Payer Coverage Information
Please note that the payer coverage materials listed below did not necessarily include a complete list of all Commercial or Managed Medicaid plans that may reimburse for a vaccine. If you did not see a specific plan, you were asked to contact the plan directly. When reviewing the materials, it was important to read all of the text accompanying the information.
| States included | Payer type | Last updated |
|---|---|---|
| CT, MA, ME, NH, NJ, NY, RI, VT | Commercial | 01-Jan-08 |
| DC, DE, MD, PA, VA, WV | Commercial | 01-Jan-08 |
| IN, MI, OH | Commercial | 01-Jan-08 |
| KY, NC, SC, TN | Commercial | 01-Jan-08 |
| AL, FL, GA | Commercial | 01-Jan-08 |
| AK, AR, LA, MS, OK, TX | Commercial | 01-Jan-08 |
| IA, IL, MN, MO, ND, WI | Commercial | 01-Jan-08 |
| AZ, CO, ID, KS, MT, NE, NM, NV, SD, UT, WY | Commercial | 01-Jan-08 |
| CA, HI, OR, WA | Commercial | 01-Jan-08 |
| All States | Medicaid Fee-For-Service | 01-Jan-08 |
| All States | Medicaid Managed Care | 01-Jan-08 |
The coverage documents themselves were not part of the recovered material; only the index above survives.
Reimbursement information could not guarantee that use of the information would result in receiving reimbursement for a vaccine, or that the amount of reimbursement would cover all costs, as the availability of reimbursement and/or the reimbursement rate can vary based on, for example, the health benefit design, the provider’s contract with the payer, and/or the patient’s coverage status.
The reimbursement material on this page was designed for and intended only for healthcare providers and their office staff. It was not intended for use by patients and/or consumers and should not be used by or relied upon by patients or consumers.