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Old 31.03.2020, 17:24
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Seasonal flu vaccination reimbursement

The Swiss vaccination plan specifies some conditions, under which the basic insurance should cover the seasonal flu vaccination. However, I found that it is difficult to get the cost reimbursed.

This year my insurance replied that I need to get a prescription from a doctor first, otherwise it will not pay the flu vaccination.
Any experience?
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Old 31.03.2020, 17:37
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Re: Seasonal flu vaccination reimbursement

Ask your Dr. For the prescription. I can’t imagine any Dr not agreeing to it.
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Old 31.03.2020, 17:55
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Re: Seasonal flu vaccination reimbursement

Do you qualify for a flu vaccination reimbursement under the rules set by the health insurance?
If you do then ask the doctor for a prescription for it. If you don’t fulfil the criteria then forget it.


My insurance company reimbursed mine without issue but my doctor said they often refuse initially and if that were the case to let him know and he would contact them on my behalf.
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Old 01.04.2020, 20:00
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Re: Seasonal flu vaccination reimbursement

Oddly, I started dealing with the same issue last week: my insurance company initially refused to cover the vaccination cost but after a detailed explanation that I am eligible for a refund, they replied they would cover the vaccination cost.

So good luck!
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Old 01.04.2020, 20:38
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Re: Seasonal flu vaccination reimbursement

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Do you qualify for a flu vaccination reimbursement under the rules set by the health insurance?
If you do then ask the doctor for a prescription for it. If you don’t fulfil the criteria then forget it.


My insurance company reimbursed mine without issue but my doctor said they often refuse initially and if that were the case to let him know and he would contact them on my behalf.
And what are those rules to qualify?
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Old 01.04.2020, 20:41
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Re: Seasonal flu vaccination reimbursement

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And what are those rules to qualify?
Most insurances (perhaps all, no clue) state: Flu vaccination for persons above the age of 65 or suffering from a severe disease.
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Old 01.04.2020, 21:07
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Re: Seasonal flu vaccination reimbursement

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And what are those rules to qualify?
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Most insurances (perhaps all, no clue) state: Flu vaccination for persons above the age of 65 or suffering from a severe disease.
All insurers have to reimburse it for people over 65 and those who suffer from a chronic condition and for whom catching the flu could result in serious complications.

http://www.federationdespatients.ch/...tif_sant__.pdf
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Old 01.04.2020, 21:27
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Re: Seasonal flu vaccination reimbursement

The flu vaccine should be mandatory for everyone except those who shouldn’t have it for medical reasons. Heard immunity!

Our insurance goes a little further than 65+ and severe diseases. For example they include family members living with the above.

My employer used to share the cost with our insurance company. They even organised a medical team to come to our offices for the purpose.
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Old 01.04.2020, 22:53
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Re: Seasonal flu vaccination reimbursement

We as a family shared 3 colds before all of this corona stuff, and two things that have been much more severe and painful to all 3 of us than the average cold/flu in the last 5 weeks where my chest felt like having a stack of hot bricks laying on them and a bunch of other symptoms, could be Corona, could be whatever we've just no clue.

We've said to each other as of now we'll get the yearly shot and just pay ourselves (they are like 25,- and just walk in/walk out anyway) if it only would have saved one of these 5 things it is money well spend.
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Old 02.04.2020, 11:43
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Re: Seasonal flu vaccination reimbursement

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We as a family shared 3 colds before all of this corona stuff, and two things that have been much more severe and painful to all 3 of us than the average cold/flu in the last 5 weeks where my chest felt like having a stack of hot bricks laying on them and a bunch of other symptoms, could be Corona, could be whatever we've just no clue.

We've said to each other as of now we'll get the yearly shot and just pay ourselves (they are like 25,- and just walk in/walk out anyway) if it only would have saved one of these 5 things it is money well spend.
It really is worth getting it even if you do have to pay for it yourself, as you say it really isn’t a lot of money.
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Old 02.04.2020, 12:01
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Re: Seasonal flu vaccination reimbursement

I don't know why people skip the flu shot. It's basically beer money.
I know of 3 people at work who had the flu this year, laid up for a week, and my company gives the jab for free!
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Old 02.04.2020, 12:20
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Re: Seasonal flu vaccination reimbursement

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I don't know why people skip the flu shot. It's basically beer money.
I know of 3 people at work who had the flu this year, laid up for a week, and my company gives the jab for free!
Murphy's law - this is the first year I have not had the flu shot since, well, flu shots were developed.

I was ill when the supplies became available here and thus not allowed to have it. By the time I had recovered to the point where they gave the OK the vaccine was unavailable. I tried every Praxis and Apotheke in the area, none available in December. In January I finally found an Apotheke quite a ways away with supplies, but they would not administer the vax because it was too late in the year.

I would have given anything to have had the flu shot this year.

But yeah, it's peanuts. CHF 30.

Next year I'll get the shot when it first becomes available no matter what condition I'm in. (OK'd that with my GP, before anyone gets upset.)
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Old 02.04.2020, 13:15
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Re: Seasonal flu vaccination reimbursement

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Murphy's law - this is the first year I have not had the flu shot since, well, flu shots were developed.

I was ill when the supplies became available here and thus not allowed to have it. By the time I had recovered to the point where they gave the OK the vaccine was unavailable. I tried every Praxis and Apotheke in the area, none available in December. In January I finally found an Apotheke quite a ways away with supplies, but they would not administer the vax because it was too late in the year.

I would have given anything to have had the flu shot this year.

But yeah, it's peanuts. CHF 30.

Next year I'll get the shot when it first becomes available no matter what condition I'm in. (OK'd that with my GP, before anyone gets upset.)
It‘s nobody‘s business but yours when you arrange for your flu shot. I got mine in October right before I left for the US. I always get mine as soon as I can. I‘m surprised the Apotheke didn‘t administer it - if you‘re at risk, they should do it no matter when. I know someone who was refused in October because it was “too early”. I know if I ever get stuck, I could probably get it from my oncologist - they seem to have them all the time. I;ve always paid for mine.
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Old 02.04.2020, 13:37
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Re: Seasonal flu vaccination reimbursement

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It‘s nobody‘s business but yours when you arrange for your flu shot. I got mine in October right before I left for the US. I always get mine as soon as I can. I‘m surprised the Apotheke didn‘t administer it - if you‘re at risk, they should do it no matter when. I know someone who was refused in October because it was “too early”. I know if I ever get stuck, I could probably get it from my oncologist - they seem to have them all the time. I;ve always paid for mine.
If I were to venture a guess, there might be a lot of 'computer says no' involved. At my Praxis vax appointments and shots are arranged by assistants, who I would guess are not comfortable making judgements around protocol.

Having had this year's flu for about 8 weeks (well before Coronavirus, I might add), I should have developed at least some antibodies. So there is that. Next year, though, I'll be first in line.
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Old 09.04.2020, 19:56
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Re: Seasonal flu vaccination reimbursement

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And what are those rules to qualify?
https://www.bag.admin.ch/bag/de/home...-impfplan.html


Page 18 in the pdf document
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Old 09.04.2020, 20:03
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Re: Seasonal flu vaccination reimbursement

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Oddly, I started dealing with the same issue last week: my insurance company initially refused to cover the vaccination cost but after a detailed explanation that I am eligible for a refund, they replied they would cover the vaccination cost.

So good luck!
Last year I was told that I am not qualified, then my legal insurance called them and got paid; This year, my (new) insurance first said I am not qualified, I sent them the supporting documents. Then they said I need to have a prescript.



I will get a prescript next year.
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