OTC COVID-19 Tests Available at No Cost

Medicare Part B beneficiaries must present their red, white, and blue Medicare card to get the eight OTC COVID-19 tests at no charge, even if they are enrolled in a Medicare Advantage plan.

Providers and suppliers eligible to participate include certain types of pharmacies and other healthcare providers who are enrolled in Medicare and able to furnish ambulatory healthcare services such as preventive vaccines, COVID-19 testing, and regular medical visits.

A list of eligible pharmacies and other healthcare providers that have committed publicly to participate in this initiative can be found here. Because additional eligible pharmacies and healthcare providers may also participate, people with Medicare should check with their pharmacy or healthcare provider to find out whether they are participating.

The program allows for payment from Medicare directly to participating pharmacies and healthcare providers with no upfront charge for all Part B beneficiaries by submitting claims using HCPCS code K1034 (Provider info and billing instructions). For MA beneficiaries, the Centers for Medicare and Medicaid Services (CMS) advises that individuals should present their Medicare card (not their MA Plan identification card) to get the free OTC COVID-19 tests, thereby allowing the pharmacy or provider to bill Medicare directly.

CMS has also responded to some Frequently Asked Questions on the initiative.