Does blue cross blue shield cover the shingles vaccine

In January 2018, the Centers for Disease Control and Prevention (CDC) updated its recommendation on vaccinating against the shingles virus, preferring a new vaccine called Shingrix®. Since 2006, Zostavax® was the only shingles vaccine on the market. So, the move to now use Shingrix® is important to understand. The CDC recommends that people get the new vaccine, even if they’ve already gotten the Zostavax® shot since it’s more effective. Data shows that the Shingrix® vaccine is 97 percent effective for those 50 and up, whereas Zostavax® is only 51 percent effective. The Shingrix® vaccine is approved for people 50 and older to protect against the development of shingles, a rash that develops on either the right or left side of the body and appears in painful, itchy, inflamed blotches. Also known as herpes zoster, shingles will affect about one-third of Americans in their lifetime. The condition typically lasts two to four weeks. Shingles cannot be passed from person to person, but the virus that causes the condition, varicella zoster virus (VZV) can spread from an infected person and cause chickenpox in someone who never had chickenpox or received the chickenpox vaccine. As you evaluate whether the Shingrix® vaccine is right for you, here are a few other considerations to keep in mind:

  1. It protects your overall health: The vaccine protects you against contracting shingles and protects others from contracting chickenpox from you.
  2. It’s a two-dose vaccine: Whereas Zostavax is a one-time injection, Shingrix® requires two shots that you receive two to six months apart.
  3. It’s covered under most plans: Most Blue Cross commercial plans cover the vaccine for no copay during your annual check-up or at a pharmacy. This can vary, so contact your health care provider before receiving the vaccine to get an accurate estimate of bottom-line costs.
  4. It should be given even if you previously received Zostavax®: Experts say you should still get the Shingrix® vaccine even if you’ve had or are getting Zostavax® since Zostavax® effectiveness declines over time. If you have done so, wait two months before getting the Shingrix®

For more information, or to get vaccinated, call or visit your doctor or local pharmacy to see if they offer the Shingrix® vaccine and check if it is in stock. Staying healthy and preventing shingles is easier than ever now that Blue Cross Blue Shield of Michigan and Blue Care Network cover the Shingrix® vaccine at pharmacies around the nation. Have any other questions about the Shingrix® vaccine? Share in the comments and we’ll have our experts provide an answer. If you’re looking to learn more about vaccinations, check out these posts:

Who is this for?

Blue Cross Blue Shield of Michigan and Blue Care Network members who want to get vaccinated.

Staying up to date on your immunizations can reduce your risk of contracting serious illnesses. It's also one of the easiest ways you can stay healthy.

Available vaccines

There are more than a dozen vaccines available to you, depending on your situation. Here are the most common diseases you can get vaccinated against:

  • Shingles
  • Hepatitis A
  • Hepatitis B
  • Pneumonia

  • HPV, or human papillomavirus
  • Meningitis
  • DTaP
  • Polio

Looking for information about flu vaccinations? See if your insurance plan covers flu shots.

Find out if you're covered

To get started, look at your Blue Cross ID card to see whether you have a PPO plan or an HMO plan.

PPO members

Your PPO plan covers vaccinations in most cases. However, if your employer purchased your plan before the Affordable Care Act was enacted, you may have a copay. To make sure you're covered:

  • Log in to your online account on bcbsm.com and search for immunizations.
  • Or call the Customer Service number on the back of your ID card and we'll help.

Once you know whether you're covered, you can get vaccinated by:

  • Making an appointment with your doctor.
  • Visiting a pharmacy that accepts your plan if you have prescription coverage through us.

If you don't have prescription coverage through us, your vaccine may still be covered. You can use your medical coverage and go to an immunizing pharmacy. Use Find a Doctor to find one near you.

HMO members

Blue Care Network HMO members can get free vaccinations two ways:

  • Make an appointment with your primary care physician.
  • Visit a pharmacy that accepts your plan.

What age is shingles vaccine free?

You're eligible for the shingles vaccine when you're aged 70 to 79. When you're eligible, you can have the shingles vaccination at any time of year. The shingles vaccine is not available on the NHS to anyone aged 80 and over because it seems to be less effective in this age group.

What does a shingles vaccination cost?

HOW MUCH WILL SHINGRIX COST? Most patients pay an out-of-pocket cost less than $50 per dose.

Does anyone cover shingles vaccine?

The shingles vaccine is covered through Medicare Part D or Medicare Advantage as part of your prescription drug benefits. In 2022, your actual costs for the vaccine depend on the specifics of your plan. Beginning Jan. 1, 2023, all vaccines will be free under Medicare Advantage or Part D — including shingles.

Toplist

Latest post

TAGs