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Submission: On January 29 via api from US — Scanned from DE
Effective URL: https://vaccinateyourfamily.org/paying-for-vax/
Submission: On January 29 via api from US — Scanned from DE
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<p class="queston-text"><span class="q-num">Question 1</span><span class="q-title">Who in your family needs to be vaccinated?</span></p>
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* About Us
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HOW WILL I PAY FOR MY FAMILY’S VACCINATIONS?
By answering a couple of questions, Vaccinate Your Family can help you figure
out how to pay for vaccinations for yourself and your family members. Click the
“START” button below.
START
* -
Question 1Who in your family needs to be vaccinated?
* A child 18 years old or younger (pregnant)
* -
Question 2Do you or your child have:
* Private health insurance
* CHIP (Children’s Health Insurance Program)
* Medicaid
* No insurance
* A child 18 years old or younger
* -
Question 2Do you or your child have:
* Private health insurance
* CHIP (Children’s Health Insurance Program)
* Medicaid
* No insurance
* An adult between 19 and 64 years old
* -
Question 2Do you or another adult in your family, who are between 19 and 64
years old, have:
* Private health insurance
* Medicaid
* Medicare
* No health insurance
* An adult 65 years old or older
* A pregnant woman or pregnant teen
* -
Question 2Are you or someone else in your family currently pregnant and:
* At least 19 years old?
* -
Question 3Do you have:
* Private health insurance
* Medicaid
* No health insurance
* Younger than 19 years old?
* A member or dependent of the U.S. military
Back Next Start Over
PREGNANT WOMAN YOUNGER THAN 19 YEARS OLD WITH PRIVATE HEALTH INSURANCE
Pregnant women need the flu and Tdap vaccines during every pregnancy to protect
both mom and baby from serious illness and health complications. Learn more.
By law, private health insurance companies are required to cover all of CDC’s
recommended vaccines at no cost“No cost” means that you should not have to pay
an office copay, coinsurance or meet a deductible in order for you to get the
recommended vaccines. However, vaccines are usually only “no cost” when given by
a doctor or other provider in your health plan’s network. when given by a
participating healthcare provider in your health plan. But, in some rare
instances, the flu or Tdap vaccine for pregnant women may not be covered by your
health plan. If you are unsure if the flu and Tdap vaccinations will be covered
for pregnant women, contact your health insurance company, and ask if the
vaccines will be covered at no cost“No cost” means that you should not have to
pay an office copay, coinsurance or meet a deductible in order for you to get
the recommended vaccines. However, vaccines are usually only “no cost” when
given by a doctor or other provider in your health plan’s network. for pregnant
individuals under 19 years old and if there are any other fees for the vaccine
visits.
VACCINES FOR CHILDREN (VFC) PROGRAM
If your private health insurance does not cover the flu and/or Tdap vaccine, you
may qualify as “underinsured” for the federal Vaccines for Children (VFC)
program. “Underinsured” individuals 18 years old and younger who are eligible
for free vaccines through the VFC program, must get them at a Federally
Qualified Health Center (FQHC) or Rural Health Clinic (RHC). (Clinics may
require you to register as a patient in order to get free vaccines from the VFC
program.)
While the recommended vaccines given by a VFC provider are free for underinsured
people when given at a FQHC or RHC, your provider may charge other costs for the
visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate you if you
are unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for non-vaccine services, like an blood test
Click here to find a FQHC or here to find a RHC near you, or contact your state
or local health department. You can also call CDC at 1-800-CDC-INFO
(1-800-232-4636) for help in English or Spanish.
HOW CAN I FIND MORE INFORMATION ABOUT VFC?
To confirm that you are eligible for free flu and Tdap vaccines through the VFC
program or for any other vaccine-related questions, contact your state or local
health department.
Click here to view and download a handout about the federal Vaccines for
Children program.
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you have any problems getting both the flu and Tdap vaccine paid for through
the Vaccines for Children Program, contact your state or local health department
to ask if they know of any programs that offer free or low cost vaccines for
pregnant women. You may also be able to get lower cost vaccines at your local
health department, FQHC, RHC
PREGNANT WOMAN YOUNGER THAN 19 YEARS OLD WITH CHIP (CHILDREN’S HEALTH INSURANCE
PROGRAM)
Pregnant individuals are recommended to get the flu and Tdap vaccines during
every pregnancy to protect both mom and baby from serious illness and health
complications. Learn more.
