Seasonal Flu Vaccines: ACA Plan Holders
BlueEssentialsSM and Business BlueEssentialsSMmembers can get seasonal flu vaccines covered at a $0 copay. This flu season, the vaccine network for ACA members is limited to CVS pharmacies only; therefore, the $0 copay is only available at CVS under their pharmacy benefits. Members may be required to pay administration fees if they receive a vaccine at any other network pharmacy. [CVS is a division of CVS Health, an independent company that provides pharmacy benefit services on behalf of our health plans.] Members can receive the flu vaccine at their primary care physician (PCP) office at $0 copay under the medical benefit, if the visit is solely for the purpose of receiving the vaccine.
The vaccines covered under the program this year are:
- Injectable Seasonal Influenza Vaccine
- Injectable Seasonal Influenza Vaccine-High Dose (Fluzone)
Non-Seasonal Vaccines: ACA Plan Holders
In addition to seasonal flu vaccines, ACA members also can use the vaccine network (CVS-only) to receive some non-seasonal, preventive care vaccines at a $0 copay under their pharmacy benefit, and these vaccines also may be available at the member’s PCP office: