This year, receiving a flu shot is more important than ever. Not only does the flu shot protect you, but also your family, friends, co-workers, and communities. In addition, this simple act will also lessen the burden caused by influenza illness as the
COVID-19 virus continues to circulate.
For All Health Plans: If the member uses a Network provider and the only service billed is for the flu shot, the claim is paid in full by the health plan. If you receive a flu shot at a provider’s office and the provider bills for an office visit in addition to the flu shot, the member will be responsible for the office visit benefits that apply to your medical plan. Ask the provider’s office how the service will be billed before services are provided.
Flu shots are covered at 100% when provided by network providers only. Each of the health plans uses a different Network of providers. The following information summarizes their Network options for flu shots. Many pharmacies across the state administer flu vaccine to adults. These are not network providers with your medical plan unless there is a contracting clinic within the pharmacy. If you have additional questions or need assistance in finding a Network provider, please call your health plan’s customer service at the number on the back of your ID card or listed below.
Blue Cross Blue Shield of Kansas (BCBSKS): Flu shots are covered when it is performed by an eligible Network provider. BCBSKS contracts with most of the county health departments in Kansas. Please make sure to check the Network listing for available providers. Make sure to present your BCBSKS member ID card when receiving your flu shot. BCBSKS indicates that along with health departments and physician offices, the following companies are also contracting to provide flu shots:
• CVS Caremark Minute Clinic in Topeka, Lawrence and Leavenworth
For additional information on eligible providers, please contact BCBSKS Customer Service at: 1-800-332-0307.
The credits for your flu shot will process after the medical/Rx vendor has processed your claim. Please allow 1-2 pay periods for the credit to appear in your HealthQuest Portal.