All ConnectiCare members are covered for the flu vaccine. And here are the vaccine codes we cover:
| Medicare codes for flu vaccinations | Commercial codes for flu vaccinations | ||
|---|---|---|---|
| 90653 | 90686 |
90653 | 90686 |
90662 |
90687 |
90662 |
90687 |
90672 |
90688 |
90672 |
90688 |
90674 |
90694 |
90674 |
90694 |
90682 |
90756 |
90682 |
90756 |
| 90685 | 90685 | ||
| Administration code: G0008 | Administration code: 90460, 90461, 90471, 90472, 90473, 90474 |
||
For most members, there is no copayment, coinsurance or deductible if the only service that is provided during the visit is the administration of a flu shot. If there is an additional, separate reason billed for a visit, applicable copayment, coinsurance and deductible will apply.
If a member receives a flu vaccination from a non-participating provider, we cover the usual-and-customary amount. If a member pays out of pocket, he or she can provide a receipt to us along with a completed Out-of-Plan Reimbursement Form. Medicare members should use this Medicare Out-of-Plan Reimbursement Form.
