Members of fully-insured commercial plans, fully-insured group Medicare Supplement plans, and self-insured commercial plans that do not carve out pharmacy, will have the option of purchasing tests and submitting a claim for reimbursement to Tufts Health Plan, or obtaining a test through their pharmacy benefit without upfront cost at certain Caremark-affiliated pharmacies. Visit COVID-19 Testing & Coverage for more information.
For tests obtained at the pharmacy, members should present their ID card at the pharmacy counter.
Note: Self-insured employer groups who carve out pharmacy coverage to a third party may choose to administer this benefit exclusively through their pharmacy benefit manager (PBM). Members of self-insured groups should follow up with their employer to confirm their coverage options.