Standard Covered Immunizations

Please review your Benefit Booklet, to find out if it directs you to this web site.

Routine/preventive immunizations are generally covered by health plans administered by your plan when provided by a PMD or PPO physician. Routine/preventive refers to immunizations that are performed prior to the onset of signs or symptoms of illness, condition or disease, or services which are not diagnostic. Please note that immunizations which are job-related or due to employment reasons are not covered.

Below you will find a listing of eligible immunizations. An effective date may be listed beside some of the immunizations. Coverage for these immunizations is only available after the specified date. Coverage is subject to age and frequency of immunization recommendations issued by the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP). Some health plans may not cover any or all of these immunizations, or may provide coverage for additional immunizations. Any variance will be noted in the Benefit Booklet.