Some Healthfirst plans cover at-home COVID-19 tests. 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 65 Plus Plan may use their OTC Plus card to purchase OTC at-home COVID-19 testing kits at participating retailers. Signature (PPO) and Signature (HMO) members are not covered for at-home COVID-19 testing kits.
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.
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OTC items are subject to the plan’s list of eligible items and the plan’s participating network of retail, online, and utility providers.