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| Vaccine Basics |
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Paying For Vaccines |
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| Most health insurance plans cover the cost of vaccines, but you may want to check with your insurance provider before going to the doctor. |
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| Free Preventive Care for You and Your Family |
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| The Affordable Care Act – the health insurance reform legislation passed by Congress and signed into law by President Obama in March 2010 – requires new health plans to cover preventive services and eliminates cost sharing (such as co-pays and deductibles for certain services). You may be eligible for preventive services including coverage for vaccines. |
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| Call Your Insurance Company to Check if You’re Covered |
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| Most insurance companies are now required to cover the cost of immunizations and preventive care, but a select number of older and more limited plans don’t yet apply to the new law. The best way to find out if you’re covered is by making the call. |
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| View the listing of preventive services covered under the Affordable Care Act for children and adults. |
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| Make Preventive Care the Only Reason for Your Visit |
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| When you book your appointment and when you check in at the doctor’s office, request that the immunizations or preventive care be billed as the primary reason for your visit. In many cases, healthcare plans will cover the entire cost of the visit (confirm the coverage for the visit with your health plan ahead of time). |
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| Vaccines for Uninsured or Underinsured Children |
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| If you don't have insurance, or if it does not cover vaccines, the Vaccines for Children (VFC) program may be able to help. This program provides vaccines at no cost to doctors who serve eligible children. Children younger than 19 years of age are eligible for VFC vaccines if they are Medicaid-eligible, American Indian or Alaska Native or have no health insurance. |
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| Vaccines for Uninsured Adults |
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| If you do not currently have health insurance, visit www.HealthCare.gov for more information about finding health insurance or the Affordable Care Act. |
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| Medicare and Vaccines |
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| If you are 65 years or older and a Medicare beneficiary, Medicare will pay for part or all of your influenza (flu) , pneumococcal (pneumonia) and hepatitis B vaccines. |
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| Source: U.S. Department of Health and Human Services, www.vaccines.gov |
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| Manufacturer’s Vaccine Assistance Programs |
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| For more complete details, contact the manufacturer listed below |
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| GlaxoSmithKline (GSK) - Vaccines Access Program |
| Provides GSK vaccines to eligible low-income adults who do not have third party coverage for vaccines |
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| Vaccines: Boostrix
(Tdap), Havrix (hepatitis A), Engerix B (hepatitis B),
Rabavert (rabies) and Shingrix (RZV) |
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| For more information, call 877-822-2911 or visit www.gsk-vap.com |
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| This page was updated on May 14,
2018. |
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| This page was reviewed on May 8,
2018. |
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Immunization Action Coalition • 2550 University Avenue West • Suite 415 North • Saint Paul, Minnesota • 55114 |
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tel 651-647-9009 • fax 651-647-9131 |
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The Immunization Action Coalition (IAC), a non-profit organization, works to increase immunization rates and prevent disease by creating and distributing educational materials for health professionals and the public that enhance delivery of safe and effective immunization services. IAC also facilitates communication about the safety, efficacy, and use of vaccines within the broad immunization community of patients, parents, healthcare organizations, and government health agencies. |
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