Navigating the world of healthcare may seem intimidating at first, but we’ve designed it to be easy to use. With a variation of plans not all vaccinations are covered by insurance.
We have a step by step guide below that will help you check your coverage! Even if you think you may need to pay for travel medications or vaccines out-of-pocket, it is important to first start with finding out the details from your insurer. If you have any questions at all about paying directly, please call your office and an administrator will talk you through all the details.
1.Find the Customer Support number on the back of your insurance card and call to ask what your specific policy covers as far as travel-related benefits and coverage.
- Follow phone prompts to connect with a representative.
- You may need to go through an automated system before talking with a live representative
- You may also need to provide your insurance information during this step, or with the representative during the next step
- When connected with a representative you can say:
- “I would like to check my coverage for the typhoid vaccine. I have the billing codes if that will help.”
- The representative may reference “CPT codes” which just means the billing codes for the vaccine
- Find your vaccine or titer requested below and read the corresponding codes:
Vaccines (read BOTH codes if two codes listed)
- Hepatitis A: 90632 & 90471
- Hepatitis B: 90746 & 90471
- Tetanus & Diphtheria: 90714 & 90471
- Tetanus, Diphtheria & Acellular Pertussis: 90715 & 90471
- Measles, Mumps & Rubella: 90707 & 90471
- Typhoid: 90691 & 90471
- Yellow Fever: 90717 & 90471
- Meningococcus: 90734 & 90471
- Polio - 90713 & 90471
- Hepatitis A Virus (HAV) Antibody, Total - 86708
- Hepatitis B Surface Antibody, Quantitative - 86317
- Measles, Mumps, Rubella (MMR) Immunity Profile - This code varies based upon service area. 86735; 86762; 86765 (feel free to reach out to our administrative team to confirm).
Please note malaria prevention, altitude treatment and motion sickness prevention are pharmacy prescriptions. You may reach out to your local pharmacy to determine the cost.
- The representative will tell you whether or not your plan covers the vaccine
- If you have a deductible that has not been met, the vaccine may be billed against that, which means you will be responsible for the cost.
Please note there is a corresponding vaccination administration fee when you receive the injection in the office for vaccines. This is paid at the office during your vaccination visit. If you have any further questions about the cost of travel-related health care, give us a call or send us a message, and an administrator will make sure you have the information you need.