Flu Program – Frequently Asked Questions

Questions About the Flu Shot Program

Can I get a flu shot at no cost?

A: In most cases, you can get a flu shot at no charge if you have one of these plans: 1

  • Blue Cross NC plans with preventive care benefits
  • Blue Medicare HMOSM, PPOSM or SupplementSM
  • North Carolina State Health Plan
  • North Carolina Federal Employee Program
Where can I get a flu shot that's covered?

A: You can get a flu shot during flu season at: 2

  • Worksite clinics2 — Some members may be able to get a flu shot where they work. Many employers have free on-site flu shot clinics. Employers may also let family members come to the flu clinic. Participants must be over 18. You can ask your Human Resources manager for more information.
  • Doctor's offices — You can make an appointment for a flu shot or go to a doctor's scheduled flu clinic. If you get other medical care in the same visit, you will have to pay a fee (e.g., copay, coinsurance, or deductible fees). Don't have a doctor? Visit  Find a doctor.
  • In-network immunizing pharmacists and MinuteClinics) — Members age 14 and older may go to an in-network, immunizing pharmacist (NOT a pharmacy) or MinuteClinic to get a flu shot. Some members may have to pay a fee (e.g, copay, coinsurance, or deductible fees).
    Visit Find a doctor to find a location. Use your ZIP code to search and type "Pharmacist" into the search box. Under Specialties, select "Pharmacist (Flu & Other Limited Injections) - Convenience Care (Facilities)". To find a Minute Clinic, select "Convenience Care Center" under Advanced Search.
  • In-network health department: You may visit an in-network health department to get a flu shot. Some members may pay a fee, based on their plan. If you get other medical care in the same visit, you will have to pay a fee (e.g., copay, coinsurance, or deductible fees).
Why can't all pharmacists give flu shots?

A:  Only an immunizing pharmacist in the Blue Cross NC network can give flu shots. Visit Find a doctor and use your ZIP code to search for a location. Type "Pharmacist" into the search box and under Specialties, select "Pharmacist (Flu & Other Limited Injections) - Convenience Care (Facilities)".

When can I get a flu shot?

A: You can ask your doctor, employer, or in-network immunizing pharmacist to find out when flu shots will be given and to make an appointment.

How do I know if I'm able to get a flu shot at no charge?

A: If you don't know if your Blue Cross NC plan covers flu shots as part of your preventive care benefits or if you will have a deductible to pay, check your Blue Cross NC benefit booklet. You can also ask your Human Resources manager or call Blue Cross NC at the toll-free number listed on your insurance card.1

Can I get my flu shot from a doctor who's not in the Blue Cross NC network?

Yes, but you will be charged for the flu shot. To find an in-network doctor, visit Find a doctor.

What if I live outside North Carolina?

You may be able to get flu shots at worksite clinics outside the state. If you go to an in-network doctor outside of North Carolina, you won't be charged for the flu shot. Some members may pay a fee depending on their plan.

Is there a cost?

You may have to pay a fee for a flu shot when:

  • Your plan charges a copay for an office visit. (you may not have a copay if the office visit is ONLY for a flu shot)
  • Your plan doesn't cover preventive care.
  • Your plan has a deductible that hasn't been met.

I'm not a BCBSNC member. I don't have preventive care benefits. Can I still get a flu shot at no charge?

You can get a flu shot at a Maxim flu clinic for $35. Flu shots may also be given at a public health department. Cost varies and may be covered by private insurance or Medicare.

I forgot to bring my Blue Cross NC member ID card to my employer's worksite flu shot clinic and had to pay $35 for my flu shot. How do I get that money back?

If you don't bring your Blue Cross NC insurance card and a photo ID to your worksite flu clinic, then they can't check if your flu shot should be covered. This means you will have to pay $35 for your flu shot. You will get a receipt for your payment.

To ask for your money back, email bcbsnc@maxhealth.com your ID number, two-digit dependent number, and group number (if applicable) from your Blue Cross NC insurance card. Give the date and place of the flu shot clinic you went to. You will get your refund in about 6-8 weeks.

Contact the customer service number on the back of your ID card with any other questions.

Is FluMist® covered?

