Coronavirus (COVID-19): We’ve got you covered

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

Over-the-counter (OTC) COVID-19 at-home test kits

New federal guidelines let you get reimbursement for eligible over-the-counter COVID-19 tests purchased January 15, 2022 or later. This mandate is in effect until the end of the federal public health emergency. Be sure to check back regularly as this as coverage could change.

Members can get four free tests through COVIDTESTS.gov. These government provided tests do not count towards the minimum benefit of eight tests per member per 30 days as outlined below.

What you need to know

What’s covered?

Based on the guidelines provided by the Biden administration, MHBP will cover up to eight (8) 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 32 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 four 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.

MHBP Implements a COVID Vaccination Incentive

MHBP members, 18 years and older, who receives or have received the COVID-19 vaccine are eligible to earn a $50 wellness incentive.

To earn the incentive, MHBP members must submit documentation (i.e., copy of vaccine card) demonstrating you have been fully vaccinated. MHBP will review the documentation to verify the member is fully vaccinated, and if so, will deposit $50* into your Wellness Fund Account.

It is very important your documentation includes the member name and ID number as it appears on your current MHBP ID card and submit to:

MHBP
Attn: Wellness
PO Box 981106
El Paso, TX 79998-1106

This is one of the many ways you can earn wellness incentives! Standard Option members can earn up to $350 per person per calendar year. Value Plan members can earn up to $300 per person per calendar year. Consumer Option Members will earn a $50 deductible credit for the following year.

To learn about additional ways to earn incentives, please visit our Wellness Rewards section.

*Consumer Option members will earn a $50 deductible credit for 2023.
**Funds can only be used for eligible medical expenses, as defined by Internal Revenue Code Section 213(d). This includes your deductible, coinsurance, and copayments (e.g., prescription drug copayments) incurred by you or your covered dependents

Coronaviruses are spread from an infected person to others through the air by coughing and sneezing, as well as through close personal contact, such as touching or shaking hands.

Description of Services and Benefits

Description of Service

Benefit

CDC approved diagnostic testing for COVID-19 All options: Pay 100% for all Centers for Disease Control and Prevention (CDC) approved diagnostic testing performed by in-network (INN) and out-of-network (OON) providers from March 6, 2020 through the end of the federal mandate.
Treatment for COVID-19 Effective March 6, 2020 to February 28, 2021, cost sharing will be waived for inpatient hospital admissions at all facilities related to COVID-19. This includes related INN and OON professional fees.
Telehealth Standard & Value: Continue telehealth consultations through Teladoc® at no cost share.

Consumer Option: From March 6, 2020 to January 31, 2021, MHBP will waive the deductible for all behavioral and mental health telehealth consultations through Teladoc.

All Options: For COVID-19 telehealth visits from March 6, 2020 through the end of the federal mandate, cost sharing will be waived for real-time virtual visits offered by INN and OON providers (live video-conferencing and telephone-only telemedicine services).

Telemedicine All Options: From March 6, 2020 to January 31, 2021, cost sharing will be waived for behavioral and mental health real-time virtual visits offered by INN providers (live video-conferencing and telephone-only telemedicine services).

All Options: For COVID-19 telehealth visits from March 6, 2020 through the end of the federal mandate, cost sharing will be waived for real-time virtual visits offered by INN and OON providers (live video-conferencing and telephone-only telemedicine services).

Prescriptions CVS is offering 90-day maintenance medication prescriptions.

CVS is also waiving early refill limits on 30-day prescription maintenance medications.

CVS is waiving charges for home delivery of prescription medications into 2021 with no plans to go back to charging for this service.

We’re here to help

To help you get through this, MHBP is offering the following programs at no cost to you:

  • Crisis response lines for all members — just call 833-327-AETNA (2386)
  • 24×7 access to the Aetna Nurse Medical Line. Call 800-556-1555 anytime
  • Lifestyle and Condition Coaching
    • If you prefer to complete the HRA by phone, call us at 866-533-1410 to schedule an appointment so a Health Coach can assist you with completing the HRA. You’ll get your results by mail and you’ll have the opportunity to participate in health coaching programs by phone.

To get started with Health Coaching call toll-free at 855-580-2801

  • Digital Coaching – If talking on the phone with a health coach doesn’t fit your personality, try online coaching through the digital program. Digital Coaching offers:
  • Health Education – Find information in the Coaching and Library sections for managing stress and improving sleep health/quality
  • A Wellness Webinar – Watch a 45-minute webinar session entitled, “Mind your stress with mindfulness.”
  • Wellness Goal Support – Receive help and guidance on Smoking cessation, Weight management, Nutrition, Physical activity, Depression management, and more

To get started with digital coaching, health education, webinars and wellness support:

  • Login to your Aetna member website
  • Click on “Stay Healthy,” at the top of the landing page
  • Select “Discover a Healthier You” and proceed to the Member Engagement Platform

*While supplies last

Have Questions? Call 1-800-410-7778

24 hours a day, 7 days a week, except major holidays