As New Jersey continues to scale up its statewide vaccination program, governor Phil Murphy reminded New Jerseyans that the COVID-19 vaccine will be available without cost sharing barriers.
All providers must vaccinate individuals regardless of whether they have health insurance coverage or what type of coverage they have, and are prohibited from balance billing or otherwise charging vaccine recipients.
If you are covered by:
A private health plan: (whether obtained directly through the individual market or through your employer): All group and individual comprehensive health insurance plans must provide coverage for COVID-19 immunization and its administration. During the federal public health emergency, these plans must provide this coverage without cost sharing, regardless of whether the provider is in or out of network. For more information, please contact your insurance provider or download this information.
Medicare Part B: The vaccine and the administration of that vaccine will be covered without coinsurance or deductible.
a Medicare Advantage Plan: Beneficiary copayment, coinsurance and deductible are waived for COVID-19 vaccine and its administration for calendar years 2020 and 2021.
SHBP or SEHBP: The vaccine and the administration of that vaccine will be covered without coinsurance or deductible for in or out of network providers.
NJ FamilyCare (Medicaid or CHIP): The vaccine and the administration of that vaccine will be covered without copays for in or out of network providers.
If you are uninsured, healthcare providers that participate in the Center for Disease Control (CDC) COVID-19 Vaccination Program must agree to administer a COVID-19 immunization regardless of an individual’s ability to pay or health insurance coverage status, and may not seek reimbursement from the immunization recipient. Click here for information on sites that are providing the vaccine, which will be updated as more locations are added.
“We want to make it clear to New Jerseyans that no one will have to pay for the vaccine itself, regardless of whether or not they have health insurance coverage,” said Governor Murphy.
“We strongly encourage everyone to join hundreds of thousands of their fellow New Jerseyans in preregistering to receive the vaccine and taking another step toward ending this pandemic.”