GeoBlue Voyager and Trekker plans
Our Voyager and Trekker plans are designed to provide medical coverage outside of the United States only and do not include an immunization/vaccination benefit. The cost of the COVID-19 vaccine will not be covered by these plans. Based on the country where the vaccination is administered, the government may or may not fund the cost.
GeoBlue Navigator and Xplorer plans
If the vaccine is administered in the U.S.
The cost of the COVID-19 vaccine is covered by the U.S. government under the CARES Act regardless of whether or not your policy includes an immunization/vaccination benefit. The pharmacy or provider, where you have the vaccine administered, will be reimbursed under the CARES Act. You are not responsible for any cost share for the vaccination itself.
If there is an administration charge in addition to the cost of the vaccine, GeoBlue will cover 100% up to the CMS* published fee for all Navigator and Xplorer plans except Xplorer Essential and Select plans:
Vaccination(s) administered prior to March 15, 2021: CMS regulated administration fees:
- Single dose vaccine: up to $28.39 for a single dose vaccine;
- Double dose vaccine: up to $45.33 ($16.94 + $28.39 for both doses).
Vaccination(s) administered on or post March 15, 2021: CMS regulated administration fees:
- Single dose vaccine: up to $40;
- Double dose vaccine: up to $40 per dose
Xplorer Essential and Select plans do not include an immunization/vaccination benefit in the U.S.; you will be responsible for the cost of the vaccine and any administration costs charged separately from the cost of the vaccine.
If the vaccine is administered outside the U.S.
Based on the country where the vaccination is administered, the government may or may not fund the cost. GeoBlue will not reimburse any claims for the cost of the vaccination in locations where the government funds the cost. GeoBlue will pay eligible non-government paid vaccination costs based on your plan immunization/vaccination benefit (subject to usual, customary and reasonable cost standards; member cost share and limits may apply). Additionally, if the administration fee is a separate charge, GeoBlue will pay that fee at 100% using the CMS* fee as the maximum amount (CMS regulated administration fees:
Vaccination(s) administered prior to March 15, 2021: CMS regulated administration fees:
- Single dose vaccine: up to $28.39 for a single dose vaccine;
- Double dose vaccine: up to $45.33 ($16.94 + $28.39 for both doses).
Vaccination(s) administered on or post March 15, 2021: CMS regulated administration fees:
- Single dose vaccine: up to $40;
- Double dose vaccine: up to $40 per dose
*The Centers for Medicare & Medicaid Services (CMS) is part of the Department of Health and Human Services (HHS) in the U.S. GeoBlue will consider administration fees for the COVID-19 vaccine based on reasonable cost using CMS published fees when the plan includes an immunization/vaccination benefit.