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COVID-19 HOME TEST REIMBURSEMENT FORM For local BCB SAZ members only. Not for use by out of state, FEP, AHC CCS, Medicare Advantage or Supplement members. Instructions: Please use this form to request

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How to fill out covid-19 at-home test reimbursement

01

Purchase a COVID-19 at-home test kit either online or at a local pharmacy.

02

Fill out the necessary information on the kit as instructed.

03

Perform the test according to the kit's guidelines.

04

Record the test results accurately.

05

Keep all receipts and documentation related to the test and purchase.

06

Submit a reimbursement claim form to your insurance provider or employer along with the necessary documentation.

Who needs covid-19 at-home test reimbursement?

01

Individuals who have been advised to take a COVID-19 test by a healthcare professional.

02

People who are experiencing symptoms of COVID-19 and are unable to get tested at a healthcare facility.

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What is covid-19 at-home test reimbursement?

Covid-19 at-home test reimbursement is a process where individuals can get reimbursed for the cost of purchasing at-home Covid-19 tests.

Who is required to file covid-19 at-home test reimbursement?

Individuals who have purchased at-home Covid-19 tests and meet the reimbursement criteria are required to file for covid-19 at-home test reimbursement.

How to fill out covid-19 at-home test reimbursement?

To fill out covid-19 at-home test reimbursement, individuals need to provide necessary information such as proof of purchase, personal information, and any other required documentation.

What is the purpose of covid-19 at-home test reimbursement?

The purpose of covid-19 at-home test reimbursement is to help individuals cover the cost of purchasing at-home Covid-19 tests, making testing more accessible.

What information must be reported on covid-19 at-home test reimbursement?

Information such as proof of purchase, personal details, and any other relevant documentation must be reported on covid-19 at-home test reimbursement.

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