COVID-19 Updates

Commencing January 15th, for those who have current Active Medical coverage, OptumRx will provide free of charge EUA (Emergency Use Authorization) approved COVID-19 test kits filled at any Rite Aid Pharmacy.  To support manual claim processing as part of a standard solution, test kits not purchased through the Retail Preferred Network (Rite-Aid) will be reimbursed up to $12 per test/unit (it would need to be the ones on the list below that have been approved for Emergency Use (EU)).  A quantity limit of eight (8) test/units per eligible participant per calendar month will be applied across the entire EUA approved test kits. For your convenience, click on the link to find your closet Rite Aid near you.


Product ID Product Label
82607066026 Flowflex Kit Home Tst
14613033968 Quickvue Hom Kit Covid-19
14613033972 Quickvue Hom Kit Covid-19
56964000000 Ellume Cov19 Kit Home Tes
11877001140 Binaxnow Cov Kit Home Tes
08337000158 Inteliswab Kit Covid-19
50021086001 Ellume Cov19 Kit Home Tes
60006019166 On/Go Covid Kit Antigen
82607066027 Flowflex Kit Test

In the event there are no Rite-Aid pharmacies in close proximity, there are various ways you can submit the receipts. You can log into your account by using your computer and completing the form and uploading your receipts, mailing in a paperwork reimbursement form, or clicking on the link below with your mobile device and simply upload a picture of your receipt after completing the form.


You can also access free testing in the community. A list of community-based testing sites can be found here Remember COVID-19 tests are also available without cost-sharing to covered individuals when administered by a health care provider such as a nurse, doctor, or pharmacist, without limitation.


Over-the-Counter COVID-19 Testing: Fact Sheet

As of January 15, 2022, IUOE Local 15 is required by federal law to cover certain over-the-counter (OTC) COVID-19 tests for eligible plan participants. This fact sheet provides a summary of the rules currently in effect for reimbursement of these tests. We will provide an update to the rules as additional guidance is released.

What is covered?

·         Participants may purchase up to eight COVID-19 tests per covered family member per 30 days. Note: Tests performed at a doctor’s office or hospital do not count toward the eight-test maximum for reimbursement.

·         If COVID-19 tests are purchased at an in-network OptumRx pharmacy (Rite Aid, Walmart and Sam’s Club), they will be fully covered at the point-of-sale with no copay, coinsurance or deductible.

·         If they are purchased at an out-of-network pharmacy, reimbursement is limited to $12.  You must submit a claim and appropriate receipts to the plan to receive reimbursement.

·         At this time, retiree-only plans are not required to cover COVID-19 tests. Retirees can request a free COVID-19 test at

When will the Plan start covering COVID-19 tests?

Immediately. Over-the-counter or doctor-ordered COVID-19 tests are eligible for reimbursement from January 15, 2022 through the end of the public health emergency. Note: Tests purchased for employment purposes are not covered.

Where can I purchase a COVID-19 test?

Purchasing COVID-19 tests from a network pharmacy, either in person or online, that participates is your best option. You can find a network pharmacy near you at If you purchase a COVID-19 test from an out-of-network retailer, the Plan will cover either the full cost of the test or $12—whichever amount is lower.

Keep in mind that COVID-19 tests are in high demand right now. The federal government launched, which offers every home in the U.S. four free at-home tests.

How am I reimbursed for a COVID-19 test? 

COVID-19 tests purchased at a network pharmacy are covered 100% after you submit a claim for reimbursement. For tests purchased from out-of-network retailers, you must submit a claim for reimbursement along with a copy of the receipt and the UPC code from your COVID-19 test’s box. You’ll be reimbursed for either the full cost of the test or $12—whichever amount is lower.

When should I take a COVID-19 test?

The U.S. Food and Drug Administration recommends getting tested if:

·         You have symptoms of COVID-19, even after vaccination.

·         You’ve been in close contact with someone who tested positive for COVID-19, even after vaccination.

·         You took part in a high-risk activity that made social distancing more difficult, such as travelling or attending a large gathering.

·         You’ve been asked or instructed to get tested by your doctor or local health department.

Please see the FDA website or consult with your physician concerning when you should take a COVID-19 test.

Are there any local, community resources available?

In addition to the free at-home COVID-19 tests from the federal government, you may find free tests at your local public library, fire station, or public testing site.  These community resources may also be helpful:

·         In New York:

·         In New Jersey:


Over the counter (OTC) at-home COVID-19 tests


Find out which tests are covered and how to get them at little or no cost to you.

 You have four options for coverage of OTC at-home COVID-19 test kits:

 1. Pay $0 at a preferred network pharmacy: Visit the pharmacy counter at a Rite Aid (including Bartell Drugs), Sam’s Club or Walmart Pharmacy and present your member ID card and ask to have your OTC at-home COVID-19 test kits submitted to your plan for coverage.

 2. Order at-home COVID-19 tests online with $0 copay through Optum Store Get free shipping on orders of $45+. Requires sign-in to  and go to <Get at-home COVID-19 tests with $0 copay>Click the order now link Smartphone users will need to scroll down to find the link. 

3. Purchase a kit and then submit an online form for reimbursement: You can also purchase an OTC at-home COVID-19 test kit at other stores or online retailers. Keep your purchase receipt(s) to submit for reimbursement. Your plan will reimburse up to $12 per test. You can start your online request form here

 4. Purchase a kit and then print and mail in a paper reimbursement form. You can print a form and then mail it in. Your plan will reimburse up to $12 per test. Please note you will receive reimbursement more quickly if you submit an online claim form.

 Which COVID-19 tests are covered?

Coverage includes OTC at-home COVID-19 test kits authorized by the Food and Drug Administration (FDA). The most common tests are brands BinaxNOW™, CLINITEST®, Flowflex™, i-Health®, InteliSwab™, On/Go™, QuickVue® and At-home test kits (Roche).

 Is there a limit to how many tests will be covered?

Yes. Covered members can get up to 8 individual tests per month. (e.g., a family of 4 would be eligible for 32 tests a month). Members are limited to 8 tests (4 kits) per household per calendar month at the Optum Store.

 Visit for the latest updates and information.

 Thank you.