with Dental Blue Pediatric Essential Benefits, Blue Care Elect $3000 Deductible Speak to your primary care doctor about which preventive care services are recommended for you. Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, BCBSILs Clinical Payment and Coding Policies, Consider the services to be experimental, investigational or unproven (EIU), which are not a covered benefit for BCBSIL members; and. Medicare ensures at-risk people can receive vaccinations at a minimal cost. As part of its commitment to the health and safety of employees, customers, members, and the community, Blue Cross also announced today that it will require vaccination against COVID-19 for anyone entering Blue Cross office buildings starting Oct. 4, 2021. "Since the COVID-19 vaccines first became available, weve been committed to supporting widespread vaccination in our communities," saidDr. Sandhya Rao, chief medical officer at Blue Cross. Members Can Get Vaccines at Pharmacies | Blue Cross Blue Shield MA Home / New! For more information on how Blue Cross is supporting members during the COVID-19 emergency, visit its Coronavirus Resource Center. If you have any questions, call Member Service at the number on the front of your ID card. To get started, look at your Blue Cross ID card to see whether you have a PPO plan or an HMO plan. with Dental Blue Pediatric Essential Benefits, HMO Blue New England Basic Coinsurance with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $2000 Deductible with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Options On the other hand, Medicare Part Dor a Medicare Advantage plan that includes Part D coveragetypically does cover the vaccine. Also refer to BCBSILs Clinical Payment and Coding Policies (CPCPs) for our Preventive Services Policy (CPCP006).**. Details drug coverage for Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO) in Minnesota. It was removed from the 2021 ACIP adult immunization schedule. Help Center. Summary. Below you will find a listing of eligible immunizations. The flu is not just a single virus, its multiple strains that change every year. Advocates are calling for provincial health care plans to cover it. Your member ID card is your key to using your medical plan benefits. Staying up to date on your immunizations can reduce your risk of contracting serious illnesses. It's more than 90% effective in preventing illness,. Zoster (shingles) Blue Shield of California HMO Benefit Guidelines Original Date: 01/01/1999 Revision Date: 01/01/2019 Effective Date: 01/01/2019. Hepatitis B. Rubella immunity. It was removed from the 2021 ACIP adult immunization schedule. Register Now. Get Vaccinated At Your Local Pharmacy Blue Cross Blue Shield of Massachusetts members 18 years of age and older with pharmacy benefits can now walk into a participating Express Scripts ' to receive many preventive immunizations on the spotat no additional cost. Blue Cross Blue Shield of Massachusetts (bluecrossma.org) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1500 Deductible with HCCS Blue Cross and Blue Shield of Illinois (BCBSIL) reviews claims to ensure applicable guidelines are met. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Blue Cross Blue Shield of Massachusetts Covers COVID-19 Vaccines at No Cost to Members Coverage includes Pfizer/BioNTech vaccine and any other COVID-19 vaccines that receive emergency use authorization from the FDA (including Moderna's mRNA-1273) ACIP also recommended vaccinating adults older than 26 years old. "Vaccines are the best tools we have to protect us against COVID-19, and we want to make it easy for our members to get vaccinated, so we can all do our part to get back to the people and places we love, and help end this global pandemic., Vaccine Requirement for Entering Blue Cross Buildings. Some plans may also have a deductible, meaning 100% of your vaccination or drug costs are on you until you meet the dollar amount specified by your insurance plan. Once: Diphtheria/Tetanus/Pertussis (DTaP) Use their interactive map to find a flu shot near you. COVID-19 vaccine. If you live in an area that has both CVS Pharmacy and MinuteClinic, compare prices and insurance coverage. This new site may be offered by a vendor or an independent third party. Three out of four Americans eligible for the shingles vaccination still haven't gotten it, according to the CDC. SOURCE Blue Cross Blue Shield of Massachusetts. The member then submits the prescription drug claim form to their Medicare Part D plan for reimbursement. Flu Shot Finder Infographic February 25, 2021 To view this file, you may need to install a PDF reader program. with Dental Blue Pediatric Essential Benefits, HMO Blue $2000 Deductible Get prepared, says Blue KC medical director. 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611 | 1-800-262-BLUE (2583), Terms of Use, Privacy & Security | Accessibility. Blue Cross Blue Shield of Michigan and Blue Care Network members who want to get vaccinated. Learn about preventive health care services covered at Anthem. You can also find information in the benefits booklet you received separately. The shingles vaccination is a Medicare Part D pharmacy benefit, which requires the member to pay in advance of reimbursement. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with Copayment This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers with Dental Blue Pediatric Essential Benefits, HMO Blue New England Premier Value with Coinsurance We are a private company. This new site may be offered by a vendor or an independent third party. For patient safety, its important that you follow the U.S. Food and Drug Administration (FDA) guidelines and the Advisory Committee on Immunization Practices (ACIP) recommendations and child and adult immunization schedules. CDC.gov, Shingles Vaccine. "Our goal is to remove any doubt about insurance coverage. Coverage is subject to age and frequency of immunization recommendations issued by the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP). Important Information About Medicare Plans. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $2000 Deductible with HCCS Some shots may remain effective your entire life, while others need to be administered multiple times throughout your lifetime. Zostavax may also be covered by Medicare prescription drug insurance (Part D), but again, you should check to be sure. Surprisingly, Original Medicare (Parts A and B) doesn't cover the shingles vaccine, even though it covers other vaccines like the flu vaccine and pneumonia shot. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic $2000 with HCCS During your visit, your doctor will determine what tests or health screenings are right for you based on factors such as your age, gender, health status, and health and family history. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. At Blue Cross Blue Shield of Massachusetts we offer you Healthy Blue, a group of programs, discounts and savings, resources, and tools to help you get the most you can from your health care plan. The second dose should be two to six months after the first. Just show your Blue Cross and Blue Shield of Alabama ID card and get your vaccine onsite. **BCBSILs CPCPs dont apply to members who have Medicare or Medicaid plans. PRice ranges for the shingles vaccine Shingrix (given as two shots): Deductible copay: free to $164 for each shot. To schedule a pickup: Eligible Blue Shield Medicare Advantage Plans: Call (855) 200-7544 (TTY:711) Blue Shield Promise Medi-Cal and Cal MediConnect plans: Call (877) 433-2178 (TTY: 711) It's also one of the easiest ways you can stay healthy. 4 Tier Drug List. Eligibility.com is a DBA of Clear Link Technologies, LLC and is not affiliated with any Medicare System Providers. Here's what everyone should know about shingles vaccines. This includes males ages 9-21 years, Human Papilloma Virus (types 16 and 18); Cervarix, Effective date of service 12/01/2009, covered for females only, ages 10-26, Effective date of service 11/01/2006; Please note the age for this vaccine is 60 years of age and older based on the CDC/ACIP. * To view your coverage policy document, select the size of your employer group, then the plan name listed at the top of your SBC. If you are not part of a group, please select "Under 50 employees. with Dental Blue Pediatric Essential Benefits, Access Blue New England Saver $2000 The federal government has purchased the vaccines, which are being distributed free of charge, but clinicians and pharmacies can bill insurers for administration costs. In compliance with the FDA approval guidelines, BCBSIL considers Shingrix and Zostavax as medically necessary for anyone age 50 years or older. Thus, you have to enroll in a Medicare Advantage plan or a stand-alone Part D drug plan to cover the costs. vaccine network may be used to get a covered vaccination. Diabetes. Zostavax is no longer available in the U.S. Preventive Care Plans & Guidelines. We cover a range of voluntary family planning services at no cost, limited to these services. It will protect you against most strains of the fluif you do get sick, your symptoms will be less severe and youll recover faster. As reported by the Centers for Disease Control and Prevention (CDC), as of the. Make sure to get all the screenings and vaccines recommended for your age and gender. This is a 4.5-star Medicare Advantage plan with Part D (prescription drug . SOURCE Blue Cross Blue Shield of Massachusetts. BCBSTX covers all medically necessary care that Medicaid covers. Registered Marks of the Blue Cross and Blue Shield Association. There are also additional guidelines if you're pregnant. Your PPO plan covers vaccinations in most cases. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. It causes a painful blistering skin rash. Since 99% of people in the US have chicken pox by age 40, and since the risk of shingles increases with age, the Centers for Disease Control recommends that every healthy adult over 50 get Shingrix.1 Shingrix is over 90% effective at preventing shingles and postherpetic neuralgia, making it the preferred shingles shot.2 But for those who may be allergic to Shingrix, another shingles vaccine, Zostavax, can be used. Compare vaccinations. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. The protection of your privacy will be governed by the privacy policy of that site. The shingles vaccination is covered. with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic $2000 with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic $2000 with HCCS with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic Saver with Dental Blue Pediatric Essential Benefits, Access Blue New England Basic Saver II Members with questions can call the Blue Cross COVID-19 helpline at 1-888-372-1970. with Dental Blue Pediatric Essential Benefits, HMO Blue Basic Copayment Or call the Customer Service number on the back of your ID card and we'll help. We may earn money when you click on our links. These visits are a great way to check in with your health. These can help you and your doctor identify lifestyle changes you can make to avoid certain health conditions. See if your insurance plan coversflu shots. Enrollees age 60 and older will have no copayment for the Shingles vaccine. