What you should know about COVID-19 vaccines
Vaccines are an important tool to help communities fight the spread of COVID-19 and help people stay healthy. The CDC has determined that “People who were unvaccinated had a greater risk of testing positive for COVID-19 and a greater risk of dying from COVID-19 than people who were vaccinated. Also, people who were vaccinated with a primary series and an additional or booster dose had lower case rates overall compared with those without an additional or booster dose.”1
Get the latest from the CDC about vaccines, including boosters
We strongly encourage all Humana members to consider getting the COVID-19 vaccine and booster dose(s) when they are eligible. Talk to your doctor about what is best for you.
It is important to take prevention steps to protect yourself and others, including wearing masks, practicing social distancing and washing your hands based on your COVID-19 Community Level, in order to minimize the chances of catching or spreading the disease. A level can be low, medium, or high and is determined by looking at hospital beds being used, hospital admissions, and number of new COVID-19 cases in an area.2 You can use the new COVID-19 Community Level tool to check your county’s current level and guidance for your community by visiting COVID.gov.
Source (1): CDC: Rates of COVID-19 Cases and Deaths by Vaccination Status
(2) COVID-19 by County | CDC
Where can I get the vaccine?
For more information, visit How Do I Get a COVID-19 Vaccine | CDC
What should I bring to my vaccination appointment?
Remember to bring a government-issued ID with you when you get your vaccination Because age is an important criterion for eligibility in most states, many vaccine providers are requiring a government-issued ID showing date of birth as proof of age.
Also remember to bring your Humana Insurance member ID card (Humana Medicare Advantage members, bring your original government-issued Medicare card, too) when you get your vaccine in case the vaccine provider requests it. While the federal government is covering the cost of the vaccine for all Americans, some providers may charge a fee for administering the vaccine. There won’t be any cost to you, but having your card will ensure the provider can receive reimbursement for administering the vaccine to you. For more information on costs, see the “Will I be able to get the COVID-19 vaccine at no cost to me” FAQ below.
What should I do if I’m exposed to COVID-19 or infected?
Get the latest from the CDC on quarantine and isolation guidelines and access the CDC Quarantine and Isolation calculator to determine how long you need to isolate, quarantine or take other steps to prevent spreading Covid-19. URL: COVID-19 Quarantine and Isolation | CDC
What if I am high-risk or have a specific medical condition?
If you have concerns due to your health status or a specific medical condition, talk with your doctor about getting vaccinated.
If you have an underlying or chronic medical condition, make sure you are in communication with your doctor during this pandemic. Getting these conditions well-managed, by staying on top of your preventive and regular medical care, will help to manage your health risk.
Will I be able to get the vaccine at no charge to me?
Yes. All Food and Drug Administration (FDA)-authorized COVID-19 vaccines will be covered at no additional cost during the public health emergency. Coverage applies no matter where you get the vaccine, including at both in-network and out-of-network providers. It also covers instances in which 2 initial vaccine doses are required, as well as booster shots that are recommended according to CDC guidelines.
While the $0 cost share applies across Humana’s Medicare, Medicaid, and commercial plans, there are some technical differences with how claims are processed:
- Humana Medicare Advantage members: Original Medicare was responsible for coverage of COVID-19 vaccinations during 2020 and 2021, including charges for the vaccine and its administration. Beginning January 1, 2022, the cost of the vaccine doses will be paid for by the federal government. Humana will cover any cost from vaccine providers for administering the vaccine, and there will be no cost-share for members.
- Humana Medicaid and commercial members: The cost of the vaccine doses will be paid for by the federal government. Humana will cover any cost from vaccine providers for administering the vaccine, and there will be no cost share for members.
Remember to bring your original government-issued Medicare card and your Humana member ID card when you get your vaccine in case the vaccine provider requests it.
In the unlikely event you require medical treatment due to adverse effects from the COVID-19 vaccine, Humana will cover that treatment in accordance with your policy, just as with any other covered medical service or treatment.
What if I was charged for my vaccine and need to be reimbursed?
Vaccine doses purchased with U.S. taxpayer dollars will be given to the American people at no cost. However, some vaccination providers may charge an administration fee for giving someone the shot(s). If you’ve been vaccinated and you received a bill – either for the vaccine itself or for its administration - you can file for reimbursement directly from Humana.
Note that there are separate claim forms for the Pfizer, Moderna and Johnson & Johnson vaccines.
Complete all information requested on the appropriate health benefits claim form below:
- Enclose the original itemized bill(s) you paid.
- Mail the completed form with the original itemized bill(s) to the address on the back of your Humana member ID card.
Please note that it can take up to 30 days to process the claim, and the reimbursement will be sent as a check to the home address we have on file for you.
Should I be concerned about scams when I’m looking for the vaccine?
Wherever you get the vaccine, it’s important to confirm the source is safe and reputable to avoid becoming a victim of fraud. A warning from the FBI in December, 2020, provides information on potential indicators of COVID-19 vaccine-related fraud and tips on how to avoid it. View the FBI’s warning here.
If you’re a victim of a scam or attempted fraud involving COVID-19, you can: