Edison Township COVID-19 Testing Registration Form
WELLCARE, TCCM in Partnership with Edison Township will be Conducting COVID-19 COMMUNITY DRIVE THRU-TESTING
Please fill out the following information to complete your registration. With medical insurance, there is no cost to you for the COVID-19 test. We will only perform diagnostic medical services covered by your medical insurance. You will receive a statement from your insurance company – an explanation of Benefits (EOB) – which will itemize the services received, but it is not a bill. At this time, we are not able to support self-pay registrations.
Please note that all participants are required to arrive at the test location in a vehicle and wearing a mask during your scheduled date and time. For support with this form only, contact firstname.lastname@example.org.
Uninsured, Please Note:
Due to the lack of sufficient funding for the HRSA COVID-19 Uninsured Program, our COVID-19 testing clinics will bill individuals without health insurance $75 per COVID-19 test.
Township of Edison
100 Municipal Boulevard
Edison, NJ 08817
All participants will need to have their original state issued photo ID and all medical insurance cards (copies will not be accepted).
Monday, January 18, 2021 ‐ 10 am – 3 pm
DRIVE THRU‐TESTING EVENT
FOR THOSE WITH OR WITHOUT SYMPTOMS
|Edison||Monday, January 18||10:00 AM to 10:30 AM||Check Availability|
|Edison||Monday, January 18||11:00 AM to 11:30 AM||Check Availability|
|Edison||Monday, January 18||10:30 AM to 11:00 AM||Check Availability|
|Edison||Monday, January 18||11:30 AM to 12:00 PM||Check Availability|
|Edison||Monday, January 18||12:00 PM to 12:30 PM||Check Availability|
|Edison||Monday, January 18||12:30 PM to 01:00 PM||Check Availability|
|Edison||Monday, January 18||01:00 PM to 01:30 PM||Check Availability|
|Edison||Monday, January 18||01:30 PM to 02:00 PM||Check Availability|
|Edison||Monday, January 18||02:00 PM to 02:30 PM||Check Availability|
|Edison||Monday, January 18||02:30 PM to 03:00 PM||Check Availability|
Wellcare COVID-19 Testing Service
WellCare provides New Jersey Municipalities and Institutions with free COVID-19 Testing Services.