Safe, easy, and affordable access to appropriate vaccinations is a fundamental aspect of preventive care and and a cornerstone to our whole modern healthcare system. That’s why Premera health plans cover vaccinations, including COVID vaccinations, as a standard part of our preventive care benefits.
Health plans, including Premera, cover Advisory Committee on Immunization Practices (ACIP)-recommended vaccines without cost sharing, in line with federal requirements as part of the
Affordable Care Act (ACA) and the Inflation Reduction Act.
We also look to the clinical recommendations of a broad array of respected medical organizations, independent expert groups, and state health departments for guidance to ensure our members and their families have access to evidence-based preventive care such as vaccinations.
Specific to COVID vaccines, the Washington State Department of Health (DOH) continues to recommend that everyone six months or older, including pregnant people, receive the current COVID vaccines to protect against severe illness. The Alaska Department of Health also continues to recommend that Alaskans follow ACIP recommended vaccines, including flu and COVID vaccinations.
We partner closely with our healthcare systems and providers to ensure evidence-based care is deliveredto the people we serve. We will continue to review evidence-based medicine guidelines, federal and state guidelines, and the guidance of professional societies regarding vaccines. We also look forward to the recommendations of the newly-formed West Coast Health Alliance.
If you have a question about what vaccinations are appropriate for you and your family, please consult with your healthcare provider. If you have questions about what vaccinations are covered by your Premera health plan, please don’t hesitate to contact our customer service team by calling the phone number on the back of your Premera health plan ID card.
For additional information, please visit our Preventive Care web page.
FAQ
Will I have to pay to get a COVID vaccination?
No. COVID vaccinations will continue to be covered with no cost
sharing for those with Premera Blue Cross health plans.
Who is eligible to get the COVID vaccine?
Currently the CDC has stated that in addition to people over the
age of 65, the list of health problems that would make people
eligible for the vaccines is very broad. Qualifying risk factors
apparently include weak immune systems, asthma, depression,
diabetes, high blood pressure and a sedentary lifestyle.
Are COVID vaccinations covered if someone isn’t in the 65+ or underlying condition?
If a member receives a vaccination, regardless of age restriction or
condition recommendation, the claim will be covered. We
recommend members consult with their healthcare provider to
determine what’s right for themselves and their families.
Which vaccines are currently available?
The FDA has approved Moderna’s mRNA vaccine for those ages 6
months and older, the Pfizer-BioNTech mRNA vaccine for those
ages 5 and older, and the Novavax vaccine, which uses an older
technology, for those ages 12 and older.
