Printable copies of these forms, sample forms, and additional information on obtaining eight free COVID-19 tests (four 2-pack testing kits) from Express Scripts are available on the GIC Express Scripts site, including a step-by-step order guide and a claims self-service guide. Halfway down the page will be instructions to start submitting a claim online. To submit a claim online, once you log in to your Express Scripts account, click the “Benefits” tab at the top of the page and then the “Forms” option. You will be prompted to log in to your online Express Scripts account for specific information. To obtain additional information, submit a claim online, or to download a printable copy of the reimbursement form, please visit the COVID-19 Resource Center.A receipt of purchase is required for reimbursement.Reimbursements for at-home test kits will be capped at $12 per test kit (or $24 per 2-pack). Members can claim reimbursements for FDA-approved tests purchased online or in-store for at-home test kits purchased on or after Jan.How to Claim Non-Medicare Reimbursement for OTC Covid-19 Tests Purchased Online or In-Store Acknowledgment of the terms is required before clicking the “Submit Order” button. ![]() Complete the order form by selecting the name of the subscriber or dependent(s) associated with the order (Be sure to check that the mailing address and subscriber email address are correct ).Click the “Order At-home COVID-19 Tests” link.Log into your Express Scripts account at.Non-Medicare Directions for Ordering COVID-19 Tests from Express Scripts Online Your at-home COVID-19 test kit should automatically ring up at no cost to you. ![]()
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