Facts about COVID Vaccinations in 2025
Safe, easy, and affordable access to appropriate vaccinations is a fundamental aspect of preventive care and a cornerstone of our whole modern healthcare system. That’s why Premera health plans cover vaccinations, including COVID-19, as a standard part of our preventive care benefits.
Health plans, including Premera, cover Advisory Committee on Immunization Practices (ACIP)-recommended vaccines without cost sharing, in line with federal requirements as part of the Affordable Care Act (ACA) and the Inflation Reduction Act
We also look to the clinical recommendations of a broad array of respected medical organizations, independent expert groups, and state health departments for guidance to ensure our members and their families have access to evidence-based preventive care, including vaccinations.
For COVID-19 vaccines, the Washington State Department of Health (DOH) continues to recommend that everyone ages 6 months or older, including pregnant people, receive the current COVID-19 vaccination to protect against severe illness. The Alaska Department of Health (ADH) also recommends that Alaskans follow ACIP-recommended vaccinations, including flu and COVID-19 vaccinations.
We partner closely with our healthcare systems and providers to ensure evidence-based care is delivered to the people we serve. We’ll continue to review evidence-based medicine guidelines, federal and state guidelines, and the guidance of professional societies regarding vaccines. We look forward to the recommendations of the newly formed West Coast Health Alliance.
For questions about which vaccines are appropriate, please consult with a healthcare provider. If your employees have questions about the vaccines covered by your Premera health plan, please encourage them to contact our customer service team at the phone number listed on the back of their Premera member ID card.
For additional information, visit our Preventive Care page.
FAQ
Will my employees have to pay to get a COVID-19 vaccination?
No, COVID-19 vaccinations will continue to be covered with no cost sharing for Premera members.
Who is eligible to get the COVID-19 vaccine?
Currently, the CDC states that in addition to people over the age of 65, the list of health problems that makes people eligible for the vaccines is very broad. Qualifying risk factors include weak immune systems, asthma, depression, diabetes, high blood pressure, and a sedentary lifestyle.
Are COVID vaccinations covered if someone isn’t in the 65+ or underlying condition?
If a member receives a vaccination, the claim will be covered, regardless of age or condition recommendation. We recommend members consult with their healthcare provider to determine what’s right for themselves and their families.
Which COVID-19 vaccines are currently available?
The FDA has approved Moderna’s mRNA vaccine for those ages 6 months and older, the Pfizer-BioNTech mRNA vaccine for those ages 5 and older, and the Novavax vaccine, which uses an older technology, for those ages 12 and older.