If you are enrolled in your state’s CHIP planCHIP is a joint federal-state
program run by each state that provides health insurance to those 18 years old
and younger whose parents can't afford private health insurance, but don’t
qualify for Medicaid., all of CDC’s recommended vaccines should be free.
However, you should contact your state CHIP plan directly to confirm that both
the flu vaccine and Tdap vaccine are covered for pregnant individuals under 19
years old, and to find out whether there are any other fees for your vaccine
visits.
While the vaccines should be free when given by a healthcare provider or clinic
in your state CHIP plan’s provider network, your provider may charge other costs
for the visit. For example:
* A fee to give each shot (known as a vaccine administration fee)
* A fee (copay) for the office visit
* A fee for non-vaccine services, like a blood test
HOW CAN I FIND MORE INFORMATION ABOUT CHIP AND MY STATE’S CHIP PLAN?
Visit InsureKidsNow.gov or call 1-877-KIDS-NOW (1-877-543-7669) to be connected
to your state’s CHIP Plan. You can also contact your state’s Medicaid agency to
find a healthcare provider who sees CHIP patients.
Click here for answers to other common CHIP questions.
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you have any problems getting both the flu and Tdap vaccines covered through
your state’s CHIP plan, you may have some other options.
* Contact your state’s Medicaid agency. The flu and Tdap vaccines may be free
for pregnant women on Medicaid, but it depends on the state you live in. If
you are under 21 years old, you may also be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
comprehensive and preventive health care services, including CDC-recommended
vaccinations.
* Contact your state or local health department to ask if they know of any
local programs that offer free or low cost vaccines for pregnant women. You
may also be able to get lower cost vaccines at a FQHC or RHC.
PREGNANT WOMAN YOUNGER THAN 19 YEARS OLD ON MEDICAID
The CDC and medical experts recommend that all pregnant women get the flu and
Tdap vaccines during every pregnancy to protect both mom and baby from serious
illness and health complications. Learn more.
If you are younger than 19 years old and on Medicaid, you qualify for the
federal Vaccines for Children (VFC) program, which provides free CDC-recommended
vaccines. To get free vaccines through the VFC program, they must be given by a
participating VFC provider.
WHERE CAN I GET VACCINATED?
Ask your current healthcare provider if they participate in the VFC program.
If not, there are many other providers that participate in the VFC program,
including pediatricians, family physicians, local health departments, Federally
Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), pharmacies,
urgent care clinics, and school-based clinics. (Clinics may require you to
register as a patient.)
Contact your state or local health department to find a VFC provider, or click
here to find a FQHC or here to find a RHC near you. You can also call CDC at
1-800-CDC-INFO (1-800-232-4636) for help in English and Spanish.
HOW MUCH WILL THE VACCINE VISIT COST?
While there should be no charge for the vaccines given by a VFC provider, they
may charge other costs for the visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate you if you
are unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for non-vaccine services, like an eye exam or blood test
WHERE CAN I FIND MORE INFORMATION ABOUT VFC?
To confirm that you are eligible for free flu and Tdap vaccines through the VFC
program or for any other vaccine-related questions, contact your state or local
health department.
Click here to view and print a handout about the federal Vaccines for Children
program.
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you have any problems getting both the flu and Tdap vaccines paid for through
the Vaccines for Children (VFC) program, you may have some other options.
* Contact your state’s Medicaid agency. The flu and Tdap vaccines may be free
for pregnant women on Medicaid, but it depends on the state you live in. If
you are under 21 years old, you may also be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
comprehensive and preventive health care services, including CDC-recommended
vaccinations.
* Contact your state or local health department to ask if they know of any
local programs that offer free or low cost vaccines for pregnant women. You
may also be able to get lower cost vaccines at a FQHC or RHC.
PREGNANT WOMAN YOUNGER THAN 19 YEARS OLD WITH NO HEALTH INSURANCE (UNINSURED)
The CDC and medical experts recommend that all pregnant women get the flu and
Tdap vaccines during every pregnancy to protect both mom and baby from serious
illness and health complications. Learn more.
If you are younger than 19 years old and don’t have health insurance, you
qualify for the federal Vaccines for Children (VFC) program, which provides free
CDC-recommended vaccines to eligible people. To get free vaccines through the
VFC program, they must be given by a participating VFC provider.
WHERE CAN I GET VACCINATED?
Ask your current healthcare provider if they participate in the VFC program.
