A publication for HNE providers and their staff
October 2006

BENFIT CLARIFICATION: Meningitis or Meningococcal Vaccine

The meningitis vaccine is covered for any member aged 11 and over if recommended by their physician.  Neither prior approval nor an in-plan referral is required. 

The new meningitis vaccination injectable, Menactra®, is covered.

If the member's PCP does not provide the serum, the member may obtain the serum at a Plan pharmacy for a tier two prescription copayment.  The member will then return to the PCP's office to have the vaccine administered.  Members may also obtain the vaccine at a travel clinic such as Baystate Health System (413-794-7015 at 3300 Main St, Springfield, MA).  HNE will refund members directly if they pay out-of-pocket for the vaccine.

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