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Zostavax II is given as 1 dose and costs about $200. Sadly, the answer to this question is no, unless you have a prescription plan. 1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. with Dental Blue Pediatric Essential Benefits, HMO Blue New England Basic Saver Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). If you haven't met your deductible, you will be responsible for the full cost of your vaccine. It requires two doses. 1-800-262-BLUE (2583). with Dental Blue Pediatric Essential Benefits, HMO Blue New England Premier Value with HCCS On average, beneficiaries pay $50 per dose. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Options Deductible II There are a number of COVID-19 vaccines being developed. Blue Care Network HMO members can get free vaccinations two ways: 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. You can now get more vaccines under Part D at no cost to you. They will then make a coverage determination within 24 hours of receipt of sufficient medical records. External link You are leaving this website/app (site). The following preventive services and immunizations do not apply to all health plans administered or insured by Blue Cross and Blue Shield of Alabama. The Advisory Committee on Immunization Practices released a recommended adult immunization schedule that can give you a good idea of what vaccinations you may need. (Shingles) Vaccine. Shingles vaccine. This website and its contents are for informational purposes only. ACIP recommends Shingrix for people age 50 years or older. The shingles shot is not be covered by Medicare Part A or Part B. Insurance Basics Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Depression. The vaccines are free, safe and effective and widely available for anyone age 5 and up. Content on this site has not been reviewed or endorsed by the Centers for Medicare & Medicaid Services, the United States Government, any state Medicare agency, or any private insurance agency (collectively "Medicare System Providers"). Connect with us onFacebook,Twitter,YouTube,andLinkedIn. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $2000 Deductible with Dental Blue Pediatric Essential Benefits, HMO Blue Select $3000 Deductible External link You are leaving this website/app (site). 2015 Blue Cross and Blue Shield of Massachusetts, Inc. For patients between 15 and 45 years old, ACIP recommends three doses. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 5 (401) 274-4848 WWW.BCBSRI.COM 90689 Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use with Dental Blue Pediatric Essential Benefits, Access Blue New England Saver We provide health insurance in Michigan. A prescription may be required to cover Yes. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Browse our online directory of Preferred providers, urgent care centers, pharmacies and other facilities. Some vaccines, such as Zostavax (shingles vaccine), are only covered with a member cost share under the member's Part D prescription drug coverage (subject to benefit, deductible, and coverage gap). Some plans may place the vaccine in Tier 1 (meaning great coverage and lower copays) while others may put it under Tier 3 (typically lower coverage and higher copays). Tdap (tetanus, diphtheria, and pertussis) $77. FEP will waive copays for all telehealth services provided by Teladoc during this time for all members. Most Medicare drug plans cover at least 50 percent of a drug's retail price. Learn More The Centers for Disease Control (CDC) recommends everyone 6 months and older get a yearly flu shot. Get access to your member portal. Vaccines We reimburse contracted providers for covered immunization services, including necessary supplies. The focus right now should be solely on a widespread public health vaccination campaign so we can rein in this global pandemic.". The most convenient way to get care is by requesting a visit on the Teladoc app or online. Watch this video to take a closer look at your preventive care benefits and see how they can help you stay on top of your health. with Dental Blue Pediatric Essential Benefits, HMO Blue Basic Deductible Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Here's your 2023 drug list (for coverage that renews or starts on or after January 1, 2022): 6 Tier Drug List. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $500 Deductible with HCCS Not Registered? Check out the changes and updates to our plan in 2023. Here's the quick answer. Weve found that two categories of vaccines are often administered outside FDA and ACIP recommendations: those to prevent HPV and those to prevent shingles caused by the herpes zoster virus. