Preventive Services: Immunizations

Preventive Services: Immunizations

BlueCross BlueShield of South Carolina and BlueChoice HealthPlan cover specific immunizations at no cost for non-grandfathered plans. We’ve recently created a medical policy about immunizations to give you detailed information about this benefit.

The medical policy, CAM 109: Preventive Services for Non Grandfathered (PPACA) Plans: Immunizations, is effective Oct. 1, 2015. The policy outlines the specific immunizations that apply to this benefit, the appropriate codes to use and the patient criteria that apply to this benefit.

If a member uses a non-participating provider or if the immunizations are filed with different codes, the services may be subject to cost sharing, such as deductibles, copayments or coinsurance. Also, members with grandfathered plans may also have benefits for immunizations. Please be sure to verify eligibility and benefits to determine if your members have this benefit. 

Please refer to the specific medical policy for more information by visiting the Provider section of our website at www.BlueChoiceSC.com. If you have questions about this bulletin, please contact Provider Education by calling 803-264-4730 or completing the Provider Education Contact Form.

BlueCross® BlueShield® of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.