We will cover a newly available flu vaccine, CPT code 90682, for any dates of service on or after July 1, 2017. We will cover this vaccine for both our commercial and Medicare plans.
For most ConnectiCare members, there is no copayment, coinsurance or deductible if the only reason for a visit is to get a flu shot. If there is an additional, separate reason billed for a visit, copayments, coinsurance and/or deductibles will apply.
If a member receives a flu vaccination from a non-participating provider, we will cover the usual-and-customary amount.
If a commercial member pays for the immunization out of pocket, he or she can provide a receipt to ConnectiCare along with a completed Out-of-Plan Reimbursement Form. Medicare members should use this Medicare Out-of-Plan Reimbursement Form.
