The new H1N1 influenza (swine flu) virus which first appeared last spring has spread steadily over the summer months. Many health officials believe the new virus could bring a severe 2009-2010 flu season.

H1N1 vaccinations and coverage

BlueCross will provide full coverage for the H1N1 vaccination, when it becomes available, for its fully-insured members, including those in TennCare and Medicare Advantage plans.

For members using an in-network provider, there will be no copay, deductible or coinsurance. BlueCross will pay network providers at the contracted rate to provide the immunizations to their patients. Members whose employers have a self-funded plan will need to check with their employer to determine their coverage.

The H1N1 vaccine should be available in the Fall.  The following groups have a higher risk of developing complications from H1N1 influenza and should be vaccinated first:

• Pregnant women.
• Household contacts and caregivers for children younger than 6 months of age.
• Health care and emergency medical services personnel.
• All people from 6 months through 24 years of age.
• Persons aged 25 through 64 years who have underlying health conditions putting them at higher risk for flu-related complications.

Antiviral drugs made more affordable to members with 3-tier prescription drug benefits

To further help fight the flu this year, BlueCross will make two important antiviral therapies available at a lower cost for members currently using a 3-tier prescription benefit plan.

If prescribed by your doctor, the antiviral prescription drugs Tamiflu^® (oseltamir) and Relenza^® (zanamivir) will be available for the preferred brand copay. This change does not impact members with Deductible/Coinsurance, 2-tier or Percentage Copay Prescription Drug benefits.

Tamiflu and Relenza have both proven effective in making the sickness from H1N1 and seasonal flu last a shorter time and be less severe.

Seasonal flu vaccinations important as ever

With all the attention on H1N1 flu strain, it’s key to remember the importance of getting a regular seasonal flu vaccination. Regardless of what happens with the new H1N1 strain, seasonal influenza continues to be a major health threat year after year.

Please remember that separate vaccinations will be necessary for seasonal flu and H1N1 when they become available.

BlueCross BlueShield of Tennessee provides a range of coverage based on plan design for seasonal flu vaccinations, and this will not change for the 2009-2010 flu season.

All members, especially those at a higher risk of complications from flu, should take advantage of this important preventive measure every year.