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Free Over-the-Counter Home COVID-19 Tests Available from the Federal Government

Effective Jan. 19, the Biden Administration will provide free coronavirus tests to all Americans at www.COVIDTests.gov

HOW DO I GET A FREE TEST SHIPPED TO MY HOME? - click to expand

Go to www.COVIDTests.gov Jan. 19 or later to order your free, OTC COVID-19 test.

HOW MANY TESTS CAN I GET? - click to expand

There is a limit of four tests per household.

HOW LONG WILL IT TAKE FOR ME TO RECEIVE MY TEST + KIT? - click to expand

There is a limit of four tests per household.

McLaren Health Plan to Reimburse for COVID-19 OTC Test Kits

Effective Jan. 15, McLaren Health Plan will reimburse group and individual health plan members for Over-the-Counter (OTC) COVID-19 test kits.

COVID Test Direct Member Reimbursement (DMR) form

WHO CAN GET REIMBURSED FROM MCLAREN HEALTH PLAN FOR THE COST OF AN OTC COVID-19 TEST KIT? - click to expand

The legislation applies to people covered in group health plans (through an employer) and those with private individual health insurance.

Medicare and Medicaid members are not eligible for reimbursement through McLaren Health Plan. You can get a COVID-19 test at no cost from www.COVIDTests.com or when ordered or administered by a health care provider, like a nurse, doctor or pharmacist. Click here for a list of community-based sites that provide testing.

ARE THERE LIMITS ON THE AMOUNT OF TESTS FOR WHICH I CAN GET REIMBURSED? - click to expand

Yes. A covered person can purchase and get reimbursed for eight FDA-authorized tests per 30 days. This means a family of four can be reimbursed for 32 tests per month. Use the COVID Test Direct Member Reimbursement (DMR) form found here. Claims for reimbursement must include proof of purchase, such as a prescription receipt and the UPC Code from the package.

Test kits must be authorized, cleared or approved by the U.S. Food and Drug Administration (FDA). McLaren Health Plan is not able to reimburse purchases from unauthorized sources including – but not limited to – friends or neighbors, Facebook Marketplace, etc. Reimbursement is subject to review under McLaren Health Plan’s fraud, waste and abuse policies.

Many retailers are currently experiencing shortages of tests and limiting the number that may be purchased per household. McLaren Health Plan will continue to provide coverage for COVID-19 tests that are ordered or administered by a health care provider at no member cost share.

HOW MUCH WILL I GET REIMBURSED PER TEST IF I DECIDE TO PURCHASE ONE? - click to expand

McLaren Health Plan will reimburse you for the cost of the test, subject to review for fraud, waste and abuse. Upon implementation of our direct access program, you will get reimbursed $12 per test or the amount of your actual purchase price, up to $12. There are no deductibles, copayments or coinsurance, prior authorization, or other medical management requirements. Use the COVID Test Direct Member Reimbursement (DMR) form found here. Claims for reimbursement must include proof of purchase, such as a prescription receipt and the UPC Code from the package.

WHAT IF I CAN’T AFFORD TO PAY FOR THE TEST UP FRONT? - click to expand

You have options other than to purchase a test and get reimbursed. As of Jan. 19, you can go to www.COVIDTests.gov and order tests with no up-front payment required. There are many free testing sites in Michigan where you can get a test. A list of community-based sites can be found here. Tests also are available without cost-share to covered persons when given by a health care provider, like a nurse, doctor or pharmacist.

IS REIMBURSEMENT AVAILABLE FOR OTC AT-HOME COVID-19 TESTS I PURCHASED BEFORE JAN. 15, 2022? - click to expand

No. Reimbursement for OTC at-home COVID-19 tests is only available for those tests purchased on or after Jan. 15, 2022.

I HAVE A HIGH DEDUCTIBLE HEALTH PLAN (HDHP). AM I ELIGIBLE FOR REIMBURSEMENT IF I PURCHASE AN OTC AT-HOME COVID-19 TEST? - click to expand

Yes. Please complete the COVID Test DMR form found here. Claims for reimbursement must include proof of purchase, such as a prescription receipt and the UPC Code from the package.

WHAT IF I HAVE ADDITIONAL QUESTIONS? - click to expand

Please call our customer service team at 888-327-0671 (TTY: 711).

 

     
    • Medicaid / MIChild                                                                                                    
    • Medicare Supplement
    • State of Michigan Employees                                                                                                                                                                                                                                                                          

    Electronic Premium Payments Now Available

    McLaren Health Plan Community and McLaren Health Advantage has upgraded its payment systems. Effective immediately, you can now make your premium payments by credit/debit card or by e-check.

    Individuals (on and off the Exchange) and Medicare supplement members, click here:

    www.pay.instamed.com/mclaren.comm  

    Health Advantage members, click here:

    www.pay.instamed.com/mclaren.ha

    It’s fast, easy and secure and you can make a payment anytime. You will continue to receive a monthly invoice by mail.

    Please call customer service at 888-327-0671 (TTY: 711) if you have any questions.