Prime Plan Flu Shot Benefit

Getting a Flu Shot? Know before you go!

Here are some pointers to help you know what to expect when you go for your flu shot this season.

As a Generations Advantage Prime plan member, you have two ways to get your annual flu shot at no cost:

1. Get the shot at your Primary Care Provider’s office. (You may have to pay a copayment for the office visit, but there will be no cost for the flu shot.)
2. Get the shot at a pharmacy that is participating in our “Vaccine Pharmacy Network.”1

Which pharmacies are participating in the Vaccine Pharmacy Network?

Some participating pharmacy chains include:

  • Hannaford
  • Rite Aid
  • CVS (including former Target pharmacies)
  • Shaw’s/Osco
  • Walgreens
  • Walmart
Other pharmacies are also participating, including several independent pharmacies. If you do not see your pharmacy listed above, please call Member Services.

What seasonal flu vaccines are covered2 through the Vaccine Pharmacy Network?

This season your Generations Advantage plan covers most flu vaccines!
This includes:

  • Quadrivalent
  • Trivalent
  • Trivalent (high dose)
  • Intradermal

What if you go to a pharmacy that does not participate in the Vaccine Pharmacy Network?

If you get your flu shot at a pharmacy that is not in the Vaccine Pharmacy Network, it may still be covered by your Generations Advantage Prime plan. You will have to pay the full cost up front at the pharmacy and submit a form to us for reimbursement. The Reimbursement Form is on the Plan Documents page. You can also call Member Services to request a paper copy of this form.

What if you receive your flu shot at a pharmacy and don’t show your member ID card?

If you don’t show your Generations Advantage member ID card when you get your flu shot, you’ll have to pay the full cost up front at the pharmacy. You can then submit a form to us for reimbursement. The Reimbursement Form is on the Plan Documents page. You can also call Member Services to request a paper copy of this form.

What if your pharmacist has questions or trouble sending your flu shot claim?

If your pharmacist has problems sending your claim to us, he or she should call 1-800-364-6331 for help.

What should you do if you have questions related to your flu shot, the Vaccine Pharmacy Network, or if your pharmacy isn’t listed?

If you have questions about the flu shot, or any other benefit, please call Member Services.
Thank you for taking care of yourself by getting this important vaccination.

1The Vaccine Pharmacy Network is offered through our relationship with our pharmacy benefit manager, CVS Caremark. Pharmacy network may change on January 1 of each year. Other pharmacies are available in our network.

2Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Prime and costs do not count toward your Part D drug spend or out-of-pocket costs. Limitations, copayments, and restrictions may apply. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.