If they don’t, there are many other providers that participate in the VFC
program, including pediatricians, family physicians, local health departments,
Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs),
pharmacies, urgent care clinics, and school-based clinics. (Clinics may require
you to register as a patient.)
Contact your state or local health department to find a VFC provider, or click
here to find a FQHC or here to find a RHC near you. You can also call CDC at
1-800-CDC-INFO (1-800-232-4636) for help in English and Spanish.
HOW MUCH WILL THE VACCINE VISIT COST?
While there should be no charge for the vaccines given by a VFC provider, they
may charge other costs for the visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate you if you
are unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for non-vaccine services, like an eye exam or blood test
WHERE CAN I FIND MORE INFORMATION ABOUT VFC?
To confirm that you are eligible for free flu and Tdap vaccines through the VFC
program or for any other vaccine-related questions, contact your state or local
health department.
Click here to view and print out a flyer about the federal Vaccines for Children
program.
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you have any problems getting both the flu and Tdap vaccines paid for through
the Vaccines for Children program, you may have some other options.
* Contact your state’s Medicaid agency. The flu and Tdap vaccines may be free
for pregnant women on Medicaid, but it depends on the state you live in. If
you are under 21 years old, you may also be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
comprehensive and preventive health care services, including CDC-recommended
vaccinations.
* Contact your state or local health department to ask if they know of any
local programs that offer free or low cost vaccines for pregnant women. You
may also be able to get lower cost vaccines at a FQHC or RHC.
CHILD 18 YEARS OLD OR YOUNGER WITH PRIVATE HEALTH INSURANCE
By law, private health insurance companies are required to cover CDC’s routinely
recommended vaccines for children and teens – at no cost“No cost” means that you
should not have to pay an office copay, coinsurance or meet a deductible for
your child to get their recommended vaccinations. However, vaccines are usually
only “no cost” when given by a doctor or other provider in your health
insurance’s network.
In some rare instances, a child’s vaccinations may not be covered by your health
plan. If you are unsure if your child’s vaccinations will be paid for, contact
your health insurance company, and ask if they cover all of CDC’s routinely
recommended vaccines for children at no cost“No cost” means that you should not
have to pay an office copay, coinsurance or meet a deductible in order for your
child to get their recommended vaccinations..
VACCINES FOR CHILDREN (VFC) PROGRAM
If your health insurance does not cover one or more of the CDC-recommended
vaccines for your child, they may qualify as “underinsured” for the federal
Vaccines for Children (VFC) program. Underinsured children who are eligible for
VFC must get their free vaccines from a Federally Qualified Health Center (FQHC)
or Rural Health Clinic (RHC). (Clinics may require your child to register as a
patient in order to get free vaccines.)
While CDC’s recommended vaccines given by a VFC provider at FQHCs or RHCs are
free, your doctor may charge other costs for the visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate your child
if you are unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for non-vaccine services, like an eye exam or blood test
HOW CAN I FIND MORE INFORMATION?
To confirm that your child is eligible for VFC or for any other questions,
contact your state or local health department.
Click here to view and print a handout about the federal Vaccines for Children
program.
Click here to find a FQHC or here to find a RHC near you, or call CDC at
1-800-CDC-INFO (1-800-232-4636) for help in English and Spanish.
CHILD 18 YEARS OLD OR YOUNGER ON CHIP (CHILDREN’S HEALTH INSURANCE PROGRAM) PLAN
If your child is enrolled in your state’s CHIP planCHIP is a joint federal-state
program run by each state that provides health insurance to those 18 years old
and younger whose parents can't afford private health insurance, but don’t
qualify for Medicaid., all of CDC’s routinely recommended childhood vaccines
should be free. However, these vaccines are usually only free when given by a
healthcare provider or clinic in your state CHIP plan’s provider network.
Your provider may charge other costs for the visit. For example:
* A fee to give each shot
* A fee (copay) for the office visit
* A fee for non-vaccine services, like an eye exam or blood test
NEED MORE INFORMATION ABOUT CHIP?
Visit InsureKidsNow.gov or call 1-877-KIDS-NOW (1-877-543-7669) to be connected
to your state’s CHIP plan or contact your state’s Medicaid agency to find a
healthcare provider who sees CHIP patients. Click here for answers to other
common CHIP questions.
