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 your 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 and you will have no out-of-pocket costs.
If you decide to receive a flu vaccination at a pharmacy, please be aware of the following:
Many pharmacies now offer flu vaccines to patients age 19 or over. Although all GIC health plans cover flu vaccines, some plans do not have direct billing arrangements with non-retail clinic pharmacies. If this is the case, you will need to pay for the vaccine and then submit a claim form with the receipt to get reimbursed. Claim forms are available on all health plan websites.
The following plans offer direct billing between the indicated pharmacies and the health plan:
Neighborhood Health Plan and Harvard Pilgrim Health Care: CVS, Walgreens, and Rite Aid
Tufts Health Plan: CVS
If you are a GIC Medicare member, some pharmacies will direct bill Medicare Part B (not your health plan); ask the pharmacy for details. Pharmacies do not direct bill Medicare Advantage Plans (Fallon Senior Plan and Tufts Medicare Preferred).
This information provided by the Group Insurance Commission .