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Returning to United States - Which Covid Test?

I'm returning from Spain next Friday and am a little confused.

I've studied the state department website and CDC website but am still a little uncertain which Covid Test to take. Honestly the medical terminology is a bit overwhelming when discussing "nicking enzyme amplification reaction (NEAR) and helicase dependent amplification (HDA) etc.

At the Madrid Airport, they offer

(1)PCR test that detects genetic material from earliest infection - I understand this to be most accurate (I'm worried about a false positive) at detecting the virus. Results in 12 hours which I can get test the day before so no problem.

(2)Rapid antigen test - detects if you have viral proteins and if you are carrying the virus) results in 15 minutes - but I understand less reliable. (I'm concerned that since I'm vaccinated and also previously had Covid in October, it may produce a false positive.)

(3)Rapid Antibody Test - Detects if you have developed antibodies against the virus. Results in 15 minutes. So isn't this the one I would want? Since I had Covid, it should be positive which then should clear me to go home with a positive result. But does the U.S. Government accept this? Studying the U.S. website, I couldn't find specific information on whether an antibody test is acceptable but again, the medical terminology was throwing me off a bit.

I've searched the forum here for answers but was unable to find similar post but I'm sure others must have the same questions.

Thanks for any and all help and btw, Spain has been absolutely wonderful!

Posted by
5 posts

What airline do you fly back? On the website of airline, they give a clear instrucstion what test is acceptable. I bought the test kit from Emed website and bring them with me. I flew Delta from Iceland back to states.
Delta and United accept Abbott's BinaxNOW COVID-19 Ag test
https://www.emed.com/products/covid-at-home-testkit-six-pack?hsLang=en
So I guess, you could take Rapid antigen test. Hope my info help.

This is on Delta website.
"What types of tests are accepted and what information must be included on my test result?
The accepted test types are:

Nucleic acid amplification test (NAAT), for example:
RT-PCR test
LAMP test
TMA test
Antigen test"

Posted by
825 posts

1 or 2, guidance is per the CDC. https://www.cdc.gov/coronavirus/2019-ncov/travelers/testing-international-air-travelers.html

What types of SARS-CoV-2 test are acceptable under the Order?
Passengers must be tested with a viral test that could be either an antigen test or a nucleic acid amplification test (NAAT). Examples of available NAATs for SARS-CoV-2 include but are not restricted to reverse transcription polymerase chain reaction (RT-PCR), reverse transcription loop-mediated isothermal amplification (RT-LAMP), transcription-mediated amplification (TMA), nicking enzyme amplification reaction (NEAR), and helicase-dependent amplification (HDA). The test used must be authorized for use by the relevant national authority for the detection of SARS-CoV-2 in the country where the test is administered. A viral test conducted for U.S. Department of Defense (DOD) personnel, including DOD contractors, dependents, and other U.S. government employees, and tested by a DOD laboratory located in a foreign country also meets the requirements of the Order.

Posted by
5 posts

Thanks everyone.

I see it now that antibody tests are not accepted. I return to USA next Friday so my plan is to get the anti gen test 72 hours before leaving. Then if in the very unlikely event that it's positive, that gives me two more days to secure negative test and get PCR test to confirm. If those were positive then that would mean I must have been reinfected (again highly unlikely) and in which case I'd have to quarantine but I triple checked and my travel insurance would cover those expenses and the flight re-booking.

Thanks again for helping me clarify. I feel like I can enjoy the rest of trip now and not worry.

Posted by
9620 posts

Antigen test is fine.

Just remember that the U.S. standard is that the test needs to be within the 3 days prior to departure, not 72 hours.

Posted by
125 posts

Hi Tommy- do you mind sharing who you purchased your travel insurance through to include the Covid coverage?

Posted by
5 posts

Don’t mind at all. The company is called Allianz global. They were very easy to reach on the phone. They offered the insurance at the time I purchased my tickets from American Airlines. It was just over $40 and I felt worth it for the peace of mind. Btw - took antigen test 3 days before I left. Results in 15 minutes - negative so all went very smooth.