Wednesday, April 27, 2011

Anthem Changes Zosatavax Coverage

After receiving FDA approved information, Anthem has updated its policy regarding coverage for Zostavax immunization. Previously, Anthem had only covered this immunization for members age 60 and over. However, they have now decided to offer coverage for this immunization for members ages 50 and over.

Should a member decide to get this immunization, they should be aware that few physician offices have this to offer, and most members will need to go to pharmacies. However, few pharmacies are authorized to submit medical claims and this immunization cannot be run as a prescription. Therefore, most members will need to submit an Anthem Medical Claim Form in order to receive their benefits and reimburnsement for this immunization.

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