At Home COVID-19 Testing Kits
Effective January 15, 2022, the Biden Administration requires plan sponsors such as the Line Construction Benefit Fund (LINECO) to cover the cost of At Home COVID-19 Tests (Over the Counter – OTC) at 100% without member cost – sharing. At Home Tests will be FREE if filled through a participating pharmacy.
LINECO is partnering with our Pharmacy Benefit Manager (PBM) Express Scripts (ESI) to offer this solution to our eligible members.
How To Access This Benefit
Access
You can access COVID-19 At Home Tests by:
- Visiting Any Express Scripts Participating Pharmacies (such as Walgreens, CVS, Kroger, Walmart, Rite-Aid, Target and more)
- Ordering Directly from the Express Scripts Mail Order Pharmacy, or
-
Ordering From Non-Participating Pharmacy or Supplier.
* Non-Participating Pharmacy / Supplier reimbursement limited to $12 per test.
When attempting to purchase your COVID-19 At Home Testing Kits, please present your LINECO Express Scripts ID Card / BlueCross BlueShield ID Card.
These test kits should process at point of sale with $0 copay underneath your Pharmacy Benefit at a participating pharmacy.
You may also submit a claim form for reimbursement directly to Express Scripts if you were required to pay for the kit. You may also submit a claim for reimbursement for non-participating pharmacy/supplier At Home Tests.*
Benefit Levels
- This benefit is considered part of your Pharmacy Benefit.
- Free At Home Testing Kits are considered medically necessary for those with symptoms of COVID-19 or exposed to a COVID-19 person.
- Up to 8 Free At Home Tests are allowed per individual per month.
- COVID-19 At Home Testing Kits are NOT covered by LINECO if needed for travel reasons, work related (return to employment) or surveillance (stockpiling for potential future usage).
Predictability
During this current COVID-19 surge, we understand At Home Testing Kit demand may exceed supply. Express Scripts, along with their retail pharmacy partners are working closely to ensure kits are available.
We strongly caution against ordering TESTING KITS from the internet or non-reputable online pharmacies. By mandate, LINECO is only allowed to reimburse up to $12 for non-participating pharmacy / supplier At Home Test(s).*
USE CAUTION in purchasing COVID-19 At Home Test Kits outside your pharmacy benefit as your costs may not be fully reimbursed by LINECO / Express Scripts. Additionally, it is not uncommon for fraudulent entities to use government mandates to create deceptive practices / price gouging.
To Receive FREE At Home COVID-19 Test(s), please visit a participating network pharmacy. They can be located by visiting express-scripts.com.
*Non-Participating Pharmacy /suppliers are only allowed to be reimbursed at $12 per test per Federal government guidelines