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

There is a limit of four tests per household.

There is a limit of four tests per household.

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.

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.

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.

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.

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

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.

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