In response to the COVID-19 Public Health Emergency, on January 10, 2022, the Biden-Harris Administration issued guidance requiring health insurance companies to cover the cost of over-the-counter (OTC) at-home COVID-19 tests for their members. Healthfirst complied with that guidance: coverage began on January 15, 2022. The Public Health Emergency expired on May 11, 2023. Read below to learn what this means for you, a Healthfirst member. If you’re not sure which health plan you are in, check the front of your Healthfirst Member ID card.
Healthfirst does not cover the cost of over-the-counter (OTC) at-home COVID-19 tests for Leaf/Leaf Premier, Essential Plans, Child Health Plus, Medicaid Managed Care, or Personal Wellness Plan members.
Coverage of COVID-19 testing will continue to be provided to eligible members when administered by a Healthfirst-contracted provider or performed by a clinical laboratory.
Medicare Fee-for-Service (“Original Medicare”) does not cover the cost of over-the-counter (OTC) at-home COVID-19 tests for Medicare plan members.
Coverage of COVID-19 testing will continue to be provided to eligible members when administered by a Healthfirst-contracted provider or performed by a clinical laboratory.
Members of Increased Benefits Plan and Signature (HMO) may use their OTC Plus or OTC card to purchase OTC at-home COVID-19 testing kits at participating retailers.
Medicare Fee-for-Service (“Original Medicare”) does not cover the cost of OTC at-home COVID-19 tests for CompleteCare, Life Improvement Plan, and Connection Plan members.
Over-the-counter (OTC) at-home COVID-19 tests are no longer covered for CompleteCare, Life Improvement Plan, and Connection Plan members.
Coverage of COVID-19 testing will continue to be provided to eligible members when administered by a Healthfirst-contracted provider or performed by a clinical laboratory.
You can use your OTC Plus card to purchase OTC at-home COVID-19 testing kits at participating retailers.
REMEMBER: Always call the pharmacy or participating retailer first to make sure that they have the testing kits in stock.
Healthfirst does not cover the cost of over-the-counter (OTC) at-home COVID-19 tests for SHP members. Ask your primary insurance plan if they cover at-home COVID-19 tests.
Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”). Coverage for Senior Health Partners, Managed Long-Term Care Plan, is provided by Healthfirst PHSP, Inc.
Healthfirst complies with Federal civil rights laws. Healthfirst does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex as defined in 45 CFR § 92.101(a)(2).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132).
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電1-866-305-0408
(TTY 1-888-542-3821)。