Frequently Asked Questions about Vaccine

Frequently Asked Questions about Vaccine

COVID-19

Will BMI cover the cost of the COVID-19 vaccine?

Many countries have mentioned that they will provide the vaccine for free, but in those cases where it has a cost, BMI will cover the cost of the vaccine with no deductible for all health insureds (including the health policies with plans that do not offer coverage for immunizations as long as the vaccine administered is approved and controlled by the FDA).

What are the vaccines authorized by the FDA?

The U.S. Food and Drug Administration has authorized three COVID-19 vaccines for emergency use.
The vaccines are:

  • Pfizer BioNTech COVID-19 Vaccine
  • Moderna COVID-19 Vaccine
  • Janssen COVID-19 Vaccine (Johnson & Johnson)

Will BMI cover the cost of the COVID-19 vaccine if it is applied in a country other than the country of residence stated in the policy?

Yes, as long as the vaccine administered is approved and controlled by the FDA

What is the procedure to follow in order to have the cost of the COVID-19 vaccine covered by BMI?

BMI will cover the cost of the vaccine with no deductible for all health insureds and will pay by reimbursement. The insured must complete the Claim Form and submit it along with the invoice and paid receipt.

Does the provider administering the vaccine have to be in the BMI provider network?

Insureds have freedom of choice for providers outside the UnitedStates and within the United States, the provider network will apply according to the health plan contracted with BMI.

What is the procedure to follow in order to have the cost of the COVID-19 vaccine covered by BMI in the United States?

Within the United States, the provider network will apply according to the health plan contracted with BMI. BMI will cover the cost of the vaccine with no deductible for all health insureds and will pay by reimbursement. The insured must complete the Claim Form and submit it along with the invoice and paid receipt

Does the insured have to be referred by a doctor to have the vaccine cost covered?

No.

What happens if the insured has a reaction to the vaccine? Would BMI cover complications?

Yes, benefits are covered according to the contracted BMI health plan. Please refer to the policy contract for detailed coverage information.

Will BMI cover the cost of the COVID-19 vaccine only during the year 2021?

Coverage will be provided as long as the health policy is in force. No specific period has been established for the benefit. Any change will be notified in advance.

Does the coverage of the cost of the COVID-19 vaccine apply to all international health plans?

Yes, it includes both individual and group health plans.

Is there a waiting period before I can use the COVID-19 vaccine cost coverage benefit?

For new policies, the same general waiting period stated in the health policy will apply in the country of residence or outside the country of residence.

Does coverage for the cost of the vaccine without deductible apply to all deductible options?

Yes, the cost of the vaccine will be covered without deductible regardless of the deductible option that the insured selected for their health plan contracted with BMI.

Is there a cap amount on reimbursement for the cost of the COVID-19 vaccine?

The Usual, Customary and Reasonable will be paid.

In those cases where the COVID-19 vaccine is administered in two doses with an intermediate period of time, are both doses covered?

Yes.

Is BMI coordinating appointments to get vaccinated in the US?

No, BMI is not coordinating vaccine appointments as US hospitals, or facilities arranged for vaccination require patients to register directly with them by providing personal and demographic information. While CDC makes recommendations for who should be offered COVID-19 vaccine first, each state has its own plan for deciding who will be vaccinated first and how they can receive vaccines. In this link you can consult both the recommendations and the plan for each State: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations.html

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