COVID-19 Test (At-Home Collection Kit) - Insurance

If ordering a kit for a minor: You must create an account with a separate email address for the minor and use the minor’s demographic information. Please make sure the minor’s insurance information is provided in the ordering process, not your own.

Check out our COVID-19 FAQs for more information.

Date of Birth

Year

Month

Day

Shipping Address (We'll send your kit here)

Address 1

Address 2 (If needed)

City

State

ZIP code

Insurance information

Primary insurance

Identify yourself using a government ID

Driver's license

ID Card

Issuing state

Number

Insurance name

Subscriber ID / Member ID

Group number (If applicable)

Insurance provider address

This is usually located on the back of your insurance card.

There is no address on the back of my insurance card.

Address line 1

Address line 2 (Optional)

City

State

Zip

Are you the primary insurance member?

Yes, I am the primary insurance member.

I am on my spouse's/domestic partner's plan.

I am on another person's plan.

Create password

Confirm password

To change the current user password, enter the new password in both fields.

Leave this field blank (Optional)

Review Order