Frequently Asked Questions
How do I know if my child’s insurance covers vaccine?
Starting in 2010, insurance companies are required to cover vaccines at no cost as a preventive health benefit within their plan network. However, this may not apply to all insurance plans. If this is the case, your insurance plan may require you to pay part of the vaccination cost or meet your deductible before it will pay for vaccinations. If you have questions regarding your child’s coverage, contact your employer or call the number listed on the back of your insurance card.
What if I have an insurance deductible?
Children whose health insurance covers the cost of vaccinations are not eligible for VFC vaccines, even when a claim for the vaccine and its administration would be denied for payment by the insurance carrier because the plan’s deductible had not been met.
My child doesn’t have insurance. How can we get covered?
The Patient Protection and Affordable Care Act, also known as ObamaCare, provides new options to make choices about your health. It also requires insurance companies to cover preventive care like immunizations. Nevada Health Link helps families find insurance based on their budget. If you or someone in your family qualifies for government health coverage programs such as Medicaid or Nevada Check Up (CHIP), Nevada Health Link will alert you during the application process and help enroll you in those programs if you wish. Visit nevadahealthlink.com for more information or call 1 (855) 768 5465.
Do I have to pay anything?
All vaccines are free through the VFC Program, saving you $100 or more on some vaccines. Even though you’re saving a great deal of money by getting free vaccines, there can be other costs to the VFC visit. Each office can charge what is called an “administrative fee” for each shot. This is like a co-pay and in Nevada the maximum fee is $22.57 per shot. Talk to your doctor if you are unable to pay the fee. There is no lower limit, so offices have the option to charge what they feel is fair, including no charge at all.