How members can get free at-home COVID-19 tests

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Moda Health members now get free over-the-counter (OTC) COVID-19 at-home tests. Here's how:

All Moda members

• Order through the federal government: Visit COVIDtests.gov to order a set of 4 free COVID-19 tests. Every household in the U.S. can get the tests.

Members with individual and family or employer group pharmacy coverage*

• Pick up at an in-network pharmacy: When picking up a test at their pharmacy, members can show their Moda member ID card to get a free test.
• Order through ServeYouRx: Members can call ServeYouRx at 800-759-3203 to order their at-home tests.
• Order through the Costco Pharmacy website: Visit costco.com/home-delivery and follow these steps. Members do not need to be Costco members to use their mail order service.
  • Select "Mail Order"
  • Sign in or register for a new account
  • Choose "Fill New Prescription"
  • Complete the Physician fields by entering these specific details:
    • Physician's name: Costco Test
    • Physician's phone: 800-111-1111
    • Physician's city: Seattle
    • Physician's state: WA
  • Select "My doctor will call or fax Costco. I do not have a written prescription."
  • Enter the following drug information into the Prescription drug name field:
    • COVID tests
  • For shipping, select: "Standard USPS"
• We will reimburse members: If the member's pharmacy can't process the order, they can buy the test at the pharmacy or at another in-person or online retailer, then use our claim form to get reimbursed. We will reimburse up to 8 tests per member (up to $12 per test) over a 30-day period. This includes tests purchased on or after Jan. 15, 2022.

At-home test availability may vary by location and region. If one option is not available, please try another or use COVID-19 testing sites in your area.

*Check the back of your Moda member ID card to see if you have pharmacy benefits. If it includes a Navitus logo, you have a pharmacy benefit with Moda Health.

For more details and to find the correct reimbursement form, please visit our COVID-19 FAQ page.

(Updated Jan. 14, 2022)

Moda Health continues to receive questions and concerns about COVID-19. We want to keep our members informed with the most-up-to-date information as it relates to their health and benefits.

To continue keeping everyone safe, providers may:

• Keep following social distancing rules
• Require patients to wear masks
• Check all patients' temperatures

If members need care that is delayed because of COVID-19, they can call their provider to schedule an appointment as soon as they are comfortable doing so. Their provider may also call to schedule treatment. It is important to continue to receive preventive care during the pandemic.

If a member already has a provider and needs to get care from home, they can all call their provider's office to learn about their telehealth options. Many plans also have telehealth options they may use.

If a member needs to find a provider, they can search for one using Find Care in Member Dashboard. If they have questions or need help finding a provider, members can call us at the Medical Customer Service number on the back of their member identification card.

Member benefits

Benefits for Oregon medical members on individual and family plans or employer group* plans.

Cost-sharing is waived for COVID-19 vaccines.

Cost-sharing is waived for COVID-19 testing needs, including:

• A telehealth or in-person visit to be evaluated for COVID-19 testing
• Provider office visit, urgent care center visit, or emergency room visit to be tested for COVID-19
• COVID-19 lab tests for all testing facilities
• Serological anti-body tests
• Other testing received during a COVID-19 testing visit, when administered to determine the need for COVID-19 testing
• Starting Jan. 15, 2022 up to 8 at-home tests per 30 days are covered. Learn more.

This is applicable to in-network and out-of-network providers, facilities and laboratories.

*Please note these additional benefits broadly apply to most fully insured plans. Self-funded plans, may or may not offer this same coverage. To find out if a member is enrolled in a self-funded plan, refer to the bottom of their ID card for "third-party administrator" language. If they are enrolled in a self-funded plan, contact customer service to learn about COVID-19 coverage available to them.

If a member has an HSA-eligible high deductible health plan (HDHP)

Under current law, HDHPs are effectively prohibited from covering any medical services not deemed preventive care prior to an enrollee satisfying their deductible, as the taxpayer would be subject to federal income tax penalties.

However, the IRS has posted a notice that allows pre-deductible coverage of both testing and treatment of COVID-19, as determined by the health plan. Because the COVID-19 vaccine is considered preventive care, cost-sharing – including the deductible – is waived.

If a member has a Medicare Supplement plan

Cost-sharing is waived for the COVID-19 vaccine.

Cost-sharing is waived for COVID-19 testing needs, including:

• A telehealth or in-person visit to be evaluated for COVID-19 testing
• Provider office visit, urgent care center visit, or emergency room visit to be tested for COVID-19
• COVID-19 lab tests for all testing facilities
• Serological anti-body tests
• Other testing received during a COVID-19 testing visit, when administered to determine the need for COVID-19 testing

If a member has a Medicare Advantage plan

As a Medicare enrollee, the member can get vaccinated for COVID-19 at no cost.

Cost-sharing is waived for COVID-19 testing needs, including:

• A telehealth or in-person visit to be evaluated for COVID-19 testing
• Provider office visit, urgent care center visit, or emergency room visit to be tested for COVID-19
• COVID-19 lab tests for all testing facilities
• Serological anti-body tests
• Other testing received during a COVID-19 testing visit, when administered to determine the need for COVID-19 testing

This is applicable to in-network and out-of-network providers, facilities and laboratories.

How members can protect themselves

• Continue practicing the 3 Ws:
  • Wear a mask
  • Watch their distance
  • Wash their hands
• Practice correct and consistent mask use
• Know the facts and learn about the benefits of the vaccine
• Become familiar with what to expect after getting a COVID-19 vaccine

Members can view more helpful tips for slowing the spread and not getting sick, as well as information about the vaccine from the CDC's COVID-19 website.

If a member thinks they are infected

If a member is experiencing symptoms of COVID-19, such as fever, dry cough or shortness of breath, or believe they have been exposed to COVID-19, they should call their doctor immediately.

In addition to the benefits outlined above, all current Moda Health benefits apply. Members may cover additional care options, such as virtual visits, CirrusMD (available on Member Dashboard) and calls to our Registered Nurse Advice Line (800-501-5046) if they can't get in to see their PCP

Additional resources

If members still have questions about COVID-19 and how it could affect them, the CDC has official responses to frequently asked questions on its website.

It is important to continue to obtain information, data and updates from credible healthcare sources on the front lines of studying the virus, such as the CDC and the Oregon Health Authority.