As Americans roll up their sleeves to get the latest COVID booster, some are being asked to pay out of pocket. But your vaccine should be covered. To help sort out this mess, Action News reached out to the insurance companies, the pharmacies, and the federal government.
Many people are experiencing COVID vaccine cost confusion and being asked to pay out of pocket due to delay in codingAs Americans roll up their sleeves to get the latest COVID booster, some are being asked to pay out of pocket."Trying to get my COVID booster this month and my insurance won't cover it.
"Well, the insurers are responsible for covering the new costs, the costs associated with the new vaccine. The department's working closely with insurers and with the pharmacies to make sure that the little glitches we're starting to see are being smoothed out as quickly as possible," said O'Connell.
CIGNA Healthcare said it updated its systems with the new codes almost two weeks ago, but some pharmacies are submitting claims incorrectly. "We want to make sure you're going to an in network provider to get your vaccine, and that'll smooth some of this over as we go," said O'Connell.from the government beginning on Monday, September 25.Dr. Richard Snyder, Vice President of Facilitated Health Networks
We are aware of the unexpected delay in coding to allow payment for the updated COVID-19 vaccine, which has resulted in some members being told the vaccine is not covered by their health insurance. This is something that is impacting most health insurers that are covering the vaccine. As of Tuesday, September 19, the delay has been addressed by the appropriate parties and pharmacies are able to bill Independence for the pharmacy benefit directly.
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