CHILD 18 YEARS OLD OR YOUNGER ON MEDICAID
If your child is on MedicaidYour state Medicaid program might be run by a
managed care organization (MCO) or other health plan., they qualify for the
federal Vaccines for Children (VFC) program, which provides free vaccines to
children 18 years old and younger. In order to get free vaccines through VFC,
they must be given by a participating VFC provider.
WHERE CAN I GET MY CHILD VACCINATED?
Ask your child’s healthcare provider if they participate in the VFC program,
which includes many pediatricians, family physicians, local health departments,
Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs),
pharmacies, urgent care clinics, and school-based clinics. (Clinics may require
your child to register as a patient to give them vaccines.)
If your child’s healthcare provider does not participate in the VFC program,
contact your state or local health department, or click here to find a FQHC
or here to find a RHC near you. You can also call CDC at 1-800-CDC-INFO
(1-800-232-4636) for help in English and Spanish.
HOW MUCH WILL THE VACCINE VISIT COST?
While there is no charge for the vaccines given by a VFC provider, they may
charge other costs for the visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate your child
if you are unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for non-vaccine services, like an eye exam or blood test
WHERE CAN I FIND OUT MORE INFORMATION ABOUT VFC?
To find out more about VFC, ask your child’s healthcare provider or contact
your state or local health department.
Click here to view and print a handout about the federal Vaccines for Children
program.
QUESTIONS ABOUT MEDICAID?
Visit InsureKidsNow.gov or call 1-877-KIDS-NOW (1-877-543-7669) to find answers
to common questions about Medicaid and CHIP. You can also contact your state
Medicaid agency.
CHILD WITH NO INSURANCE (UNINSURED)
If your child does not have health insurance, they qualify for the federal
Vaccines for Children (VFC) program, which provides free vaccines to children 18
years old and younger when given by a participating VFC provider.
WHERE CAN I GET MY CHILD VACCINATED?
Ask your child’s healthcare provider if they participate in the VFC program,
which includes many pediatricians, family physicians, local health departments,
Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs),
pharmacies, urgent care clinics, and school-based clinics. (Clinics may require
your child to register as a patient to give them vaccines.)
If your child’s healthcare provider does not participate in the VFC program,
contact your state or local health department, or click here to find a FQHC
or here to find a RHC near you. You can also call CDC at 1-800-CDC-INFO
(1-800-232-4636) for help in English and Spanish.
HOW MUCH WILL THE VACCINE VISIT COST?
While there is no charge for the vaccines given by a VFC provider, your
healthcare provider may charge other costs for the visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate your child
if you are unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for a non-vaccine service like a blood test or vision test
WHERE CAN I FIND OUT MORE INFORMATION ABOUT VFC?
To find out more about VFC, ask your child’s healthcare provider or contact
your state or local health department.
Click here to view and print a flyer about the federal VFC program.
HOW CAN I GET MY CHILD HEALTH INSURANCE?
If your child does not have health insurance, you can see if they qualify for
free or low-cost health insurance through either CHIP or Medicaid by clicking
here. You can also find answers to common questions about CHIP and Medicaid
health coverage at InsureKidsNow.gov or call 1-877-KIDS-NOW (1-877-543-7669).
ADULT 19-64 YEARS OLD WITH PRIVATE HEALTH INSURANCE
By law, private health insurance companies are required to cover preventive care
services including CDC’s routinely recommended vaccines for adults at no cost“No
cost” means that you should not have to pay an office copay, coinsurance or meet
a deductible to get your vaccinations. However, vaccines are usually only “no
cost” when given by a doctor or other provider in your health insurance’s
network. Contact your insurance company to ask where your vaccines are covered
at no cost – either at a doctor’s office or at a specific pharmacy.
In some instances, your vaccines – like travel vaccines – might not be paid for
by your health plan. If you are unsure if the vaccines you need will be covered,
call your insurance company first and ask if there will be any cost, such as an
office copay or a vaccine administration fee, or if you need to meet a
deductible before they will pay for vaccines. Also ask them if the vaccines must
be given by a certain doctor, pharmacist, or other healthcare provider to be
covered.
WHAT IF I CAN’T AFFORD MY VACCINES?
If you can’t afford your vaccines, you may be able to get them at a lower cost
at a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC) or
local health department. (Clinics may require you to register as a patient in
order to give you vaccines.)
You can also contact your state or local health department or call CDC at
1-800-CDC-INFO (1-800-232-4636) for help in English and Spanish.
