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Measles disease outbreak and vaccine coverage for Independence commercial members

May 20, 2019

With the recent outbreak of measles disease in the surrounding Pennsylvania and New Jersey area, we want to remind providers about vaccine coverage for Independence commercial members.

According to the Advisory Committee on Immunizations Practice (ACIP), "during a measles outbreak, efforts should be made to ensure that all individuals at risk for exposure are vaccinated or have acceptable evidence of immunity." Evidence of adequate vaccination consists of documentation of two doses of a measles-containing vaccine. For individuals who lack evidence of immunity, a vaccination regime with a measles-containing vaccine should be provided.

Our coverage is aligned with ACIP's recommendation. Independence covers the measles, mumps, rubella (MMR) vaccine as a preventive service with $0 cost-share.

If you suspect an outbreak or are unsure whether your patient belongs to a group at increased risk, please contact your local health department.

Learn more

For more information, refer to the following Independence commercial medical policies:

  • #08.01.04t: Immunizations
  • #00.06.02y: Preventive Care Services

To view these policies, visit our Medical Policy Portal. Select Accept and Go to Medical Policy Online, then select Commercial, and then type the policy name or number in the Search field.

If you have any questions after reviewing the medical policies, please call Customer Service at 1-800-ASK-BLUE.


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