"CVS told KQED that "Our understanding is that the COVID-19 vaccine is covered by most insurance plans at no cost for eligible patients," but that patients should still "check with their insurer to determine whether the updated COVID-19 vaccine is covered by their individual health plan." Blue Shield and United Healthcare did not respond to KQED's request for confirmation that they will indeed cover the shots for eligible patients before the CDC's recommendation is released."
"COVID-19 shots can cost $150 or more out of pocket if not covered by insurance. Right now at CVS, for example, the cost of a COVID-19 vaccine is $198.99. So unless you're okay with paying that cost up-front in the event of a coverage denial, it's definitely worth checking with your insurer first before going to your pharmacy vaccine appointment."
Insurance coverage for the updated COVID-19 vaccine is unclear for many patients. CVS indicates most plans cover the vaccine at no cost for eligible patients but advises checking individual plans. Some major insurers did not confirm coverage pending CDC recommendation. Uninsured or denied claims may face out-of-pocket costs around $150–$199 at pharmacies. Patients in integrated health systems like Kaiser or Sutter cannot get vaccine costs covered at retail pharmacies and must receive the shot through their provider, potentially delaying access. People under 65 without qualifying high-risk conditions currently are not eligible for the updated vaccine.
Read at Kqed
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