Coverage
without cost-sharing available for eligible people with Medicare,
Medicaid, CHIP, and Most Commercial Health Insurance Coverage
Following
the Food and Drug Administration’s (FDA) recent action that authorized
a booster dose of the Pfizer COVID-19 vaccine for certain high-risk
populations and a recommendation from the Centers for Disease Control
and Prevention (CDC), the Centers for Medicare & Medicaid Services
(CMS) will continue to provide coverage for this critical protection
from the virus, including booster doses, without cost sharing.
Beneficiaries
with Medicare pay nothing for COVID-19 vaccines or their
administration, and there is no applicable copayment, coinsurance or
deductible. In addition, thanks to the American Rescue Plan Act of 2021
(ARP), nearly all Medicaid and CHIP beneficiaries must receive coverage
of COVID-19 vaccines and their administration, without cost-sharing.
COVID-19 vaccines and their administration, including boosters, will
also be covered without cost-sharing for eligible consumers of most
issuers of health insurance in the commercial market. People can visit
vaccines.gov (English) or vacunas.gov (Spanish) to search for vaccines
nearby.
“The
Biden-Harris Administration has made the safe and effective COVID-19
vaccines accessible and free to people across the country. CMS is
ensuring that cost is not a barrier to access, including for boosters,”
said CMS Administrator Chiquita Brooks-LaSure. “CMS will pay Medicare
vaccine providers who administer approved COVID-19 boosters, enabling
people to access these vaccines at no cost.”
CMS
continues to explore ways to ensure maximum access to COVID-19
vaccinations. More information regarding the CDC COVID-19 Vaccination
Program Provider Requirements and how the COVID-19 vaccine is provided
through that program at no cost to recipients is available at https://www.cdc.gov/vaccines/covid-19/vaccination-provider-support.html
and through the CMS COVID-19 Provider Toolkit.
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