Underinsured a) A child who has health insurance, but the coverage does not include vaccines; or b) A child whose insurance does not cover all Advisory Committee on Immunization Practices (ACIP) recommended vaccines. The child would be eligible to receive those vaccines not covered by the insurance. Underinsured children are eligible to receive VFC vaccine only through a Federally Qualified Health Center (FQHC), or Rural Health Clinic (RHC) or under an approved deputization agreement. B. State Vaccine-eligible Children 1. In addition, to the extent that my state designates additional categories of children as “state vaccine- eligible,” I will screen for such eligibility as listed in the addendum to this agreement and will administer state-funded doses (including 317-funded doses) to such children. Children aged 0 through 18 years that do not meet one or more of the federal eligibility vaccine categories (VFC- eligible), are not eligible to receive VFC-purchased vaccine. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the VFC program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the child; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the VFC program for a minimum of three years and upon request make these records available for review. VFC records include, but are not limited to, VFC screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, vaccine storage temperature data, and vaccine purchase and accountability records.
Underinsured. The patient is not Uninsured and has out-of-pocket medical costs accumulated in the past 12 months for Emergency Medical Care or other Medically Necessary Services that amount to more than 10% of the individual’s annual gross income. Uninsured: The patient has no level of health insurance or third-party assistance to assist with meeting their health care related payment obligations or the patient has exhausted their health insurance benefits and can demonstrate an inability to pay full charges based on the eligibility criteria in this Policy.
Underinsured. A person who has health insurance, but the insurance does not include any vaccines; a person whose insurance covers only selected vaccines; a person whose insurance does not provide first-dollar coverage for vaccines.
Underinsured. A person who has health insurance, but the insurance does not include any vaccines; a person whose insurance covers only selected vaccines; a person whose insurance does not provide first-dollar coverage for vaccines. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the Maryland Bridge Access Program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the person; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the Maryland Bridge Access Program for a minimum of three (3) years, or longer if required by state law, and upon request make these records available for review. Maryland Bridge Access Program records include, but are not limited to, Maryland Bridge Access Program screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, and vaccine purchase and accountability records. 5. I will administer Maryland Bridge Access Program vaccine to eligible persons at no charge to the patient for the cost of the vaccine. 6. I will not deny administration of Maryland Bridge Access Program vaccine to an established patient because the individual of record is unable to pay the administration fee. 7. I will distribute the current Vaccine Information Statements (VIS) or Emergency Use Authorization (EUA) fact sheet (if applicable) each time a vaccine is administered and maintain records in accordance with the National Childhood Vaccine Injury Act (NCVIA), which includes reporting clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS). 8. I will comply with the requirements for vaccine management including: a) Having a Vaccine Emergency Relocation Plan which identifies another practice, hospital or other location to move vaccine to in times of disaster. A provider’s, staff member or other person's home is not an acceptable emergency relocation or routine storage location. b) Providers must keep on hand or have ready access to the supplies needed for emergency transport such as a hard-sided insulated containers, styrofoam, or portable vaccine refrigerator/fre...
Underinsured. A person who has health insurance, but the insurance does not include any vaccines; a person whose insurance covers only selected vaccines; a person whose insurance does not provide first-dollar coverage for vaccines. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the Delaware Bridge Program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the person; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the Delaware Bridge Program for a minimum of three years, or longer if required by state law, and upon request make these records available for review. Delaware Bridge Program records include, but are not limited to, Delaware Bridge Program screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, and vaccine purchase and accountability records.
Underinsured. A person who has health insurance, but the insurance does not include any vaccines; a person whose insurance covers only selected vaccines; a person whose insurance does not provide first-dollar coverage for vaccines. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the Virginia Vaccines for Adults Bridge program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the person; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the Virginia Vaccines for Adults Bridge program for a minimum of three years, or longer if required by state law, and upon request make these records available for review. Xxxxxxxx Xxxxxxxx for Adults Bridge program records include, but are not limited to, Virginia Vaccines for Adults Bridge program screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, and vaccine purchase and accountability records.
Underinsured. People whose out-of-pocket health expenses would have exceeded 10 percent of family income ("Healthcare cost and financing: working poor unlikely to receive employment-related insurance.,") or people with an inability to pay out-of- pocket health expenses despite having insurance.
Underinsured. An adult who has health insurance, but the coverage does not include vaccines; an adult whose insurance covers only selected vaccines (VFA-eligible for non-covered vaccines only). Adults aged 19 years and older that do not meet at least one of the VFA vaccine eligibility categories are not eligible to receive VFA-purchased vaccine. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the VFA program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the adult; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the VFA program for a minimum of six years and upon request make these records available for review. VFA records include, but are not limited to, VFA screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, and vaccine purchase and accountability records. The adult’s immunization records must be kept for 10 years as required by state law.
Underinsured. An adult who is covered by public or private health insurance but the coverage does not include vaccines or does not cover all Advisory Committee on Immunization Practices (ACIP) recommended vaccines. The patient would be eligible to receive any vaccines no covered by their health insurance plan. Exceptions to this 317 Rule include: • Hepatitis B birth dose vaccine; • Influenza vaccines used in Point of Dispensing (POD) exercises; and • Vaccines needed to respond to a documented disease outbreak.
Underinsured an adult that has insurance, but the insurance: o Does not cover vaccines. o Has non-covered ACIP recommended vaccines. Only the specific vaccines that are not covered would be eligible for coverage as underinsured. o Has a cap on the coverage. The provider must have documentation that the insurance company was contacted, and the insurance cap has been reached. The documentation is required to be kept on file for a minimum of 3 years after the administration of the vaccine. B. Fully insured individuals seeking vaccines during identified public health response activities* including: 1. Outbreak response 2. Post-exposure prophylaxis 3. Disaster relief efforts 4. Mass vaccination campaigns or exercises for public health preparedness *Requires pre-approval from the Kansas Department of Health and Environment/Kansas Immunization Program (XXX) prior to the use of 317-funded vaccine for the above activities.
