At-Home COVID Test for International Travel - Returning to the US

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Abbott Binax NOW at-home COVID test for international travel - I love it!
Abbott Binax NOW at-home COVID test for international travel - I love it!
Fast, easy, and cheaper than the other options available! Save time and money next time you travel by using and at-home COVID test to travel back to the United States.
COVID, COVID, COVID! Many countries require a recent negative COVID test to enter the country, including citizens returning to their home country of the United States. How to keep it from becoming too big a pain in the ass? Oops, sorry, I mean ... How how to smoothly jump through this particular hoop?

The current regulation to enter the US is that you must have a negative COVID test within 1 day of returning to the US (view current CDC requirements here). Coordinating a COVID test during the last day(s) of your trip can take up valuable time and money. Depending on where you are traveling from, you may have to drive an hour or more to get to a clinic and pay anywhere from $50 - $90 USD for a rapid antigen (not PCR) test. It's extra fun if you are traveling without your own vehicle and don't want to be unsafe and ride on public transportation due to COVID!

As with any new regulation, after the initial gouge, businesses start figuring out ways to make the process more convenient and economic. Some airports (such as SJO in Costa Rica) are now providing tests right there at the airport! You board a shuttle for a nearby swab-up-the-nose location and have your results emailed to you within an hour or so for a cost of $65 USD and about 2 hours of your time (you need to leave enough of a time buffer before your flight). In addition, the major airlines have actually partnered with COVID test manufacturers to make the whole process much less painful.
Jump to Where to Buy

At-Home COVID-19 Test

On some of my recent trips back to the US, I used an at-home COVID test-in-a-box! In short, you self-administer the test while online live with a telehealth agent, then they email you the results or you get them on their associated mobile app. View my experience here: My First At-Home COVID Test.

The test I bought (and maybe all of them) must be mailed to a US address, so the idea is to order a test before you travel abroad, bring it along with you, and take the test before you fly home.

What You Need

  • An unopened at-home COVID test
  • Your ID
  • A flat surface for the test contents
  • A stable internet connection
  • Approximately 30 minutes
  • Access to email or related app for results
Okay, here we go!
Okay, here we go!

The Testing Process

In Short

  1. Log on to a live session on your phone or laptop
  2. The telehealth agent scans your test QR code, watches you open the test, and walks you through the process
  3. Open the card, put drops in card hole, swab nose, stuff into card, close card
  4. Wait 15 minutes with camera on test
  5. A telehealth agent comes back on the line and reads the results with you
  6. Results are emailed to your right away and are also available in the related app
For the Abbott BinaxNOW test (the only one I've used), the box instructs you to download the NAVICA app. You create an account, then log on to eMed to start the testing session. The first time I took the test, I was a little nervous I might mess something up, but thankfully it all went smoothly.

Keep in mind before logging on to take your test that your camera should be pointing at the test lying on a flat surface so the person supervising your session can see it at all times. I recommend having your laptop on the counter, the test in front of it, and you to be sitting low in front of it all. That way the person watching you open the box and perform the test can see everything without having to move around. The technician even complimented me on this setup! LOL
GOOD SETUP: This is what you want. I was sitting low in front of a counter so the technician could see me and the test without having to move around.
GOOD SETUP: This is what you want. I was sitting low in front of a counter so the technician could see me and the test without having to move around.
So after you log on to eMed using your NAVICA login credentials. click your way through to start the test after confirming that you have clean hands and have your ID handy. Their process is great - nothing like trying to sign up for Obama Care! The site even runs tests to check your device's audio, video, and network connection before moving forward.

Then you'll get a "You're up next!" screen and very quickly someone will be on the line. The "certified guides" are friendly and clear about each step.
The live session running with a small window of what the person on the other end can see.
The live session running with a small window of what the person on the other end can see.
Give them a good view of both you and the test if possible.
Give them a good view of both you and the test if possible.
Funny enough, I found opening the box to be the hardest part! LOL Turns out you open it from the side - sigh. But step by step, you open the card, hold the teenie tiny QR code up to the camera, put 6 drops from the bottle into the top hole, swab your nose, stuff the swab in the hole, and close up the card. The process only takes about 4 minutes, then you're ready to await your results. This little swab/card popsicle now holds your flying future in its chemical "hands".

The telehealth agent will ask you to keep the camera pointed at the test during the 15 minute waiting period, but apparently if you get disconnected, you can call the number on the screen to have someone read the test results. Then they leave you and you are allowed to get up and walk away from the computer during this time but make sure you're back before the 15-minute timer runs out!

The results come in the form of "1 line or 2" (yes, similar to a pregnancy test!).
My at-home COVID test kit. It's pretty simple really as long as you follow the instructions.
My at-home COVID test kit. It's pretty simple really as long as you follow the instructions.
After the 15 minute on-screen timer gets to zero, you'll once again get the cheery "You're up next!" message. Then with your new agent, they once again read the teenie tiny QR code and see the results.

Within 15 minutes you'll get an email from eMed with a password-protected PDF containing your results, and you're also able to access the results on the NAVICA app under Results, I can share/print the results to a PDF.

Then depending on your airline, you can upload the PDF to the pre-approval section of their site, or just bring it with you to your flight. When I uploaded my results to United Airlines, It only took about 10 minutes to get the approval message from United after uploading my test results. When I checked in at the airport, they didn't even ask to see my test results since they were already uploaded and approved - so easy! When I used it to fly on Delta Airlines, I simply showed them my test results on the NAVICA app at the boarding gate,

What Test to Buy

First of all, you have to be very particular about which test you buy. The tests at the drugstores WILL NOT WORK for international travel. Maybe local stores will start carrying the correct ones eventually, but right now, they do not. You need one that includes telehealth services (AKA video supervision), which so far I have only seen available online.

The safest way to get the correct test is to see if your airline has links on their website to their partner / approved tests. United Airlines has partnered with Abbott BinaxNOW which you can buy at eMed or Optum, while American Airlines has additional links to LetsGetChecked and Fit to Fly from Qured. That's not to say that the airlines won't accept other tests (I used BinaxNOW no problem on Delta Airlines) but it's all so new right now that there's very little concrete information. Given that the airlines accept printed results from any (accredited) podunk clinic that they know nothing about, you're probably safe with almost any of these major players.

There seem to be 4 parts to the test, with some overlap.
1) The manufacturer and test name (e.g. Abbott BinaxNOW)
2) The place you buy it from (e.g. eMed or Optum).
3) Who you do your online test with (e.g. eMed).
4) The corresponding app where you can get your results (e.g. NAVICA).

But none of that matters too much as long as you follow the links from the airlines to buy an appropriate test and then follow all the instructions.

Where to Buy the Right Test

Here are some examples of the different tests and current cost.

Abbott BinaxNOW with the NAVICA app

You can buy them at Optum for $69 for a 2-pack or $99 for a 3-pack.
You can buy a 6-pack at eMed for $150.
They claim it ships same day.

Fit to Fly (no app)

$59 from Qured

Ellume with the Azova app

$50 from Azova

LetsGetChecked home test (not packable)

This American Airlines approved test will set you back $119!

CityHealth RapidReturn (no app)

$75 from CityHealth. Southwest Airlines offers a discounted rate of $50 .
A screenshot from American Airlines website showing some approved COVID tests.
A screenshot from American Airlines website showing some approved COVID tests.
A screenshot from Delta Airlines website showing some approved COVID tests.
A screenshot from Delta Airlines website showing some approved COVID tests.
A screenshot from United Airlines website showing some approved COVID tests.
A screenshot from United Airlines website showing some approved COVID tests.

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