NEW – Hepatitis A Information – Second Shot Reminder

Posted on Sep 9, 2016 in .

Hepatitis A Vaccination

Your second vaccination shot for Hepatitis A is likely right around the corner. Your second vaccination should be six months after the initial shot. The full two-dose series of the Hepatitis A vaccine is the best way to prevent the Hepatitis A virus. Contact the provider that administered your initial vaccination to determine when your second shot is due.

HMSA Active Employees and Retirees and Dependents Without Medicare
The Hepatitis A vaccine is a covered benefit under the HMSA medical plan. There is no copayment for this service, however you will need a prescription from your medical provider. If you do not have a prescription, you may be charged for the vaccine. Additionally, you may be charged a doctor’s office copayment.

HMSA Retirees and Dependents with Medicare AND the EUTF Medicare Prescription Drug Plan (Silverscript) or a Non-EUTF Medicare Part D Prescription Drug Plan

Your EUTF Medicare prescription drug plan (SilverScript) or non-EUTF Medicare prescription drug plan is your primary insurance for the Hepatitis A vaccination and you may have a copayment for the vaccination (likely a $30 copayment under the EUTF Medicare prescription drug plan). However, your pharmacy or provider may bill your EUTF HMSA medical plan with the payment information from your EUTF Medicare prescription drug plan or non-EUTF Medicare Part D prescription drug plan, which will likely reduce your out-of-pocket costs to $0.

You should not have a copayment if the Hepatitis A vaccination claim is filed properly by your provider as follows:

  1. Provide both your EUTF prescription drug plan and HMSA medical identification cards.
  2. Instruct the provider to first have your claim processed through the EUTF prescription drug plan as the primary coverage.
  3. Instruct the provider to then file your claim through your HMSA medical plan as secondary, and include the information that shows that the EUTF prescription drug plan paid as primary.

HMSA retirees and dependents with Medicare who previously received the vaccination, paid a copayment, and have not already received a refund will be receiving a refund from HMSA. The EUTF will update this website as the method and timing of the refunds are determined. Please do not call EUTF or HMSA regarding this matter.

Kaiser Active Employees and Retirees
The Hepatitis A vaccine is a covered benefit under your Kaiser medical and prescription drug plan. There is no copayment for this service, however if you receive the service at a doctor’s office visit you will be charged an office visit copayment.

UHC Retirees
The Hepatitis A vaccine is covered through your Medicare Part D prescription drug benefit. If you get your prescription drug coverage through the EUTF this will be covered under your SilverScript plan. There is a $30 copayment for this service.

Medicare Retirees with SilverScript Prescription Drug Coverage AND No Medical Plan Coverage
The Hepatitis A vaccine is a covered benefit under your prescription drug plan. There is a $30 copayment for this service.

Non-Medicare Retirees with CVS Prescription Drug Coverage AND No Medical Plan Coverage
The Hepatitis A vaccine is NOT a covered benefit on your CVS prescription drug plan.