ADULT ON MEDICAID
Most state Medicaid plansYour state Medicaid plan might be run by a managed care
organization (MCO) or other health plan. cover at least some adult vaccinations,
but some may not offer all CDC-recommended vaccines for free.
Contact your state Medicaid agency to find out whether the vaccine(s) you need
will be free and whether you might have to also pay a copay, coinsurance or
vaccine administration fee (i.e., fee for each shot given). Also ask them if the
vaccines must be given by a certain doctor, pharmacist, or other healthcare
provider to be covered.
If you are under 21 years old, you may be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
comprehensive and preventive healthcare services, including free CDC-recommended
vaccinations, for people under 21 years old.
WHAT IF I CAN’T AFFORD THE VACCINES I NEED?
If you can’t afford one or more vaccines, you might be able to get them at a
lower cost at a Federally Qualified Health Center (FQHC), Rural Health Clinic
(RHC) or your local health department. (Clinics may require you to register as a
patient in order to give you vaccines.)
For questions, you can contact your state or local health department or call
1-800-CDC-INFO (1-800-232-4636) for help in English and Spanish.
ADULT ON MEDICARE
Medicare covers vaccines under Part B (medical insurance) and Part D
(prescription drug plans).
* Medicare Part B covers flu and pneumococcal vaccines at no cost“No cost”
means that you should not have to pay an office copay, coinsurance or meet a
deductible in order for you to get flu or pneumococcal vaccinations. However,
vaccines are usually only “no cost” when given by a doctor or other provider
in your Medicare network.
* Medicare Part D may cover other vaccines such as shingles, Tdap (whooping
cough), MMR, and more.
For questions about which vaccines are free and if there are any other fees you
may have to pay during your vaccine visit, visit Medicare.gov or call
1-800-MEDICARE (1-800-633-4227).
MEDICARE ADVANTAGE PLANS AND MEDICARE PART D PLANS
If you have a Medicare Advantage PlanYour state Medicare Advantage Plan might be
run by a managed care organization (MCO) or other health plan(that provides all
your Part A and Part B Medicare benefits) OR a Medicare Part D Plan (that adds
prescription drug coverage), contact your plan first to find out how they pay
for CDC-recommended adult vaccines.
Make sure to ask:
* If there are any fees for the vaccine itself or for vaccine administration
* If there are any fees for the office visit, such as a copay
* If you need to meet your plan’s deductible before your vaccines will be
covered
* If you need to go to a specific healthcare provider in your Plan’s network in
order for the vaccines to be covered by your plan
WHAT IF I CAN’T AFFORD THE VACCINES I NEED?
If you can’t afford the cost of a particular vaccine, you may be able to get it
at a lower cost at a Federally Qualified Health Center (FQHC), Rural Health
Clinic (RHC) or your local health department. (Clinics may require you to
register as a patient in order to give you vaccines.)
For help, contact your state or local health department or call CDC at
1-800-CDC-INFO (1-800-232-4636) in English and Spanish.
ADULT WITH NO HEALTH INSURANCE (UNINSURED)
If you do not have health insurance, you will have probably have to pay the full
cost of the vaccines and any related fees, such as an office copay, coinsurance
and/or a vaccine administration fee (i.e., fee to give each shot) at a doctor’s
office, health clinic or pharmacy.
WHAT IF I CAN’T AFFORD THE VACCINES?
If you can’t afford the vaccines you need, you can contact your state or local
health department and ask if they know of any state programs that offer free or
lower cost adult vaccinations. You may also contact a Federally Qualified Health
Center (FQHC) or Rural Health Clinic (RHC) in your area to see if they offer
vaccines for adults at a lower cost, or call CDC at 1-800-CDC-INFO
(1-800-232-4636) for help in English and Spanish. (Clinics may require you to
register as a patient in order to give you vaccines.)
ADULT 65 YEARS OLD OR OLDER ON MEDICARE
Adults 65 years of age and older in the U.S. are eligible for Medicare. If you
have not signed up for Medicare, you can get started here.
Medicare pays for vaccines under Part B (medical insurance) and Part D
(prescription drug plans).
* Medicare Part B covers flu and pneumococcal vaccines at no cost.“No cost”
means that you should not have to pay an office copay, coinsurance or meet a
deductible in order for you to get flu or pneumococcal vaccinations. However,
vaccines are usually only “no cost” when given by a doctor or other provider
in your Medicare network.
* Medicare Part D may cover other vaccines such as shingles, Tdap (whooping
cough), MMR, and more.
