Frequently asked questions about flu

As we approach flu season, Fallon Health is doing all we can to help our members with prevention of flu. Below are some frequently asked questions about flu and flu vaccine, now available.

If you are concerned that you or a family member may have the flu, or have been exposed to the flu, call your health care provider.

On this page:

Will Fallon cover the flu vaccine for its members?
Where can I get a flu shot?
Will I have to pay for my flu shot upfront?
If I have to pay for my vaccine upfront, how do I get reimbursed?
Do I have to show my Fallon card at a flu clinic?
Can I get the flu from a flu shot?
What can I do on my own to prevent getting flu?
Where can I get more information about the flu?

Question:
Will Fallon cover the flu vaccine for its members?

Answer:
Yes. Fallon will cover in full the cost of a health care professional administering the seasonal flu vaccine. (Please note: The flu shot is considered preventive care and is therefore not subject to the deductible.)

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Question:
Where can I get a flu shot?

Answer:

You can get a seasonal flu vaccine from a variety of resources:

  • Your primary care provider (PCP), or from another plan provider such as an obstetrician if you are pregnant
  • Through a clinic sponsored by your employer or school
  • At a public or private clinic, such as a senior center, where the vaccine will be administered by a community vaccinator or mass immunizer
  • At a public clinic sponsored by your city or town
    • At a retail store or pharmacy, such as CVS, Rite Aid or Walgreens (It’s a good idea to confirm that the pharmacy has the vaccine in stock before you go.)

    If you get your vaccine at a clinic or pharmacy, be sure to tell your primary care provider so that he or she can update your medical record.

    Find a flu clinic near you »

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    Question:
    Will I have to pay for my flu shot upfront?

    Answer:

    You won't pay upfront if you get your shot from your PCP or another network provider, and you won't pay out-of-pocket if you get your shot at certain retail stores or pharmacies such as CVS, Rite Aid or Walgreens. Just be sure to show your health plan member ID card. See a list of network pharmacies where you can get the flu shot.

    For worksite flu vaccination clinics, please check with your HR Department on how payment will be handled.

    Question:
    If I have to pay for my vaccine upfront, how do I get reimbursed?

    Answer:
    If you had to pay upfront for a flu shot, mail the following to Fallon Health, Attention: Claims, 10 Chestnut St., Worcester, MA 01608:

    • Receipt from wherever you received your shot
    • Proof of payment (cancelled check, credit card receipt or cash register receipt)
    • Your name, address and member ID

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    Question:
    Do I have to show my Fallon card?

    Answer:
    Yes, you will need to show your Fallon ID card.

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    Question:
    Can I get the flu from a flu vaccine?

    Answer:
    No. You cannot get the flu from the flu vaccine. Flu shots (given by a needle) contain either viruses that have been "inactivated" or no viruses at all. Flu vaccines that are nasal sprays do contain live viruses, but the viruses are weakened, and therefore cannot cause flu illness.

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    Question:
    What can I do on my own to prevent getting flu?

    Answer:
    Here are some tips to prevent flu:

    • Get a flu vaccine each year.
    • Frequently wash your hands with soap and water, or use an alcohol-based hand gel.
    • When you cough or sneeze, cover your nose and mouth with a tissue or your sleeve (if you do not have a tissue). Throw used tissues in a trash can.
    • Avoid contact with people who are sick.
    • If you think you are ill with flu, avoid close contact with others as much as possible, which includes staying home from work.
    • Avoid shaking hands.

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    Question:
    Where can I get more information about the flu?

    Answer:
    For more information about the flu, visit any of the following websites for expert information:

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