Our plan provides coverage of a number of Part D vaccines. There are two parts to our coverage of Part D vaccinations:
What do you pay for a Part D vaccination?
What you pay for a Part D vaccination depends on:
What you pay at the time you get the Part D vaccination can vary depending on the circumstances.
Remember, you are responsible for all of the costs associated with vaccines (including their administration) during the Coverage Gap Stage of your benefit (BlueCHiP for Medicare Preferred, BlueCHiP for Medicare Group Preferred, BlueCHiP for Medicare Group Preferred Unlimited, and BlueCHiP for Medicare Group Preferred Unlimited 2 Plan members: depending on which tier the vaccine is on, you may have coverage for some vaccines during the gap).
Situation 1: You buy the Part D vaccine at the pharmacy and you get your vaccination shot at the network pharmacy. (Whether you have this choice depends on where you live. Some states do not allow pharmacies to administer a vaccination.)
Situation 2: You get the Part D vaccination at your doctor’s office.
Situation 3: You buy the Part D vaccine at your pharmacy, and then take it to your doctor’s office where they give you the vaccination shot.
Please note: Some vaccines are considered medical benefits. You can find out about your coverage of these vaccines by going to Chapter 4, Medical Benefits Chart (what is covered and what you pay) in your Evidence of Coverage.The rules for coverage of vaccinations are complicated. We are here to help. We recommend that you call us first whenever you are planning to get a vaccination. We can tell you about how your vaccination is covered by our plan and explain your share of the cost.
Last updated: 09/24/2014
Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal.