
Blue Cross Blue Shield (BCBS) insurance coverage for RSV vaccine costs varies by plan. Some BCBS plans cover the RSV vaccine as part of their routine vaccinations for infants and children.
If you have a BCBS plan that covers the RSV vaccine, you can expect to pay a copayment or coinsurance for the vaccine. This can range from $20 to $100 or more, depending on your plan's specifics.
To determine if your BCBS plan covers RSV vaccine costs, you'll need to check your plan's documents or contact your insurance provider directly.
Suggestion: Does Insurance Cover the Rsv Vaccine
BCBS Coverage of RSV Vaccine
Most vaccines are covered under Medicare Part B, but the RSV vaccine is covered under Part D.
The 16 million Medicare enrollees without Part D coverage may have to pay for the RSV vaccine out of pocket.
A spokesperson for Blue Cross Blue Shield told The New York Times that until the RSV vaccine appears on the CDC's adult immunization schedule, "it is up to each BCBS plan to decide if they want to cover."
BCBS plans have the flexibility to decide whether or not to cover the RSV vaccine.
Coverage for the RSV vaccine varies among private insurers, including BCBS plans.
Related reading: Blue Shield Covered California
RSV Vaccine Information

The RSV vaccine is a relatively new addition to the market, with the first vaccine approved in 2021. It's designed to protect against respiratory syncytial virus, a common and often serious illness that affects people of all ages.
The RSV vaccine is available for people 60 years and older, as well as for people with certain health conditions, such as heart disease or lung disease.
RSV Vaccine at Pharmacies
You can now get vaccinated against RSV at pharmacies.
Credentialed pharmacists have been added as network providers to offer this service.
Pharmacists can test and treat COVID-19 and Flu, as well as provide the RSV vaccine.
Getting vaccinated against RSV is an important step in protecting yourself and those around you.
Recent vaccines are available, including those for COVID-19, Flu, and RSV.
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What is RSV?
RSV, or Respiratory Syncytial Virus, is a common and highly contagious virus that affects people of all ages, but is most severe in young children and older adults.

RSV is a major cause of respiratory illness worldwide, with over 30 million cases reported annually in the United States alone.
RSV can cause mild, moderate, or severe symptoms, ranging from a runny nose and cough to bronchiolitis and pneumonia.
RSV can be spread through close contact with an infected person, touching contaminated surfaces, and even through the air when an infected person coughs or sneezes.
In most cases, RSV symptoms will resolve on their own within 7-14 days, but in severe cases, hospitalization may be necessary.
Frequently Asked Questions
Who qualifies for RSV vaccine?
Adults 75 years and older qualify for the RSV vaccine, as do those 60-74 years old with chronic heart or lung disease, weakened immune system, or other high-risk conditions.
Sources
- https://www.horizonblue.com/helpcenter/detail/495-where-can-i-get-rsv-vaccine
- https://www.beckerspayer.com/payer/some-health-plans-dont-cover-new-rsv-vaccine.html
- https://www.bluecrossvt.org/health-community/blog/listing/vaccines-consider-getting-fall
- https://coverage.bluecrossma.com/article/tis-season-get-your-shots
- https://hub.arkansasbluecross.com/fight-respiratory-illness-this-fall/
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