CommercialCoverageLow impact
Our health plans’ coverage of hepatitis B vaccinations remains unchanged
Regence BlueCross BlueShield of Oregon·ID, OR, UT, WA · Pediatrics, Family Medicine, General Practice·Provider News
Effective date
Dec 5, 2025
We identified it
Dec 5, 2025
Summary
This is a clarification that plan coverage for hepatitis B vaccinations remains unchanged despite new CDC ACIP recommendations (effective December 5, 2025) that limit the birth dose to infants whose mothers are hepatitis B positive or have unknown status. Plans continue to cover hepatitis B and all preventive vaccines at 100% with no member cost-sharing, regardless of administration timing.
Action Required
No immediate billing workflow changes required. This policy clarifies that existing coverage remains unchanged. Billing teams should note that hepatitis B vaccine administration (birth dose and routine childhood immunizations) continues to be covered at 100% with no cost-sharing for members in Idaho, Oregon, Utah, and Washington plans. No updates to billing software, prior authorization rules, or coding practices are necessary.