Does my plan cover COVID vaccines?
Yes, any of our ACA compliant plans will cover COVID vaccines during the emergency health period.
What options do I have to get the vaccine?
There are several ways you can obtain a COVID vaccine.
Option 1. Utilizing a federal or state program to obtain the vaccine: https://www.vaccines.gov/
Option 2. Go to a participating provider to obtain the vaccine, Planstin pays the contracted rate, and there is $0 patient responsibility.
Option 3. Go to a non-participating provider to obtain the vaccine, Planstin pays the Medicare or UCR rate, provider prohibited from balance billing, leaving a $0 patient responsibility.
Option 4. Go to a local pharmacy that provides the vaccine, using the prescription benefits of your plan through OptumRx: COVID19 VACCINE Member FAQ.pdf
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How do I know if my plan is ACA compliant and will cover the COVID-19 vaccine?
The following Base Health plans will cover COVID-19 vaccines. Check your member ID card to see if your plan matches one on the list (in the list below “X” represents any character).
- BWA-Preventive Copay MEC-XX-XX
- BWA-Basic MEC 3-XX-XX
- CA-HSA-XX-XX
- CW-HSA-XX-XX-RBP
- CW-HSA-XX-XX
- CW-HSA Advocacy-XX-XX
- CW-Copay Advocacy-XX-XX
- CW-Basic Advocacy-XX-XX
- CW-Copay Advanced-XX-XX-RBP
- CW-Copay-Advanced-XX-XX
- EC-HSA-XX-XX
- EC-Preventive Advanced-XX-XX
- EMA-Basic MEC 3-XX-XX
- EMA-Preventive Copay MEC-XX-XX
- KW-Copay Advanced Plan-XX-XX
- PL-Preventive-Advanced-XX-XX
- PL-Preventive-HSA-05-XX
- PL-Preventive-HSA-40-NT02
- PL-Preventive-HSA-40-NT02 RBP
- PL-Preventive Basic-XX-XX
- PL-ASO-05-XX-XX
If you are still unsure if you plan includes this benefit, you can contact the Planstin Member Support Team at 888-920-7526.