Eligible test kits will process as a pharmacy claim, with $0 out of pocket expense. You may purchase the at home test kits at pharmacies in the ESI Express Advantage Network or through the Express Scripts website. Where and when can I buy tests with no out-of-pocket cost? If you purchased a test prior to January 15, 2022, you are not eligible for reimbursement through this program. What if I purchased a test prior to the effective date of the mandate, January 15, 2022? You may also submit a claim through the Express Scripts website by logging into, choose “Benefits” at the top of the page, then “Forms” and then “Request a Reimbursement.” Follow the prompts to start a claim. Download the manual reimbursement claim form. You will need to submit the test kit packaging (UPC) and the receipt showing the date of purchase and price. If you purchase covered tests on or after January 15, 2022, from any retailer, you may submit a manual reimbursement claim through ESI. How can I get reimbursed for a covered test prior to the network being established? This coverage requirement does not include tests used for employment purposes or those that use a self-collected sample but require processing by a lab. Members may be asked to acknowledge that any use other than personal use constitutes fraud under the terms of the Plan. Members cannot use tests covered by the Plan for any other purpose. The Plan covers tests only when they are purchased for the personal use of individuals covered under the Plan. Some examples of the FDA-authorized brands include: With the exceptions noted in this communication, the Plan covers OTC COVID-19 tests authorized by the U.S. The Plan covers up to eight (8) tests per month, per covered member. You may also submit a claim through the Express Scripts website by logging into, choose “Benefits” at the top of the page, then “Forms” and then “Request a Reimbursement.” Follow the prompts to start a claim. If you pay for the test out of pocket, ask the pharmacy for a receipt and keep all test kit packaging. How do I submit a claim for reimbursement for at-home test kit? ESI is working to improve their supply and turnaround time. Purchase the test through the Express Scripts website at . Click “Home” at the top of the page, then “Order At-home COVID-19 Tests” on the bottom right hand side of the screen. You may fill out the online form to order tests through Home Delivery. Please keep in mind, there are currently limited supplies and tests may take up to four (4) weeks to arrive. You choose which option is most convenient for you and your family. Access to prescription drugs is a vital part of our medical coverage.Īll of the university’s medical plans include prescription drug benefits through Express Scripts, available via home delivery mail-order service and nationwide retail pharmacy locations. All of the benefits available to you reflect Ohio State’s commitment to providing high-quality, affordable medical plans and represent a significant component of your total rewards. The health and well-being of faculty and staff is a priority at Ohio State. Ohio State has negotiated with ESI to assure additional opportunities for pharmacy network coverage, and starting January 1, 2023, CVS pharmacies will be included in the preferred pharmacy network tier for our plan. Beginning January 1, 2023, all Kroger pharmacies will be out of network and the expense of any prescriptions not transferred to an in-network pharmacy will not be covered. Louis, MO.Kroger intends to end their pharmacy provider agreement with Express Scripts (ESI) at the end of 2022. Express Scripts Holding was founded on Jand is headquartered in St. The Other Business Operations segment provides distribution of pharmaceuticals and medical supplies to providers and clinics, scientific evidence to guide the safe, effective and affordable use of medicines. The Pharmacy Benefit Management segment provides domestic and Canadian retail network pharmacy management, home delivery pharmacy services, benefit design consultation and drug utilization review. The company operates its business through two segments: Pharmacy Benefit Management (PBM) and Other Business Operations. It also offers full range of services to its clients, which include managed care organizations, health insurers, third-party administrators, employers, union-sponsored benefit plans, worker's compensation plans and government health programs. The company provides pharmacy benefit management services and clinics healthcare account administration services in North America. is a holding company that operates through its two wholly owned subsidiaries, Express Scripts, Inc.
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