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IBC Broker Briefs
 

Flu Immunization Coverage

Here is a reminder of how IBC Commercial and Medicare managed care members can obtain covered influenza vaccines:

Benefit/Feature

Commercial managed care members (HMO, POS, Direct POS, PPO)

Medicare managed care members

Obtain vaccine from participating PCP or specialist (no referral required for HMO/POS/PPO)

FluMistTM, an FDA-approved intranasal influenza vaccine

NEW!

Reimbursement up to $25 for vaccines received in other settings (i.e., supermarket, pharmacy) *

*Member reimbursement requires a paid receipt, along with a specific claim form, which can be obtained from Customer Service or ibxpress.com.

CMM/Traditional members may obtain the flu vaccine from a physician or hospital in accordance with the age limits on coverage for routine immunization benefits. POS/PPO members may also obtain the flu vaccination through their self-referred/out-of-network benefit. The benefit is subject to applicable age limits, benefit maximums, copayments, deductibles, and coinsurance.

Commercial and Medicare managed care members were reminded about flu vaccinations through a variety of mailings (see sample mailer below) and automated calls coordinated through IBC’s Population Health & Wellness department.

These communications highlight recommendations from the Advisory Committee on Immunization Practices, which consists of immunization experts selected by the U.S. Secretary of Health and Human Services. The recommendations include:

  • receiving a flu shot at any time from October through March;

  • two doses for children between ages six months and eight years who have not previously received the vaccination.

Remind your groups: Getting a flu shot is just one way eligible members can enter the No Pay Getaway for a trip for two to Maui. Go to www.ibx.com to learn more about the No Pay Getaway and to read the official rules. No purchase necessary. Void where prohibited.

Click here to view the sample mailer.

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Independence Blue Cross offers products directly, through its subsidiaries Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield. Independent licensees of the Blue Cross and Blue Shield Association.

©2007 Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.