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Information you need to know for the 2016-2017 flu season

10/12/2016

ConnectiCare members are covered for the flu vaccine. For most 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, applicable copayment, coinsurance and deductible will apply.

If a member receives a flu vaccination from a non-participating provider, ConnectiCare will cover the usual-and-customary amount. If a 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.

Members may also call us at 1-800-251-7722 (commercial plans) or 1-800-224-2273 (Medicare plans) to request a reimbursement form. TTY service is also available at 1-800-833-8134 (commercial plans) or 1-800-842-9710 (Medicare Plans).

Please note: Flumist will not be covered for the 2016-2017 flu season per the recommendation of the Center for Disease Control and Prevention (CDC) and its Advisory Committee on Immunization Practices (ACIP).

 

MEDICARE CODES FOR
FLU VACCINATIONS

90630

90673

90653

90674

90654

90685

90655

90686

90656

90687

90657

90688

90661

Q2035

90662

Q2037

Administration Code: G0008

COMMERCIAL CODES FOR
FLU VACCINATIONS

90630

90662

90653

90673

90654

90674

90655

90685

90656

90686

90657

90687

90658

90688

90661

 

Administration Codes:
90460, 90461, 90471
90472, 90473, 90474