Why would some eligible members be charged when they receive a seasonal flu shot?
There are several possible reasons. Some BCBSNC plans require a member copayment for an office visit, some dont include preventive care benefits and some require that a deductible must be met before preventive care services are paid at 100 percent. In any case, the member may be responsible for paying an out-of-pocket amount. If an eligible member with preventive care benefits goes to their doctor only for a flu shot, the copayment, deductible or coinsurance is typically waived. However, if the member sees a doctor for any other reason during the flu shot visit, an office visit copayment, deductible or coinsurance is required.
