Geisinger Health Plan will cover the cost of administering the H1N1 flu vaccine for Geisinger Gold, Geisinger Health Plan and Geisinger Choice members. Geisinger Health Options self-funded groups may choose to include this benefit in their coverage. The cost of the vaccine itself is covered by the Federal Government.
While members are encouraged to receive their H1N1 flu vaccine from a participating provider, Geisinger Health Plan will also reimburse non-participating providers (including pharmacies) at in-network rates. Members with billing questions should contact the customer service phone number on the back of your member identification card.
The seasonal flu vaccine and FluMist® are covered for members when given by a participating provider for all lines of business (Self funded groups may choose not to provide coverage). Members can also receive the injectable vaccine at participating retail pharmacies. (FluMist is not covered when given at a retail pharmacy).
Geisinger Health Plan covers the prescription antiviral drugs Tamiflu (oseltamivir) and Relenza (zanamivir) for members with prescription benefits for the treatment and prevention (for those who have been exposed) of both the seasonal and the H1N1 flu. These drugs should be started within 48 hours of the first symptoms of the flu to be effective.
For questions regarding your coverage, call the customer service phone number on the back of your member identification card.
Note: The Pennsylvania Department of Health has designated specific sites where the vaccine can be given. Click here for a list of sites.
