Uninsured? Here’s where to look for free or low-cost vaccines
Vaccines can help protect you from illnesses that may cause serious health problems. Most health insurance plans cover recommended vaccines, often at no cost to enrollees. But if you don’t have health insurance, getting vaccinated can be expensive.
The good news is that paying the full retail price for a vaccine isn’t your only option. You may be able to find vaccines for free or at a lower cost. Keep in mind that where you go and which vaccine you need can make a difference in what you pay.
Here, GoodRx, a platform for medication savings, covers where to find free or low-cost vaccinations without insurance and ways you may be able to save.
Key takeaways:
- Adult vaccination prices can vary. The vaccine you need, the number of doses, and where you get it can affect the total cost.
- If you don’t have insurance, see if your local community health center or health department offers free or lower-cost vaccinations.
- There are ways to save on vaccines, such as patient assistance programs.
Vaccine prices without insurance at a glance
Prices for adult and child vaccines vary. Some vaccines cost more than others. And you may be charged more than the cash price of a vaccine due to wholesaler markups. Keep in mind that you may also be charged an administration fee when you get vaccinated.
The chart below shows cash prices for common adult vaccines, along with the recommended number of doses. Keep in mind this isn’t a complete list of vaccine types and available brand-name products.
In general, vaccine prices range from $45 to over $300 per dose. For a more accurate estimate of vaccination costs, contact your healthcare team or pharmacy. They can let you know what you can expect to pay, including any additional fees.
What factors affect the cost of vaccinations?
Several factors can affect how much you pay for vaccinations:
- Vaccine brand: Like with prescription medications, there may be different vaccine products that protect against the same disease. Which brand-name vaccines you receive and their recommended dosing schedules can affect your vaccination costs. Before getting vaccinated, ask your pharmacist or healthcare professional which products are recommended for you and whether a lower-cost option is available.
- Geographic location: Vaccine prices, like prescription medication prices, can be affected by where you live. For example, according to GoodRx research, prescription medications tend to cost more on average in Los Angeles than in Denver.
- Pharmacy: Prices for vaccinations can vary among pharmacies in your area due to variations in product pricing and administration fees. Consider comparing prices of vaccines at different locations.
- Insurance: If you have insurance that covers your vaccinations, it can help lower what you pay. But even with insurance, you may still have to pay copays, coinsurance, or a deductible.
- Discounts: Applying discounts can help lower your vaccine costs. Your pharmacist or prescriber can help you explore these cost-saving options.
What to do if a vaccine isn’t covered by your insurance
If your insurance doesn’t cover a vaccine, here are a few strategies to consider:
- See if you qualify for a patient assistance program.
- Talk to your prescriber or pharmacist about alternative brand-name vaccines. There may be another vaccine product that costs less with your insurance.
- Request a formulary exception from your insurance company. If your request is denied, you have the right to file an appeal with your plan.
- During open enrollment, compare health plans to find one that offers better coverage for vaccines.
Ways to get free or low-cost vaccinations without insurance
If your insurance doesn’t cover your vaccinations or you don’t have insurance, there may still be ways to save money. Here are four options to consider.
1. Check if you’re eligible for a patient assistance program
If you’re uninsured or underinsured, you may be able to access some vaccinations for free or at a low cost through a manufacturer-sponsored patient assistance program.
Eligibility requirements vary by program. Your insurance status, household income, and/or where you live may determine whether you qualify.
Here are available manufacturer assistance programs for adult vaccines.
You can also use an online tool, such as NeedyMeds, to find out which assistance programs you qualify for and how to contact them. These tools also let you search for public and private programs that can help pay for medications, including vaccines.
2. Check with local healthcare organizations
There may be local clinics and facilities that can help you access free or low-cost vaccinations. If so, they may review your income to assess financial need. Consider these options:
- Federally funded health centers
- Health departments
- Community health centers
- Safety-net hospitals and clinics
- Campus health centers (if you’re currently enrolled at a college or university)
3. Compare prices at vaccination sites
Different healthcare professionals, such as physicians and pharmacists, offer vaccinations. But prices for vaccines can vary among vaccination sites. Some locations may also charge a fee for administering a vaccine.
Compare prices at a few locations before making an appointment to get a vaccine. Ask for the total cash price, including the cost of the vaccine and any administration fees. You can also ask whether the location offers discounts for people who don’t have insurance.
4. Tap into your HSA, FSA, or HRA
Consider using a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA) to pay for your vaccination costs. These accounts let you use pretax dollars to pay for qualified medical expenses, such as vaccination copays. This can help you lower your spending through tax savings.
Be sure to review the details for using your HSA, FSA, or HRA funds. FSA funds typically have to be used before a certain date. But HSA funds roll over and can be saved for later use. HRA funds may or may not roll over, depending on the account.
Frequently asked questions
Are immunizations typically free?
Most routine immunizations are free with health insurance. If you don’t have insurance, you may have to pay out of pocket for vaccinations. But local health departments, community health centers, and patient assistance programs may offer free or lower-cost options.
Where can children get vaccinations without insurance?
Children who are not covered by health insurance may be able to get free or low-cost vaccinations at community health centers, local health departments, or other public health clinics. Costs and eligibility can vary by location, so contact a clinic before you visit to ask about vaccine availability and fees.
Also, uninsured children may qualify for free vaccines through the federally funded Vaccines for Children (VFC) program. The program provides recommended vaccines at no cost to eligible children and teens ages 18 and younger. VFC vaccines are available through participating healthcare professionals and pharmacies.
What types of insurance do pharmacies accept for vaccines?
Many pharmacies accept private insurance, Medicare, and Medicaid for vaccines. Certain pharmacies may also accept Tricare. But accepted insurance coverage can vary by pharmacy, location, and vaccine type.
What’s more, some insurance plans require you to use an in-network pharmacy to receive a vaccine at no cost. Contact your insurance plan and pharmacy before your vaccine appointment to confirm coverage and ask how much you’ll have to pay.
The bottom line
Vaccines can be expensive if you don’t have health insurance, but there are ways to save. You may be able to access free or low-cost vaccinations without insurance through local health departments, community health centers, or patient assistance programs. Comparing prices among different vaccination sites may also help lower your costs. Ask your healthcare team or pharmacist about your savings options before getting vaccinated.
This story was produced by GoodRx and reviewed and distributed by Stacker.
