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Seasonal Flu Overview
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What is the Flu?
Influenza, also called the “flu”, is a viral infection that affects the nose, throat and lungs. The flu spreads through the air when a person sneezes or coughs and can even be transmitted through touch. Flu symptoms vary from person to person but common symptoms include: high fever, headache, fatigue, cough, sore throat, runny nose, muscle aches, nausea, vomiting and diarrhea. The best way to prevent the flu is by receiving a flu vaccination each year. Practicing other healthy habits like covering your mouth when you cough and routinely washing your hands will also help prevent the spread of illnesses like the flu.
Flu Shots and other immunizations are considered preventive services by TRICARE policy. TRICARE will cover the flu shot only if it is administered in a doctor’s office. Find a convenient MinuteClinic near you to get your flu shot!
Two Types of Flu Vaccines:
- The nasal-spray vaccine is made with a live, weakened flu virus that does not cause the flu. This vaccine is approved for use in all healthy people (ages 2-49) who are not pregnant.
Seasonal Flu Vaccine Charges and Referral Requirements
Prime beneficiary to Non-Network provider
- Requires a referral
- With a referral--beneficiary may be assessed a copay for the office visit (unless ADSM/ADFM)
- Without a referral -- pays POS
Prime beneficiary to Network provider
- Does NOT require a referral
- Beneficiary NOT assessed a co-pay
Standard beneficiary to Network or Non-Network
- No referral required
- No cost share
The referral and co-pay requirements listed above apply to visits that only include the receipt of TRICARE-defined clinical preventive services.
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