COVID-19 Vaccine Administration – No Out-of-Pocket Cost to Patients

If you participate in the CDC COVID-19 Vaccination Program, you must:

• Administer the vaccine with no out-of-pocket cost to your patients for the vaccine or administration of the vaccine
• Vaccinate everyone, including the uninsured, regardless of coverage or network status

You also can’t:

• Balance bill for COVID-19 vaccinations
• Charge your patients for an office visit or other fee if COVID-19 vaccination is the only medical service given
• Require additional medical or other services during the visit as a condition for getting a COVID-19 vaccination

Report any potential violations of these requirements to the HHS Office of the Inspector General:

• Call 1-800-HHS-TIPS
• Submit an online complaint

Submit claims for administering COVID-19 vaccines to:

• Medicare, if your patient has Medicare Part B coverage or, for 2020 and 2021, Medicare Advantage (Part C)
• Private insurance company (PDF), including if your patient only has Medicare Part A coverage with supplemental coverage from a private insurer  
• Your state’s Medicaid program for patients with Medicaid and Children’s Health Insurance Program (CHIP) coverage
• Health Resources & Services Administration (HRSA) COVID-19 Uninsured Program, including if your Medicare patient only has Part A coverage with no supplemental coverage