Doctor giving flu shot to a child

Flu, COVID-19, and RSV vaccine FAQ

What you need to know

Protect you and your loved ones by getting your preventive vaccines

Getting the preventive vaccines available to you can keep you healthy and help ensure that healthcare systems aren’t overwhelmed when illnesses like flu, COVID-19, and RSV (respiratory syncytial virus) are circulating in your community. Plus, it may help you to avoid costly medical expenses like hospitalizations.

The simple step of getting a vaccine can help keep your loved ones healthy too. According to the Centers for Disease Control and Prevention (CDC), the flu or COVID-19 shot may prevent you from getting sick and from spreading illness to others. If you’re a caregiver for someone at risk for severe illness, getting a vaccine is one way to protect them.

Did you know that, as part of Capital Blue Cross coverage, most members are eligible for preventive checkups, vaccines, and other services? Check out the suggested care schedule. Please note that, while RSV vaccines do not appear on this schedule, RSV vaccines are covered as a preventive benefit for eligible members.

Here are some answers to frequently asked questions. Please talk to your provider to discuss which vaccine options may work for you.

Who should get the flu shot?

The CDC recommends that everyone six months of age and older should get the flu vaccine every season with rare exception. Vaccination protects not only yourself, but also others

How can I protect myself and loved ones from getting the flu?

Getting your annual flu shot is the number one form of protection. For additional preventive measures, view this flu resource from the CDC.

Who is eligible for COVID-19 shots?

Individuals six months of age and older can receive COVID-19 vaccines. For details on the CDC’s recommendations, check out their COVID-19 webpage.

I’ve already received a COVID-19 vaccine. Do I need the 2023-2024 COVID-19 vaccine?

The CDC recommends that everyone six months of age and older receive the updated 2023-2024 vaccines. The virus that causes COVID-19 changes, and the protection you get from the vaccine declines over time. Getting an updated vaccine can better protect you, and those around you, from COVID-19.

Who is eligible to receive the RSV shot?

Infants and young children are at a greater risk of severe illness from RSV. The CDC recommends one dose for all infants younger than 8 months who are born during – or entering – their first RSV season. Other individuals at increased risk for severe RSV disease (for example, adults ages 60 or older) may qualify for the shot as well.

Talk to your healthcare provider to see if an RSV vaccination is right for you.

Where can I learn more about RSV vaccines and prevention?

The CDC offers these resources:

Where can I get my vaccinations?

Your doctor's office or primary care physician are not the only options for vaccines. Many pharmacies, health clinics, and health departments provide vaccinations. Some providers and pharmacies allow online scheduling so you can find a time that fits your schedule.

If you choose to go to a pharmacy, contact your pharmacy to confirm vaccine availability and administration before your visit.

If you’re looking for flu or COVID-19 vaccines available near you, another way to find them is through VaccineFinder.

Can I use my HSA, HRA, or FSA to pay for my vaccine?

Yes. Preventive vaccines are a qualified medical expense. If cost share is applicable, this means any vaccination costs or copays are eligible for reimbursement.

How can I find an in-network vaccine provider?

Use MyCare Finder tto search for in-network providers and compare costs. Staying in-network can save money. Some costs may not be covered going out-of-network. Here is how to use MyCare Finder for your vaccine needs:

  1. Login to access MyCare Finder, click Doctors by specialty and type vaccine.
  2. A list of in-network provider results displays.
  3. Use the filter options to refine your results. This includes items such as distance, language, specialty, gender, and more.

Be sure to check with the provider you select to confirm that they offer the vaccine you wish to receive.

Are flu, COVID-19, and RSV shots covered under my Capital Blue Cross health insurance plan?

Vaccines such as flu, COVID-19, and RSV may be included in your Capital Blue Cross health plan as a covered preventive benefit. Age restrictions may apply; you can get these shots from your provider.

If you have Rx coverage with Capital Blue Cross, you can get vaccines at no cost from an in-network retail pharmacy. Show your ID card at any in-network pharmacy, supermarket pharmacy, or health clinic to have your shot covered by your applicable coverage benefit.

Log in to your secure account online to review your benefit plan documents or see your benefits at a glance to check your plan’s coverage information. If you still aren’t sure if you are covered or have questions, call the Member Services number on the back of your ID card or email us.

Additional Information

The sources cited in this article have additional information regarding flu shot availability, flu season, COVID-19 implications, and more. 

Interested in health and wellness information? Visit the Capital Journal for more articles.

Sources: "Centers for Disease Control and Prevention (CDC)"

The information provided is meant for a general audience. Capital Blue Cross and its affiliated companies believe this health education resource provides useful information but does not assume any liability associated with its use.