COVID-19 At-Home Test Coverage for GW Medical Plan Participants

January 24, 2022

GW medical plan participants are now able to purchase over-the-counter (OTC) at-home COVID-19 tests via your CVS Caremark Pharmacy benefit, at little or no cost to you.

Please review the frequently asked questions (FAQs), also linked below, to better understand the benefit, including eligibility, what’s covered and how to submit for reimbursement. 

Beginning on January 15, 2022, the cost of FDA-authorized or approved over-the-counter (OTC) COVID-19 at-home tests are covered by the university’s health plans. Your CVS pharmacy plan will cover up to eight OTC COVID-19 home tests, per 30-day period, for each person covered under your plan.

Additional Details Regarding Coverage

  • You do not need an order or prescription from your doctor to be reimbursed for your OTC at-home test. Note that there are no quantity limits on tests ordered by your doctor or other health care provider.
  • If you buy a multi-pack of tests, each test in the package counts as a single test. For example, a four-pack counts against the 30-day limit as four tests.
  • To be eligible for reimbursement, tests must be purchased for individualized diagnosis or treatment purposes.
  • Tests purchased for employment (ex. required weekly testing) or public health surveillance purposes are not covered.

We strongly encourage you to review the FAQs (PDF) to help better understand the benefit, including eligibility, what’s covered and how to submit for reimbursement.

We Are Here to Help!

We will continue to monitor this guidance as it evolves and share additional details as they are available.

Please contact us at [email protected] with questions about reimbursements for OTC at-home COVID-19 tests or other GW benefits programs.

Sincerely,

GW Benefits