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Flu shot coverage

Regence/Asuris

On-site flu shots

You can use one of the flu shot vendors contracted with RBS/ANH for on-site services. You can also use a flu shot provider not on the list at your on-site flu shot clinic. The provider must bill the shots the same way they would if the member went to them. Here’s how:

  • Regence/Asuris contracted pharmacy
    If a local pharmacy comes on site to do a flu shot clinic, the shots are covered if billed using the insurance information (employees need to provide their ID card) and process the claims through the point of sale system at their pharmacy. All rates, terms and conditions of their pharmacy contract would apply.
  • Regence/Asuris contracted provider:
    If a local provider, such as a health clinic, comes onsite the shots are covered if billed by submitting the charges individually on a CMS 1500 form. Employees need to provide their ID card. (They cannot “Roster Bill”.) The pricing would default to the contracted rate in their Medical Group Agreement.

Flu shots at the pharmacy

If the member has their flu shot done at a local pharmacy, it is covered in full. For Regence/Asuris members, the pharmacy will take care of the billing.

Flu shots at the contracted physician's office

Flu shots are treated like any other immunization – no co-pay unless it is part of a larger office visit. Flu shots (and most other immunizations) fall under preventative medicine and are covered at 100% with no expense to you.

Kaiser Permanente – Flu shot coverage FAQ’s

Every week day is flu clinic day at the 25 Kaiser Permanente Medical Centers facilities. Vaccine is available from 8:30 am to 5 pm Monday through Friday. No appointment needed. The CDC recommends that everyone over 6 months of age receive the flu vaccine.

There are two reasons for getting a yearly flu vaccine:

  • Because flu viruses are constantly changing, flu vaccines may be updated from one season to the next to protect against the most recent and most commonly circulating viruses.
  • Annual vaccination is recommended because a person’s immune protection from vaccination declines over time and annual vaccination is needed for optimal protection.

Patients who don't get care at a Kaiser Permanente Medical Centers facility

Kaiser members who live in areas not served by Kaiser Permanente Medical Centers should ask their primary care doctor's office about getting the flu vaccine. Another option is to get the vaccine from a community pharmacy contracted with Kaiser, or at clinic pharmacy not contracted with Kaiser get reimbursed for the cost.

For information about reimbursement, call customer service or download the form here. All Kaiser members are welcome at any Kaiser Permanente Medical Centers facility.

How do I find where to get flu vaccine if I don't get care at a Kaiser Permanente Meddical Center?

Check with your primary care doctor's office first. If your doctor isn't giving flu vaccinations, you can find a list of contracted pharmacies using the Kaiser Provider Directory. Just show your Kaiser ID card. There is no cost share.

You can also get the vaccine from a non-contracted pharmacy or clinic and pay out-of-pocket. Kaiser will reimburse the cost, less any applicable cost share or copay.

How do I request reimbursement if I pay up front at a pharmacy or other location?

Kaiser members can receive the flu vaccine from any licensed provider and be reimbursed for the cost, less any required cost share. Just pay for the vaccination and submit the receipt. Information is online or call customer service toll-free at 1-888-901-4636.

On-site seasonal flu clinic (at the work site)

Get A Flu Shot bills Kaiser directly for shots given at an onsite clinic that has been arranged in advance. For more additional information on offering an onsite flu shot clinic, contact getaflushot.com directly.

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