Following the Biden administration’s guidance related to commercial insurance coverage of COVID-19 at-home tests, MassHealth is also now providing coverage for over the counter (OTC) COVID-19 at-home antigen self-test kits through the MassHealth pharmacy benefit.
The following OTC COVID-19 at-home antigen test kits have been added to the MassHealth Non-Drug Product List (Additional brands of tests will be added as they become available in pharmacies):
- BinaxNOW
- FlowFlex
- IHealth
- Inteliswab
- QuickVue At-home
Up to eight test kits per member per month will be covered without the need for a prescription or prior authorization. Note that test kits may be packaged individually or with multiple test kits in one package; the limit without prior authorization is eight test kits per member per month, regardless of how they are packaged (e.g., four packages containing two test kits or eight packages containing one test kit will be covered without prior authorization).
If more than 8 tests are needed, MassHealth members may be able to have additional tests covered with a prescription from a medical professional.
Note: Members must purchase these tests at a pharmacy, including online pharmacy orders. If a member purchases COVID-19 tests through non-pharmacy retailers, such as Amazon, they cannot be reimbursed for those purchases according to federal rules.
Additional Testing Options:
- The Biden Administration has also made free at-home COVID-19 rapid tests available to all residents through a new web-based ordering platform. Each household is entitled to 4 testing kits through this program. These rapid antigen at-home tests can be ordered from the U.S. Post Office at COVID Home Tests | USPS.
- You can learn more about this federal program at: COVIDtests.gov – Free at-home COVID-19 tests.
- Massachusetts residents have a number of options to get tested for COVID-19. For more details, visit www.mass.gov/gettested.
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