Yes, but the Centers for Disease Control and Prevention (CDC) says that FluMist should not be used for the 2017-2018 flu season. FluMist has also been shown to not be as effective for the flu.

Can children get the flu shot?

Children under the age of 4 can only get a flu shot in a doctor's office. Adults age 18 or older can get a flu shot at work, if their employer has a flu shot clinic. Immunizing pharmacists will only give the flu shot to people ages 14 and older.

What if I have more questions about the seasonal flu vaccine?

Our nurses can answer your questions about the flu or other health questions at any time at 1-877-477-2424.

What if I'm not feeling well and I'm unsure where to go for care?

Our nurses can help you decide the best place to go. Call anytime at 1-877-477-2424. If you're not sure you have the flu, the chart at bcbsnc.com/careoptions may help you decide.

Questions About the Flu Shot

Who should get a flu shot?

The Centers for Disease Control and Prevention (CDC) says that everyone over the age of 6 months should get a flu shot every year. 3 The flu, also known as influenza, spreads quickly through the air from person to person. You can also get the flu from people who have come in contact with it, but haven't shown any symptoms. This means that you can have the flu and spread it and not even know it.

While you should get a flu shot every year, it's even more important that certain people get the shot because they may get sicker from the flu than most people. Those people are:3

  • Children younger than five, but especially children younger than two
  • Pregnant women and women up to two weeks after the end of pregnancy
  • People staying in nursing homes and long term care facilities
  • American Indians and Alaska Natives
  • Adults 65 years of age and older
  • People of any age with certain medical conditions (ask your doctor)
  • People who are obese with a body mass index of 40 or greater
Who shouldn't get the flu shot? 3

Some people shouldn't get the flu shot without talking their doctor first. These people are:

  • Anyone with a severe allergy to chicken eggs
  • People who've had a severe reaction to the flu shot in the past
  • People who have developed Guillain-Barré syndrome within six weeks of getting a flu shot
  • Children less than six months of age

Can I get the flu from the flu shot?

No, you can't get the flu from the flu shot since it's made from viruses that are not alive and can't infect you. The flu strain changes each year, so even if you got a flu shot last year, you'll need to get another one this year.

How well does the flu shot work?

How well the flu shot works depends on three things:

  • The person's age
  • The person's health
  • Whether or not it is a "match" to the flu virus currently in the community.
While getting a flu shot doesn't mean you won't get the flu, it can protect you from getting severe symptoms and complications. It takes about two weeks for the flu shot to start working. During that time, you'll be just as likely to catch the flu as people who haven't gotten the flu shot. Getting the flu shot as soon as possible every year is the best way to keep from getting the flu.

Are there any side effects from the flu shot?

Almost all people who get the flu shot have no serious problems from it. The most common side effects are soreness, redness or swelling where the shot was given. Some people get a low grade fever and aches. If they happen, side effects begin soon after the shot is given and can last one to two days.

Severe allergic reactions to the flu shot are rare. Anyone who is allergic to chicken eggs should not get the flu shot since the virus used in the shot is grown in these eggs. If you have any problems after getting your flu shot, see your doctor right away.3

Does the flu shot contain thimerosal?

Thimerosal is a preservative that prevents the growth of germs and bacteria. Based on research, the FDA, CDC and NIH say thimerosal is safe. Most flu shots use multi-dose vials that contain thimerosal. Single dose vials do not contain thimerosal. For more information please go to: http://www.cdc.gov/flu/protect/vaccine/thimerosal.htm.

1 Seasonal flu shots are available for eligible members and covered at 100 percent for those members with a non-grandfathered plan.

2 Each seasonal flu clinic has been given a set amount of shots. Shots will be given on a first-come, first-served basis until the supply is gone. All participants must be 18+. The flu shots will be given by agents of Maxim Health Systems. Members should refer to their Benefit Booklet for more information about their preventive care benefits. In the event that the Centers for Disease Control and Prevention (CDC) recommends that flu shots be given to "priority groups" before the general public, Maxim will give priority to those who fit the CDC's high-risk standards.

3 "Key Facts About Seasonal Flu Vaccine." Centers for Disease Control and Prevention, http://www.cdc.gov/flu/protect/keyfacts.htm (accessed August 2017)


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