Health plans are required to cover vaccines, without cost-sharing, that are recommended by the Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on Immunization Practices (ACIP), which is in line with federal requirements as part of the Affordable Care Act and the Inflation Reduction Act.
“Health plans are committed to maintaining and ensuring affordable access to vaccines. Health plan coverage decisions for immunizations are grounded in each plan’s ongoing, rigorous review of scientific and clinical evidence, and continual evaluation of multiple sources of data,” AHIP said in a statement issued Tuesday.
AHIP said its plans will continue to cover all vaccines recommended by the ACIP as of Sept. 1, 2025, including updated formulations of the COVID-19 and influenza vaccines, with no cost-sharing for patients through the end of 2026.
Members of AHIP include major insurance companies Aetna, Centene, Cigna, Elevance Health and Humana as well as major Blues plans and other health insurance plans like Oscar Health.