Thursday, August 30, 2012

Immunizations Not Covered for Members Over the Age of Six

By Tonya Williams
Employee Relations Specialist

Staff members who carry our health insurance call frequently to inquire if certain immunizations are covered under our plan.  The District’s health insurance plan does not cover any immunizations for any insured members over the age of six.

The District provides flu shots for staff each fall due to this circumstance.  Flu shots are scheduled in four different buildings on four different dates to allow staff to receive a flu shot in the District.  Staff, spouses, District retirees, and children over the age of 18 can get a flu shot.  The schedule and pricing is emailed to staff in early fall.

I frequently refer staff to the Rock County Health Department to receive immunizations for them and their family members over the age of six.  To see their schedule of immunization clinics scheduled throughout the year visit their website at  You may want to consider using Rock County to immunize your dependents under the age of six as well.  You will not be responsible for an insurance deductible or a co-pay for an office visit.

Coverage for the Shingles vaccine is a frequent question I receive as well.  Currently the Rock County Health Department offers the Shingles vaccine for $170 by appointment only.  Their phone number is 608-757-5440.  You will see that area pharmacies offer the Shingles vaccine as well.  Keep in mind, if you are Medicare eligible, your Med D coverage will cover the cost of a Shingles vaccine if you receive the vaccine at a walk-in pharmacy such as Walgreens, Schnucks or CVS. 

Immunizations are the best way to prevent disease; therefore, understanding your coverage will help you determine the best way to vaccinate you and your family.  If you have any questions regarding the District’s coverage on immunizations, please contact Coordinated Health Care at 877-550-3455.

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