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How Insurance Coverage Affects Adult Vaccination Rates

Friday, March 17, 2017   (0 Comments)
Posted by: David Waldrep
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By Sandra Adamson Fryhofer MD 


Cost, insurance coverage and vaccination rates:  Adults with health insurance are more likely to be appropriately vaccinated. 

As the number of new vaccines recommended has increased, so has vaccine price, which can be a financial barrier.  Thus, it is not surprising that adults with health insurance are 2 to 5 times more likely to be appropriately vaccinated.  It’s a double whammy for those without insurance:  they don’t have (insurance) coverage if they get sick and they don’t have (insurance) coverage (to pay for vaccinations) that can help them stay well.


Fortunately, ACIP recommendations have had coverage clout with insurance companies.  Currently under ACA, all new insurance plans must cover all Category A & B ACIP vaccination Recommendations.  This translates to first dollar coverage with no cost sharing. (This mandate does NOT apply to Medicare, however.)  What’s happening in Washington with the ACA, the Affordable Care Act, is concerning. I hope that vaccination coverage doesn’t get short changed in all the confusion.


The new 2017 ACIP Adult Immunization has been released.  It’s published in the Annals of Internal Medicine.  Download a copy at:   

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