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Promoting the flu vaccine
Harvard Pilgrim Health Care·Provider Newsletter
We identified it
Sep 10, 2026
Summary
This is an informational policy from Harvard Pilgrim and Tufts Health Plan promoting flu vaccine administration to eligible patients. The policy clarifies that flu vaccines are covered at $0 copay for Harvard Pilgrim members and $0 cost share for most Tufts Health Plan products, with specific guidance for members under age 3 and out-of-pocket reimbursement procedures. No billing code changes or prior authorization requirements are introduced.
Action Required
No immediate billing system changes required. Billing and clinical staff should be aware that flu vaccine administration is covered at no cost to patients under Harvard Pilgrim and Tufts Health Plan. If patients inquire about out-of-pocket costs or reimbursement eligibility, direct them to Member Services using the number on their member ID card. No changes to claims submission, coding, or documentation procedures are needed at this time.