Immunization Benefits Clause Samples

The Immunization Benefits clause defines the coverage and provisions related to immunization services under an insurance policy or healthcare agreement. It typically outlines which vaccines are included, the eligibility criteria for beneficiaries, and any cost-sharing requirements such as copayments or deductibles. For example, it may specify that routine childhood vaccinations are fully covered, while travel-related immunizations require prior approval. The core function of this clause is to ensure clarity regarding the scope of immunization coverage, helping policyholders understand their entitlements and reducing disputes over vaccine-related claims.
Immunization Benefits. Participants ages 19 and 20, will be eligible to receive the Hepatitis B, tetanus-diphtheria (Td), and combined tetanus, diphtheria, and pertussis (TdAP) vaccinations. Participants who are 18 years old are eligible to receive immunizations at no cost via the Vaccines for Children (VFC) Program. These services are reimbursable at the State’s FMAP rate.