For questions about which vaccines are free and if there are any other fees you
may have to pay during your vaccine visit, visit Medicare.gov or call
1-800-MEDICARE (1-800-633-4227).
MEDICARE ADVANTAGE PLANS AND MEDICARE PART D PLANS
If you have a Medicare Advantage PlanYour state Medicare Advantage Plan might be
run by a managed care organization (MCO) or other health plan(that provides all
your Part A and Part B Medicare benefits) OR a Medicare Part D Plan (that adds
prescription drug coverage), contact your plan first to find out how they pay
for CDC-recommended adult vaccines.
Make sure to ask:
* If there are any fees for the vaccine or for vaccine administration
* If there are any fees for the office visit, such as a copay
* If you need to meet your plan’s deductible before your vaccines will be
covered
* If you need to go to a specific healthcare provider in your Plan’s network in
order for the vaccines to be covered by your plan
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you can’t afford the cost of a particular vaccine, you may be able to get it
at a lower cost at a Federally Qualified Health Center (FQHC), Rural Health
Clinic (RHC) or your local health department. (Clinics may require you to
register as a patient in order to give you vaccines.)
For help, contact your state or local health department or call CDC at
1-800-CDC-INFO (1-800-232-4636) in English and Spanish.
PREGNANT WOMAN WITH PRIVATE HEALTH INSURANCE
Pregnant women are recommended to get a Tdap and flu vaccine during every
pregnancy to protect both mom and baby from serious illness. Learn more.
Private health insurance companies are required by law to cover preventive
services including CDC’s recommended vaccines for pregnant women at no cost“No
cost” means that you should not have to pay an office copay, coinsurance or meet
a deductible in order to get your vaccinations. However, vaccines are usually
only “no cost” when given by a doctor or other provider in your health
insurance’s network..
Speak to your prenatal care provider about giving you the recommended vaccines
or speak to your general healthcare provider.
In some rare instances, private health plans may not cover Tdap and flu
vaccinations for pregnant women. If you are unsure if your vaccines will be
covered, call your health insurance company, and ask them whether the Tdap and
flu vaccines are covered at no cost“No cost” means that you should not have to
pay an office copay, coinsurance or meet a deductible in order to get your
vaccinations. However, vaccines are usually only free when given by a doctor or
other provider in your health insurance’s network. during pregnancy and if there
are any other fees you will need to pay when you get vaccinated.
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you have any problems getting both the flu and Tdap vaccines paid for through
your private health insurance:
* Contact your state or local health department to ask if they know of any
local programs that offer free or low cost vaccines for pregnant women. You
may also be able to get lower cost vaccines at a FQHC or RHC, or your local
health department.
PREGNANT WOMAN ON MEDICAID
Pregnant women are recommended to get a Tdap vaccine and a flu shot during every
pregnancy to protect both mom and baby from serious illness. Learn more.
The flu and Tdap vaccines may be free for pregnant women on MedicaidYour state
Medicaid plan might be run by a managed care organization (MCO) or other health
plan., but it depends on the state you live in. In addition, you might be asked
to pay an office copay and/or a vaccine administration fee. To find out, ask
your healthcare provider or contact your state’s Medicaid office.
If you are under 21 years old, you may be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
preventive healthcare services, including CDC-recommended vaccinations for
people under age 21.
WHAT IF MY MEDICAID PLAN DOESN’T PAY FOR THE VACCINES AND I CAN’T AFFORD THEM?
If your Medicaid plan does not cover flu and Tdap vaccines for pregnant women
(during every pregnancy) and you can’t afford them, you may be able to get the
vaccines at a lower cost at a Federally Qualified Health Center (FQHC), Rural
Health Clinic (RHC) or your local health department. (Clinics may require you to
register as a patient to get vaccines.)
QUESTIONS?
For questions, you can contact your state or local health department or call CDC
at 1-800-CDC-INFO (1-800-232-4636) for help in English and Spanish.
PREGNANT WOMAN WITH NO HEALTH INSURANCE (UNINSURED)
Pregnant women are recommended to get a Tdap vaccine and a flu shot during every
pregnancy to protect both mom and baby from serious illness.
If you are pregnant and don’t have health insurance, you should find out if you
are eligible for your state’s Medicaid plan by contacting your state’s Medicaid
office.
