be covered should say “OTC” for over-the-counter at-home tests. Not all tests are authorized, cleared, or approved by the FDA. To see if a test is covered, visit the FDA website for a list of authorized, cleared, or approved over-the-counter at-home COVID-19 diagnostic tests³.

Go to hmsa.com and click Member Login¹². Once you’re logged in, go to the Claims tab and click COVID-19 test reimbursement form. You’ll need to provide the following information:

• Health plan name. If you have more than one HMSA plan, select your primary plan as the plan you’ll be submitting reimbursements under. Reimbursement is limited to eight tests per person per month and only under the primary plan.
• Member name. Choose the subscriber and/or dependents, if any, to submit reimbursement for.
• Date you bought the test(s).
• Time you bought the test(s).
• Location or name of the retailer that you bought the test(s) from.
• The brand of the test(s). You can choose the type of test(s) you bought from a list of authorized, cleared, or approved FDA OTC at-home tests. To see if a test is covered, visit the FDA website for a list of authorized, cleared, or approved over-the-counter at-home COVID-19 diagnostic tests ³. Tests that will be covered should say “OTC” for over-the-counter at-home tests.
• The number of kits you bought. Some kits may contain multiple tests.
• The number of tests you bought. Some kits may contain multiple tests.
• The price per kit. Some kits may contain multiple tests.
• Email address.
• Phone number.
• Additional comments, if any.

You’ll also need to upload a copy of your receipt(s) and photo of the UPC bar code for the test(s) bought with the reimbursement form.

If your receipt has multiple items, please circle the item(s) on the receipt. Once you submit your reimbursement form, you’ll receive a confirmation code indicating that we received it and will review and process your claim.

Not enrolled on hmsa.com? Click Member Login¹² and follow the simple instructions to enroll. It takes just a few minutes.

No. HMSA commercial plan members must submit a receipt and a copy of the UPC bar code from your test to be reimbursed. This will ensure that the test is authorized, cleared, or approved by the FDA.

Yes. HMSA will reimburse commercial plan members for the price of the tests, including shipping and sales tax, up to $12 per test. The OTC at-home COVID-19 test must be authorized, cleared, or approved by the FDA. To see if a test is eligible for reimbursement, visit the FDA website for a list of authorized, cleared, or approved over-the-counter at-home COVID-19 diagnostic tests³ . Tests available for reimbursement should say “OTC” for over-the-counter at-home tests.

This reimbursement applies from Jan. 15, 2022, through May 11, 2023. HMSA will not reimburse for tests purchased on or after May 12, 2023.

Yes. HMSA will reimburse commercial plan members for the price of the tests, including shipping and sales tax, up to $12 per test. The OTC at-home COVID-19 test must be authorized, cleared, or approved by the FDA. To see if a test is eligible for reimbursement, visit the FDA website for a list of authorized, cleared, or approved over-the-counter at-home COVID-19 diagnostic tests³. Tests available for reimbursement should say “OTC” for over-the-counter at-home tests.

This reimbursement applies from Jan. 15, 2022, through May 11, 2023. HMSA will not reimburse for tests purchased on or after May 12, 2023.

Yes. HMSA commercial plan members can be reimbursed for up to eight tests per month. HMSA will reimburse you for the price of the tests, including shipping and sales tax, up to $12 per test for OTC at-home COVID-19 tests. Additionally, HMSA will cover the cost of tests that are prescribed by a health care provider due to an underlying medical condition. That means HMSA will cover eight tests per month in addition to tests that your doctor prescribes.

This reimbursement applies from Jan. 15, 2022, through May 11, 2023. HMSA will not reimburse for tests purchased on or after May 12, 2023.

No. We’ll reimburse commercial plan members only for tests bought on or after Jan. 15, 2022, the day the federal mandate started, through May 11, 2023. Reimbursement must be submitted on My Account within one year from the purchase date. For example, if the test was purchased April 1, 2023, eligible members must request reimbursement by April 1, 2024. Tests bought on or after May 12, 2023, are not eligible for reimbursement.

For all EUTF members with an EUTF prescription drug plan through CVS Caremark/SilverScript:

• If you bought a test starting Jan. 15 through Feb.28, 2022, this purchase is no longer eligible for reimbursement.
• If you bought tests from March 1, 2022, through May 11, 2023, submit your reimbursement form to HMSA. Eligible members may request reimbursement on My Account for tests purchased on or before May 11, 2023, within one year from the date of purchase. For example, if the test was purchased April 1, 2023, you must request reimbursement by April 1, 2024.

If you’re an EUTF retiree and don’t have an EUTF prescription drug plan through CVS Caremark, submit your reimbursement form to HMSA.

HMSA will continue to reimburse HMSA Federal Plan 87 members for the price of the tests, including shipping and sales tax, up to $12 per test for OTC at-home COVID-19 tests. Members can be reimbursed for up to eight tests per month. Tests must be authorized, cleared, or approved by the FDA. Not all tests are authorized, cleared, or approved by the FDA. Tests that will be covered should say “OTC” for over-the-counter at-home tests. To see if a test is covered, visit the FDA website for a list of authorized , cleared, or approved over-the-counter at-home COVID-19 diagnostic tests³. HMSA Federal Plan 87 members can submit their reimbursement form to HMSA through My Account.

• Commercial plan members: Eligible HMSA members can order tests through May 11, 2023, from Hawaii Family Medical Center (dba Kuhio Medical Center). Supplies may be limited. Go to My Account¹³ on hmsa.com or call 808-951-1956. Starting May 12, 2023, HMSA’s preferred provider will no longer offer commercial plan members OTC at-home tests at no cost.
• QUEST Integration (Medicaid) members: As of Aug. 1, 2022, HMSA QUEST Integration members can go to an HMSA participating pharmacy and get OTC at-home COVID-19 diagnostic tests at no cost. You can get up to four tests per day from participating pharmacies (if available on shelf), up to eight tests per month at no cost through Sept. 30, 2024. You must show your HMSA QUEST Integration card to get your free tests.

No, you don’t need a prescription or referral from a doctor.