Getting vaccinated is the best way to avoid the flu. The flu vaccine is recommended for everyone 6 months or older and is updated each year to closely match the most recent viral strains. We've partnered with doctors, hospitals, workplaces, and pharmacies to make it more convenient for you and your family to get vaccinated.
Our HMO Blue, Blue Choice, Access BlueSM, and Blue Care ElectSM and Preferred Blue PPOSM members have full coverage for flu shots administered by participating or preferred providers, including approved flu vaccine clinics in retail and public settings.
Medicare Advantage members have full coverage for flu vaccines in any location whether the provider is participating or not. Members are required to submit a claim for reimbursement when they receive a flu vaccine from a non-participating provider.
Most Indemnity plan members have full coverage for flu vaccines when given by a participating provider, including approved flu vaccine clinics in retail and public settings.
In most cases, there will be no cost for your flu vaccine. However, we encourage you to review your benefits or call Member Service to verify that this applies to your specific plan.
Also, if you receive a flu vaccine along with other covered services at a provider's office, you are required to pay the applicable cost share of the other services. This information is outlined in your plan's Summary of Benefits.
Please note: For the 2017-2018 flu season, the Centers for Disease Control (CDC) recommends against using the nasal spray flu vaccine, commonly known as FluMist. Accordingly, Blue Cross Blue Shield of Massachusetts won’t cover this type of vaccine for this flu season.
To find a participating provider, use our Find a Doctor tool or contact Member Service at the number on the front of your ID card.
Once you know what's covered, here's where to go to get vaccinated:
Members 18 and over, who have pharmacy coverage, can also receive a flu vaccination at Express Scripts, Inc. (ESI) participating pharmacies without a prescription. The flu shot must be administered by a pharmacist who is licensed to perform flu vaccinations. To find an ESI-participating pharmacy, go to express-scripts.com. You will need to log in or choose a user name and password.
*Members receiving services from a skilled nursing facility may also receive a flu vaccine from that participating provider without a cost share. However, any other covered services provided at the same time may be subject to a cost.
If your plan offers coverage outside of Massachusetts, you can also use the following resources to find a convenient location:
Note: This information is provided for educational purposes only and should not be considered medical advice. Please consult your doctor for medical advice.
Members will not be reimbursed for flu vaccines performed by non-participating doctors or facilities, unless the member participates in Medicare Advantage.
For the 2017-2018 flu season, the CDC recommends against using the nasal spray flu vaccine, commonly supplied as FluMist. As such, Blue Cross Blue Shield Massachusetts won't cover this type of vaccine for this flu season.
Flu vaccines are crucial to reducing your risk of illness and stopping the spread of the flu virus. Experts now recommend that everyone age six months and older get a flu vaccine each year. According to the Centers for Disease Control and Prevention (CDC), people who are at higher risk for complications from influenza include, but not limited to:
Please visit the CDC for the latest list of groups considered to be at high risk of serious flu-related complications.
Important Exception for Children: Children six months through eight years of age who have never received a flu vaccination may need more than one dose of flu vaccine in the first year they receive it. Parents or guardians should check with their child's pediatrician first.
Whether it's the seasonal flu or the common cold, the best way to stay healthy is to practice good hygiene, which can help reduce the spread of germs. Use these effective methods:
Please note this information is being provided for educational purposes only and should not be considered medical advice. Please consult your doctor for medical advice.
If you think you have the flu, you should:
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