Underinsurance for recently recommended vaccines in private health plans.

Journal of Community Health
Dianne C SingerSarah J Clark

Abstract

Underinsurance for vaccines presents financial barriers to vaccination. Preventive services coverage is of interest in national healthcare reform. To assess vaccine benefits coverage in private health plans. Private health insurance carriers were surveyed December 2008-June 2009 on policies regarding vaccine coverage in fully insured plans. Carriers were identified as multi-state, state-specific Blue Cross or local-independent carriers. Plan types included HMO, PPO, POS and 'other.' Full benefits coverage was defined as having benefits without a copay or coinsurance for a recommended vaccine. Analyses were conducted to examine associations between carrier type, plan type, and full benefits coverage. Fifty-one carriers (response rate = 56 %) provided data for 78 unique plans, reflecting over 47 million private plan enrollees. Full benefits coverage was highest for combined tetanus/diphtheria/acellular pertussis (74 %) and lower for pneumococcal conjugate (72 %), rotavirus (72 %), human papillomavirus (71 %), hepatitis A (68 %), meningococcal conjugate (67 %), inactivated influenza (67 %), live attenuated influenza (63 %) and zoster (57 %) vaccines. Compared with plans offered by state-specific Blue Cross carriers, significantly ...Continue Reading

References

Nov 28, 2002·American Journal of Public Health·Matthew M DavisGary L Freed
May 12, 2005·Health Affairs·Walter A OrensteinAlan R Hinman
Jan 9, 2010·Pediatrics·Philip J SmithLance E Rodewald
Oct 12, 2010·Human Vaccines·Matthew M Davis

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Citations

Jan 11, 2014·Expert Review of Vaccines·Parth D ShahNoel T Brewer
Dec 21, 2013·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·S EspositoUNKNOWN ESCMID Vaccine Study Group (EVASG)
Nov 12, 2016·Journal of Community Health·Liliana Sánchez-GonzálezWalter W Williams

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