Tony Nathanson
Well-known member
Since they're free, I was curious about who pays for the expensive TV ads & the vaccines. And also why they always suggest getting them when customers pick up prescriptions.
Yes, CVS gets paid by health insurance companies or government programs like Medicare when a patient receives a "free" flu shot.
How CVS Gets Paid
Yes, CVS gets paid by health insurance companies or government programs like Medicare when a patient receives a "free" flu shot.
How CVS Gets Paid
- Direct Billing: CVS Pharmacy directly bills national and regional health plans, commercial insurers, and Medicare Part B for the cost of the vaccine and the administration fee. [1]
- No Out-of-Pocket Cost: "Free" means the patient has a $0 copay because the Affordable Care Act or the patient's specific insurance policy covers preventative care in full, but the insurer still reimburses CVS for the service. [1, 2]
- Variable Rates: The exact amount CVS is paid depends on the negotiated rate with each specific insurance provider or the fixed reimbursement rate set by Medicare