The flu and Tdap vaccines may be free for pregnant women on Medicaid, but it
depends on the state you live in. In addition, your healthcare provider may
charge other costs for the visit. For example:
* * A fee to give each vaccine
* A fee (copay) for the office visit
* A fee for non-vaccine related services
For more information about vaccines covered under your Medicaid plan, ask your
healthcare provider or contact your state’s Medicaid office.
If you are under 21 years old, you may be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
preventive healthcare services, including free CDC-recommended vaccinations for
people under 21 years old.
WHAT IF I AM NOT ELIGIBLE FOR MEDICAID OR MEDICAID’S EPSDT BENEFIT?
If you are not eligible for Medicaid, you may have to pay the full cost of the
vaccines and any related fees, such as an office copay or an administration fee
for each vaccine.
WHAT IF I CAN’T AFFORD THE VACCINES?
If you can’t afford the vaccines, you can contact your state or local health
department to ask if they know of any state programs that offer free or low-cost
vaccines for pregnant women. You may also contact a Federally Qualified Health
Center (FQHC), Rural Health Clinic (RHC) or local health department in your area
to see if they offer vaccines for pregnant women at a lower cost. (Clinics may
require you to register as a patient to give you vaccines.)
PREGNANT WOMAN YOUNGER THAN 19 YEARS OLD WITH NO HEALTH INSURANCE (UNINSURED)
If you are pregnant, younger than 19 years old and don’t have health insurance,
you qualify for the federal Vaccines for Children (VFC) program, which provides
free routinely recommended childhood vaccines, when given by a participating VFC
provider.
In addition to all of the childhood recommended vaccines, pregnant women are
recommended to get a Tdap vaccine and a flu shot during every pregnancy to
protect both mom and baby from serious illness.
WHERE CAN I GET VACCINATED?
Ask your current healthcare provider if they participate in the VFC program.
If not, there are many other VFC providers including pediatricians, family
physicians, local health departments, Federally Qualified Health Centers
(FQHCs), Rural Health Clinics (RHCs), pharmacies, urgent care clinics, and
school-based clinics. (Clinics may require you to register as a patient to give
you vaccines.)
For help finding a healthcare provider or for questions, contact your state or
local health department. Click here to find a FQHC or here to find a RHC near
you. You can also call 1-800-CDC-INFO (1-800-232-4636) for help in English and
Spanish.
HOW MUCH WILL THE VACCINE VISIT COST?
While there is no charge for the vaccines given by a VFC provider, your
healthcare provider may charge other costs for the visit. For example:
* A fee to give each shot (However, they cannot refuse to vaccinate you are
unable to pay these fees.)
* A fee (copay) for the office visit
* A fee for a non-vaccine service like a blood test
WHERE CAN I FIND OUT MORE INFORMATION ABOUT VFC?
To find out more about VFC, ask your healthcare provider or contact your state
or local health department.
Click here to view and print a handout about the federal Vaccines for Children
program.
WHAT IF I CAN’T AFFORD A VACCINE THAT I NEED?
If you have any problems getting both the flu and Tdap vaccines paid for through
the Vaccines for Children program, you may have some other options.
* Contact your state’s Medicaid agency. The flu and Tdap vaccines may be free
for pregnant women on Medicaid, but it depends on the state you live in. If
you are under 21 years old, you may also be eligible for Medicaid’s Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Benefit, which provides
comprehensive and preventive health care services, including CDC-recommended
vaccinations.
* Contact your state or local health department to ask if they know of any
local programs that offer free or low cost vaccines for pregnant women. You
may also be able to get lower cost vaccines at a your local health
department, FQHC or RHC.
HOW CAN I GET HEALTH INSURANCE?
You might qualify for free or low-cost health insurance through either CHIP or
Medicaid. Learn more by clicking here. You can also find answers to common
questions about CHIP and Medicaid health coverage at InsureKidsNow.gov or call
1-877-KIDS-NOW (1-877-543-7669).
MEMBER OR DEPENDENT OF THE U.S. MILITARY
If you serve in the military or if you or your child is a military dependent,
you are eligible for TRICARE. Under TRICARE, CDC’s routinely recommended
vaccines should be fully covered at no cost. Thank you for your service!
QUESTIONS ABOUT COVID-19 VACCINES?
The page will help answer your questions about COVID-19 vaccines, including how
the vaccine is paid for.
Click Here
PAYING FOR VACCINES ONLINE TOOL
VYF’s online tool will help you easily figure out how to pay for vaccines for
everyone in your family.
Go Now
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