From the Winter 2012 For Your Benefit Newsletter  pdf format of Winter 2012 FYB newsletter
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 Flu season is underway and the Centers for Disease Control recommends that most people get a flu vaccination.  Members can receive a flu vaccination with no copay or deductible when it is administered at a doctor’s office or a limited service retail clinic, such as CVS Minute Clinic.   These medical providers can bill your health plan directly for vaccination services; you will have no out-of-pocket costs and no need to submit a claim form for reimbursement from your health plan.

Although many pharmacies now are offering flu shot vaccinations, please be aware of the following:

  •  Except for Neighborhood Health Plan, pharmacies cannot bill GIC health plans for flu vaccinations.  Members of other GIC plans, contact your health plan to see how you can obtain reimbursement by submitting your receipt to the health plan.
  • Medicare members: Some pharmacies can bill Medicare Part B (not your health plan) directly for members who show the pharmacy their Medicare card (not their health plan card). This does not apply, however, to members of Fallon Senior Plan and Tufts Health Plan Medicare Preferred.

This information provided by the Group Insurance Commission.