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H1N1 and Seasonal Flu

Flu season is here, and this year it comes with two different types of flu — the traditional seasonal flu and the H1N1 (swine) flu. Vaccines are available for both types and are one of the best ways to protect yourself and your family.

Your coverage and benefits

Whether you are covered for these vaccines depends on the type of Independence Blue Cross coverage you have. Refer to the chart below to see what your plan covers and find out where you should go to get vaccinated.

Please note: The following list may not be comprehensive. If you do not see your plan here, please call Customer Service at the number on the back of your ID card for coverage information.

Flu vaccine coverage chart

Your plan Where you can go for either vaccine Your coverage for the H1N1 vaccine Your coverage for the seasonal flu vaccine

Keystone HMO/POS

Keystone 65 HMO

adultBasic

CHIP
  • your primary care physician’s office;
  • participating MinuteClinics® at CVS pharmacies and Take Care Health Clinics™ at Walgreens® pharmacies until the end of March 2010;*
  • vaccination clinics (organized by local health departments) and other private settings (e.g., place of employment).

The H1N1 vaccine is being offered at no cost by the federal government. In addition, the administration costs of both forms of the H1N1 flu vaccine (injectable and the intranasal) are covered in full by IBC and are not subject to cost-sharing.

You do not need a referral, precertification, or preapproval for this service.

If you paid for the administration of your H1N1 vaccine, you may submit an H1N1 Vaccine Reimbursement Form (up to $25 per member, per vaccine).†

Coverage for the seasonal flu vaccine depends on whether your plan includes coverage for immunizations.

If your plan covers immunizations:

  • You will not need a referral, precertification, or preapproval to get the seasonal influenza vaccine.
  • You will pay any applicable copay and/or deductibles.

If your plan does include coverage for immunizations and you paid for your seasonal flu vaccine, you can submit a Seasonal Flu Vaccine Reimbursement Form (up to $25 per member, per vaccine).†

If you do not know whether your plan covers immunizations, call Customer Service at the number on the back of your ID card.

Personal Choice® PPO

Personal Choice 65SM

National BlueCard
  • any eligible provider (in- and out-of-network benefits apply);
  • participating MinuteClinics® at CVS pharmacies and Take Care Health Clinics™ at Walgreens® pharmacies in accordance with your standard benefits plan;
  • vaccination clinics (organized by local health departments) and other private settings (e.g., place of employment).

Comprehensive Major Medical (CMM)

Traditional Blue Cross® and Blue Shield®

The seasonal and H1N1 flu vaccines (injectable and the intranasal) are covered in accordance with your current benefits plan for routine immunizations. Benefit restrictions as well as applicable deductible and coinsurance requirements may apply.

Please refer to your Summary of Benefits for more information, or call the Customer Service number on the back of your ID card.

* For a list of participating retail clinics, please refer to: Retail Health Clinics.

† Reimbursement requires the submission of a paid receipt or invoice, along with the specific flu vaccine reimbursement form used to process this service.