Immunization shots for influenza (both H1N1 and standard strains) administered at pharmacies are covered benefits under OGB’s PPO, EPO (UnitedHealthcare), HMO (Humana) subject to co-payments and deductibles.
Claims will be processed by each OGB health plan, subject to the appropriate copayment and deductible. If your plan has an annual deductible and you have not yet met that deductible, this claim will be applied to the deductible. If your plan has no deductible but has a co-payment, the co-payment will be subtracted and you will be reimbursed the appropriate percentage of the claim.
OGB plan members can find instructions on how to submit claims and receipts for flu vaccine shots administered by pharmacies by visiting the OGB website (www.groupbenefits.org), clicking on the link to the Health Plans web page and clicking on the link for the health plan in which they are enrolled.