2013/2014 FLU SEASON – Flu Shot Information
Flu vaccines will be covered at 100% for employees and dependents enrolled in the Open Access POS plan, HSA Open Access POS plan or BlueChoice HMO at an in-network providers’ office or at the local pharmacy (such as Walgreens, Kroger, etc.)!
Coverage for flu vaccines during this coming flu season:
| Setting | BlueChoice HMO | OA POS Plan | HSA OA POS (HDHP) |
| Pharmacy | Covered 100% Use BCBSGa ID card |
Covered 100% Use Medco/Express Scripts pharmacy card |
Covered 100% Use BCBSGa ID card |
| Doctor’s office | Covered 100% Use BCBSGa ID card |
Covered 100% Use BCBSGa ID card |
Covered 100% Use BCBSGa ID card |
| On-site Clinic or Student Health Center | Pay up front & fax receipt with BCBSGa ID card to Attention BCBSGa Flu Shot Reimbursement Claims at 1-866-238-9959 to be reimbursed | ||
How the flu shot is paid:
- For pharmacy setting – the pharmacy should run the flu-vaccine under the employees’/members’ pharmacy benefits and plan picks up 100% of the cost.
- For in-network doctor’s office setting – the doctor should run the flu-vaccine under the employees’/members’ medical benefits and plan picks up 100% of the cost.
- For on-site clinic or student health center – employee or member will have to pay out-of-pocket at the point of service and fax a copy of their receipt and member ID card to the BCBSGa Flu Shot Reimbursement Claims fax line at 1-866-238-9959. The plan will reimburse the employee or member.
- Flu shots received at out-of-network provider’s office are not covered.