Member Vaccine Reimbursement

HMO member reimbursement form for vaccines: Flu, Shingrix®, RSV, and Tdap/Td.

Hill Physicians is not responsible for reimbursement for Tdap/Td​ shot (Boostrix®, Adacel®, Tenivac®, TDVAX®), shingles shots (Shingrix®), or RSV shots (ABRYSVO®, AREXYY®). Please call your Medicare Part D insurance company to see if they will pay for you to get the vaccine at a pharmacy, or if they only pay for the vaccine in your doctor’s office.​ Hill Physicians will reimburse up to $90 for the flu vaccine.​

Hill Physicians will reimburse your vaccine cost up to $90 for the flu shot, up to $80 for the Tdap/Td shot​ (Boostrix®, Adacel®, Tenivac®, TDVAX®), up to $275 for each dose of shingles shot (Shingrix®​), and up to $354 for the RSV shot (ABRYSVO®, AREXVY®).