Coronavirus (COVID-19)

For more information about the Coronavirus (COVID-19), including vaccine information, visit our FAQs page.

The Public Health Emergency (PHE) for COVID-19 will expire at the end of the day on May 11, 2023, however MHBP will continue offering over-the-counter (OTC) COVID-19 tests. 

In addition, the Plan will continue to cover diagnostic COVID-19 testing at the lab and COVID related services at inpatient hospital, but normal cost sharing will apply. We will also continue coverage for COVID-19 vaccines (including their administration), and any other qualifying coronavirus preventive services intended to prevent or mitigate COVID-19 on an in-network basis without cost sharing.

What you need to know

What’s covered?

MHBP will cover up to four (4) OTC COVID-19 diagnostic antigen rapid home tests per 30-day period for each person covered under your plan. For example, a family of four covered under MHBP could be reimbursed for up to 16 tests per 30-day period.

Note: Each test is counted separately even if multiple tests are sold in a single kit. So, if you buy one kit that includes two tests, we’ll reimburse you for up to two kits.

Other things to keep in mind:

• Tests must be approved, cleared or authorized by the U.S. Food and Drug Administration.
• These tests don’t require an order from your physician to qualify for reimbursement. Tests that are ordered by a provider are not subject to the reimbursement limit.
• Tests must be used to diagnose a potential COVID-19 infection. Tests used for employment, school or recreational purposes are not eligible for reimbursement.

How do I get reimbursed?

Direct Coverage of OTC COVID-19 tests:

To keep you from having up front out-of-pocket costs, most OTC COVID-19 tests are covered through CVS Caremark.   Members can obtain an OTC COVID-19 test with no upfront out of pocket cost, simply by presenting your MHBP ID card to any in network pharmacy that elects to offer COVID-19 tests.

You may also order COVID-19 tests online for pickup at your local CVS Pharmacy.

• Login or register for the Aetna member website.
• Select ‘Get Test Kits and Reimbursements’ and then click on ‘Order Tests from a CVS Pharmacy’. You will be redirected to the CVS Pharmacy website.
• Select how many at home tests you need and enter your zip code to find the closest CVS Pharmacy locations with test inventory.
• Enter the information from your MHBP ID card
• Place an order for store pick-up.

You may also access directly from Caremark.com or the CVS Caremark® mobile app (available for Android and Apple).

Direct Member Reimbursement:

An online claims submission process through Caremark.com and the CVS Caremark® mobile app (available for Android and Apple) are available.

• Sign in or register at Caremark.com.
• Upload your proof of purchase; this can be a digital receipt or photo of a paper receipt.

To submit a paper claim, download the form below and mail to: CVS Caremark, P.O. Box 53992, Phoenix, AZ 85072-3992.

Download the claim form.

You will be reimbursed $12 for each at-home test or the amount you paid out-of-pocket – whichever is lower.