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Prevention of COVID-19: Vaccine Rollout

Am I eligible to receive the COVID-19 vaccine?

The Pfizer vaccine is now available to Ohioans five years of age and older. The Moderna and Johnson & Johnson vaccines are available for Ohioans 18 years of age and older.

Is the COVID-19 vaccine and vaccination administration a covered benefit?

Original Medicare is covering the cost of the COVID-19 vaccine and SummaCare is covering vaccination administration with no copays or deductibles for all Medicare Advantage members. For non-Medicare members (i.e. Employer Group, Individual and Self-Funded), your provider will supply you with the vaccine at no cost and SummaCare is covering the cost of the vaccination administration. Coverage is not dependent on receiving the vaccine by an in-network provider, and, if Employer Group or Self-Funded members receive the vaccine by an out-of-network provider they are not permitted to be balance billed since the vaccines are being provided to providers by the federal government at no charge.

What should I do if I receive a bill after receiving the COVID-19 vaccine?

Members who are being balance billed by an out-of-network provider should contact the provider and direct them to the Office of Inspector General (OIG) Health and Human Services (HHS) guidance on this issue. If you are unable to resolve with the provider directly, you may file a complaint with the OIG using their online hotline form or by calling toll-free 800.409.9926.

Where do I go to receive the COVID-19 vaccine?

The ODH has rolled out a standard mechanism for Ohioans to find a vaccination site closest to them. Click here for a list of Ohio COVID-19 vaccine locations. 

Additional information regarding the ODH COVID-19 Vaccination Program is available at the following online resources. Check your county’s public health site if not listed below.

Where can I find more health information about COVID-19 vaccine safety?

Helpful information regarding COVID-19 safety, including side effects, can be found at the Summa Health COVID-19 Online Resource Center.

What do I need to bring with me to my COVID-19 vaccine appointment?

We recommend that you bring your SummaCare ID card with you to your appointments. If you are a Medicare Advantage member, you are required to present your red, white and blue Medicare Health Insurance card.