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic Copayment Data-driven insights to improve the health of all Americans. Alex has been featured on Bloomer Boomer, Best Company, HealthPopuli.com, the Daily Ledger on the One America News Network, WBAP News radio, and more. To find a vaccine pharmacy, visit bcbsil.com. Eligibility.com LLC. If you're new to Teladocs services, you can set up your account ahead of time. The protection of your privacy will be governed by the privacy policy of that site. To make sure you're covered: Once you know whether you're covered, you can get vaccinated by: If you don't have prescription coverage through us, your vaccine may still be covered. Note: Zostavax will be considered as medically necessity when rendered prior to the discontinuation of the drug. This material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Since vaccines are preventive care, they come at no cost to you when visiting providers in FEP's vaccine network. Annual physical exams and other preventive services are free when you use a Preferred . Peak months for the flu season in Michigan . Many travel vaccines are not covered including: Typhoid; Malaria; Rabies; Breast cancer mammography screenings for . Registered Marks of the Blue Cross and Blue Shield Association. Getting the shot before the flu season is in full force gives the body a chance to protect itself. Vaccinations Working to close immunization gaps across all age groups in the U.S. Reports Stories Resources The Centers for Disease Control and Prevention recommends an annual influenza vaccination for everyone 6 months and older. The shingles vaccination is a Medicare Part D pharmacy benefit, which requires the member to pay in advance of reimbursement. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $1000 Deductible with HCCS Routine Annual Physical Incentive Program, Advisory Committee on Immunization Practices, U.S. Health Resources and Services Administration, American Academy of Pediatrics: Bright Futures, Tubal ligation or tubal occlusion/tubal blocking procedures only. Please review your Benefit Booklet, to find out if it directs you to this web site. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $3000 Deductible with HCCS Published on: July 30, 2020; updated on: February 15, 2022, https://www.healthline.com/health-news/adults-need-vaccines-too-what-you-need-to-know, Tetanus, diphtheria, pertussis (Tdap), one dose as an adult and then a booster every 10 years, Varicella (chickenpox), two doses if born in 1980 or later, Measles, mumps and rubella (MMR), one or two doses if born in 1957 or later, Herpes zoster (shingles), two doses for adults 50 years and older (recombinant vaccine) or one dose for adults 60 years and older (live vaccine), HPV, two or three doses depending on your age when you received your first shot. Whether in or outside of our service area, members should be able to receive a flu shot from in-network . . The full price for two doses of the shingles vaccine is around $324. One of the best ways to prevent shingles is with the two-dose vaccine given six months apart. Medicare covers the shingles vaccine if you have Part D prescription drug coverage as part of your original Medicare or Medicare Advantage plan. Since every insurance plan is different, each Part D plan provides varying degrees of coverage for the shingles vaccine. with Dental Blue Pediatric Essential Benefits, HMO Blue New England $1000 Deductible with Coinsurance and HCCS Some health plans may not cover any or all of these immunizations, or may provide coverage for additional immunizations. You can use your medical coverage and go to an immunizing pharmacy. Annual physical exams and other preventive services are free when you use a Preferred provider. Medicare Part D plans cover this vaccine. Expand All Pharmacy benefits for adult immunizations Medicare Part D coverage This includes. Your member ID card is your key to using your medical plan benefits. There are more than a dozen vaccines available to you, depending on your situation. Blue Cross employees will begin returning to the companys buildings on a voluntary basis starting October 4, 2021, with a full reopening scheduled for January 3, 2022. For as many as one. Consistent with our promise to always put our members first, we are rated among the nation's best health plans for member satisfaction and quality. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO $500 Deductible Preventive Care - Blue Cross and Blue Shield's Federal Employee Program Preventive Care Annual physical exams and other preventive services are free when you use a Preferred provider. If you are not a member yet, call $0 HDHP-HSA Preventive Drug List (This applies only for Blue Advantage Plus Bronze SM 501 plan) Please note that some drugs may be covered under your health plan's medical benefits instead of your pharmacy . Youre given a series of vaccinations as a child, but your immunity can fade over time and new diseases can develop. At a designated retail pharmacy Medicare does not provide coverage After a $35 calendar-quarter deductible: . For example, in the U.S., only about 50 tetanus cases are reported every year thanks to vaccinations. with Dental Blue Pediatric Essential Benefits, Access Blue New England Saver $2500 HPV vaccination rates low despite risks of related cancers, Missing vaccinations during COVID-19 puts our children & communities at risk, Early childhood vaccination trends in America, Improving childhood vaccination and flu shot rates during COVID-19, Turnkey prevention toolkit helps employers promote flu vaccine, Q&A: How insurers can help close the gap in HPV vaccination rates, Why Rhode Island leads on adolescent vaccination rates, Care Vans deliver vaccines to kids in need, Flu season plus pandemic? with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic Saver A new vaccine to keep shingles away from older Canadians costs about $400. , , TM, SM Registered, Service, and Trade Marks are the property of their respective owners. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Options Deductible III For more information about vaccines and the current recommendations on COVID-19 vaccinations, visit cdc.gov/vaccines. Learn about the recommended immunizations for children, adolesnce and adults child . 2023 Blue Cross and Blue Shield of Massachusetts, Inc.., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Blue Cross Blue Shield of Massachusetts Will Cover COVID-19 Vaccine Boosters at No Cost to Members, Company also announces vaccine requirement for entering office buildings, starting in October, For further information: Amy McHugh, amy.mchugh@bcbsma.com, Nondiscrimination & Translations Resources. What's the difference between HMO and PPO plans? *Applies to Blue Cross plan members with coverage through the Blue Cross Pharmacy Vaccine Network. Vaccines. Access Your Payment Options. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Any variance will be noted in the Benefit Booklet. Coverage for these immunizations is only available after the specified date. About Blue Cross Blue Shield of Massachusetts So far, a vaccine developed by Pfizer/BioNTech has been authorized for distribution through the FDA's Emergency Use Authorization process. As a Service Benefit Plan member, everyone on your plan can access a wide range of preventive care servicesat no costwhen seeing a Preferred provider. Licensed Insurance Agent and Medicare Expert Writer. Consistent with our promise to always put our members first, we are rated among the nations best health plans for member satisfaction and quality. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Questions about coronavirus and Medicare? Free. Medical necessity is determined by the members PCP. So do Medicare Advantage plans that include a prescription drug benefit. We are committed to the relentless pursuit of quality, affordable and equitable health care with an unparalleled consumer experience. Available vaccines There are more than a dozen vaccines available to you, depending on your situation. ZOSTER VACCINE is a vaccine used to reduce the risk of getting shingles. The best way to know how much a shingles vaccine may cost you is to call your insurance provider and ask. Does Medicare Cover Cover Vision, Cataract Surgery or Glasses? Connect with us onFacebook,Twitter,YouTube, LinkedIn, and Coverage, our health news service. with Dental Blue Pediatric Essential Benefits, Preferred Blue PPO Basic $2000 "We made the commitment at the start of the pandemic in March to cover the cost of a COVID-19 vaccine once it became available," said Katherine Dallow, MD, MPH, vice president of clinical programs and strategy at Blue Cross. Copyright 2020. Check with your plan to be sure it covers Shingrix. Recover reimbursements as per the claim payment recovery process outlined in our participating provider contracts. Blue Cross Blue Shield of Massachusetts provides a Summary of Benefits and Coverage (SBC) with online access to the corresponding coverage policy to all of our fully insured members and accounts. If you're using Medavie Mobile, just hit the Coverage button and you'll be . Part D covers a lot more than the shingles vaccine, providing coverage for prescription medications. What is a Medicare Supplement (Medigap) Plan? Blue Cross Blue Shield of Michigan and Blue Care Network members who want to get vaccinated. Premera Blue Cross Medicare Advantage members generally pay less for Part D vaccines when they are administered at an in-network preferred pharmacy. Most PDF readers are a free download. with Dental Blue Pediatric Essential Benefits, HMO Blue Premium Blue Cross Blue Shield of Massachusetts provides a Summary of Benefits and Coverage (SBC) with online access to the corresponding coverage policy to all of our fully insured members and accounts. 2023 Blue Cross and Blue Shield of Massachusetts, Inc.., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Blue Cross Blue Shield of Massachusetts Covers COVID-19 Vaccines at No Cost to Members, Coverage includes Pfizer/BioNTech vaccine and any other COVID-19 vaccines that receive emergency use authorization from the FDA (including Moderna's mRNA-1273), For further information: Amy McHugh, amy.mchugh@bcbsma.com, 617-246-2311, Nondiscrimination & Translations Resources. Eligibility.com is not a government website or a government agency. We use cookies on this website to give you the best experience and measure website usage. The Inflation Reduction Act includes important changes to member Part D cost-sharing beginning Jan. 1, 2023: To read the full article and get the details on the changes,log in to Blue Access for ProducersSM(BAPSM). Thats why its important for you to get the latest flu vaccine annually. You should also get vaccinated even if you're not sure whether you had chickenpox as a child. ", HMO Blue $1000 Deductible We can help . Preventive Care. You can also refer the member to the pharmacy for the vaccine. with Dental Blue Pediatric Essential Benefits, HMO Blue Select $1000 Deductible Members must refer to their Evidence of Coverage or Certificate of Insurance or Policy for plan/policy coverage of preventive health benefits.