April 10, 2022
Over-the-Counter (OTC) COVID-19 Testing Coverage
Effective May 12, 2023, OTC COVID-19 testing is no longer covered and members will pay the retail cost.
For purchases made between January 15, 2022, and May 11, 2023, members may submit a claim for reimbursement within one year from the purchase date. See below for reimbursement instructions.
- SHIP/Wellfleet will cover over-the-counter (OTC) COVID-19 tests without a doctor's order limited to eight tests per calendar month per covered member with no member cost share. FDA-approved COVID-19 take-home test kits purchased at local pharmacies and retailers are eligible for insurance reimbursement. (Note: OTC tests with a doctor's order have no limit.)
Reimbursement Requirement
To be eligible for reimbursement the following must apply:
- Must have been purchased on or after January 15, 2022
- Must be approved by the Food and Drug Administration
- Must be purchased for personal use
- Must not be for employment purposes
- Has not been (and will not be) reimbursed by another source
- Not for resale
Reimbursement Process
By mail:
- Complete and sign the COVID-19 OTC Test Reimbursement Form.
- Submit the reimbursement form with the following documentation:
- Receipt from the seller, documenting the date of purchase and price
- UPC label from the COVID-19 test box
3. Keep copies of your original documents for your files as originals will not be returned.
Online:
- Visit Wellfleet's website and create or log into your account.
- From the homepage, click on "Forms".
- On the left side, select "COVID Test".
- Complete the form and submit the following documentation:
- Receipt from the seller, documenting the date of purchase and price
- UPC label from the COVID-19 test box
If you don't have SHIP
Contact your health insurance to see how they will be processing reimbursements for at-home COVID tests.
Questions
If you have any questions, please message the SHIP office through the eTang portal. You may also call (510) 642-5700 or email ship@berkeley.edu.