No. You will not need to change pharmacies. We simply mail you your tests each month and you would still use your regular pharmacy for all other needs.
No, you won’t have to pay as long as you are on a qualifying Medicare plan. We will check your eligibility once you fill out the form on the next page, if qualified we begin sending your tests absolutely free. No cost for the tests, and no cost for shipping. However, if you get more than the eight covered over-the-counter COVID-19 tests in any calendar month, Medicare will not pay for additional over-the-counter tests in that month. You may be responsible for the cost of additional tests that calendar month, unless you have additional health coverage. If have additional coverage, you should check whether they will cover any additional tests obtained beyond the Medicare quantity limit. This means that the pharmacy or health care provider might ask you to pay for them. Note tests are sometimes packaged with more than one test per box, so eight tests may come in fewer than eight boxes.
Can I get reimbursed for any tests I bought before April 4, 2022?
No. Medicare coverage and payment began on April 4, 2022, and is available for up to eight over-the-counter COVID-19 tests per calendar month you receive from a participating pharmacy or health care provider after the initiative started. Medicare will not provide payment for over-the-counter COVID-19 tests obtained prior to April 4, 2022.
Do I have to wait a certain amount of time before I can get another eight over-the-counter tests through Medicare?
Starting April 4, 2022, this initiative covers up to eight over-the-counter COVID-19 tests each calendar month. If you’ve gotten eight of these tests in the current calendar month, you will need to wait until the beginning of the next calendar month to get more tests. For example, if you receive eight over-the-counter COVID-19 tests on April 14, 2022, through this initiative, you will not be eligible for another round of eight free over-the-counter COVID-19 tests until May 1, 2022. Note that there can be multiple tests per box, so eight tests may come in fewer than eight boxes.
Can I submit a claim for a test I pay for myself?
No. Medicare cannot process a claim submitted by a beneficiary for a COVID-19 over-the-counter test. You should check whether your pharmacy or health care provider is participating in the initiative, in which case they will bill Medicare for the over-the-counter test on your behalf.
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