Flu, COVID-19, and RSV vaccine FAQ
Protect you and your loved ones by getting your preventive vaccines
Why should I get vaccinated?
Preventive vaccines can keep you healthy and help ensure that healthcare systems aren’t overwhelmed when illnesses like flu, COVID-19, and RSV (respiratory syncytial virus) are circulating in your community. Plus, it may help you to avoid costly medical expenses like hospitalizations. That’s because a vaccine can help reduce the severity of symptoms even if you do contract the virus.
How does my vaccination help others?
The simple step of getting a vaccine can help keep your friends and family healthy too. That’s because vaccines such as the flu shot may prevent you from getting sick and spreading illness to others, according to the CDC. If you’re a caregiver for someone at risk for severe illness, getting a vaccine is one way to help protect them.
Who should get vaccinated and when?
As part of Capital Blue Cross coverage, most members are eligible for preventive checkups, vaccines, and other services. Check out the suggested care schedule. (While RSV vaccines do not appear on this schedule, these vaccines are covered as a preventive benefit for eligible members.)
Here are some answers to frequently asked questions. Please talk to your provider to discuss which vaccine options may work for you.
Who should get the flu shot?
The CDC recommends that everyone six months of age and older should get the flu vaccine every season with rare exception. Vaccination protects not only yourself, but also others
How can I protect myself and loved ones from getting the flu?
Getting your annual flu shot is the number one form of protection. For additional preventive measures, view this flu resource from the CDC.
Who is eligible for COVID-19 shots?
Individuals six months of age and older can receive COVID-19 vaccines. For details on the CDC’s recommendations, check out their COVID-19 webpage.
I’ve already received a COVID-19 vaccine. Do I need the 2024-2025 COVID-19 vaccine?
The CDC recommends that everyone six months of age and older receive the updated 2024-2025 vaccines. The virus that causes COVID-19 changes, and the protection you get from the vaccine declines over time. Getting an updated vaccine can better protect you, and those around you, from COVID-19.
Who is eligible to receive the RSV shot?
Infants and young children are at a greater risk of severe illness from RSV. The CDC recommends the vaccine for pregnant individuals during weeks 32 through 36, administered September through January, as well as one dose for all infants younger than 19 months of age. The CDC also recommends the RSV vaccine for adults ages 60 and older.
Other individuals may qualify for the shot as well (for example, those who may be at increased risk for severe RSV disease). Talk to your healthcare provider to see if an RSV vaccination is right for you.
Where can I learn more about RSV vaccines and prevention?
The CDC offers these resources:
Where can I get my vaccinations?
Your doctor's office or primary care physician are not the only options for vaccines. Many pharmacies, health clinics, and health departments provide vaccinations. Some providers and pharmacies allow online scheduling so you can find a time that fits your schedule.
If you choose to go to a pharmacy, contact your pharmacy to confirm vaccine availability and administration before your visit.
If you’re looking for vaccines available near you, another way to find them is through VaccineFinder.
Can I use my HSA, HRA, or FSA to pay for my vaccine?
Yes. Preventive vaccines are a qualified medical expense. If cost share is applicable, this means any vaccination costs or copays are eligible for reimbursement.
How can I find an in-network vaccine provider?
Use MyCare Finder to search for in-network providers and compare costs. Staying in-network can save money. Some costs may not be covered going out-of-network. Here is how to use MyCare Finder for your vaccine needs:
- Login to access MyCare Finder, click Doctors by specialty and type vaccine.
- A list of in-network provider results displays.
- Use the filter options to refine your results. This includes items such as distance, language, specialty, gender, and more.
Be sure to check with the provider you select to confirm that they offer the vaccine you wish to receive.
Are flu, COVID-19, and RSV shots covered under my Capital Blue Cross health insurance plan?
Vaccines such as flu, COVID-19, and RSV may be included in your Capital Blue Cross health plan as a covered preventive benefit. Age restrictions may apply; you can get these shots from your provider.
If you have Rx coverage with Capital Blue Cross, you can get vaccines at no cost from an in-network retail pharmacy. Show your ID card at any in-network pharmacy, supermarket pharmacy, or health clinic to have your shot covered by your applicable coverage benefit.
Log in to your secure account online to review your benefit plan documents or see your benefits at a glance to check your plan’s coverage information. If you still aren’t sure if you are covered or have questions, call the Member Services number on the back of your ID card or email us.
Additional Information
The sources cited in this article may have additional information regarding shot availability, flu season, COVID-19 implications, RSV, and more.
Interested in health and wellness information? Visit the Capital Journal for more articles.
Sources: "Centers for Disease Control and Prevention (CDC)"
The information provided is meant for a general audience. Capital Blue Cross and its affiliated companies believe this health education resource provides useful information but does not assume any liability associated with its use.
