Immunizations

Help keep your child healthy

Many diseases are controlled as a result of broad-based vaccination programs. However, cases of communicable diseases continue to be a threat, and the CDC’s Advisory Committee on Immunization Practices recommends vaccination programs as a preventive health measure. Please discuss your child’s individual vaccinations needs with his or her health care provider.

Seasonal flu coverage and benefits

One of the most important steps you can take to protect your health and well-being is to get an annual flu shot. Each year thousands of people are hospitalized because of complications from the flu. That’s why we encourage all our members to get their yearly flu vaccination.

Most AmeriHealth members with prescription drug coverage will pay $0 for a flu shot at an in-network pharmacy or provider.¹ Members will not need a referral, precertification, or preapproval to get their seasonal flu vaccine.

Find an in-network pharmacy or provider near you.

Please note: For members who have 100 percent coverage for services in accordance with the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010, no cost-share (i.e., copayments, deductibles, coinsurance) should be applied for the vaccine and administration of the vaccine when it is administered by an in-network provider.

Coverage is subject to the terms and conditions of the applicable benefit plan. Individual benefits must be verified.

Vaccine reimbursement

You do not need to pay an up-front fee when you get your flu vaccine at a participating location or wellness event, such as those offered by employers for their employees. Log into amerihealth.com to search for a location or provider offering vaccinations near you.

If you get your flu vaccine from a non-participating provider, you may have to pay an up-front fee. AmeriHealth members with HMO, POS, and PPO plans who receive their vaccine at a non-participating provider may file a reimbursement form to receive reimbursement for their out-of-pocket amount of up to $50 per member, per vaccine.

To receive your reimbursement, complete the form below and mail it, along with a copy of your receipt, to:

AmeriHealth Processing Center
P.O. Box 41574
Philadelphia, PA 19101-1574

Seasonal Influenza Reimbursement Form

¹ Refer to your health plan benefits to see how these vaccines are covered.