Vaccine Information

Portrait of a young African American male patient sitting in a medical clinic and is being given the Covid 19 vaccine in his shoulder by a female African American doctor, both wearing protective face masks

Vaccines against COVID-19

We understand you may have questions about the COVID-19 vaccines. New York State has expanded eligibility to all residents 12 and older. For the most up to date information, visit your city or state’s COVID-19 vaccine sites: New York City, New York State, New Jersey, Connecticut, Pennsylvania. You can also find trusted information on vaccine safety, doses, and more on the CDC’s webpage.

 

Availability

The FDA has authorized three vaccines for COVID-19, and more may be authorized in the coming months. State governments are distributing vaccines based on CDC advice. Visit your city or state’s COVID-19 vaccine sites for information: New York City, New York State, New Jersey, Connecticut, Pennsylvania. Eligible New Yorkers can call the COVID-19 Vaccination Hotline at 1-833-NYS-4-VAX (1-833-697-4829) for help scheduling vaccination appointments. Their hours are 7am – 10pm, 7 days a week.

Most providers will ask you to schedule your first and second vaccination at the same time, and will help you set up reminders via text, email, or phone call about your second dose. The Johnson and Johnson COVID-19 vaccine, however, is only one dose.

You can visit your city or state’s COVID-19 vaccine sites for information on how to be vaccinated: New York City, New York State, New Jersey, Connecticut, Pennsylvania.

We will continue to inform and guide our members when it comes to COVID-19 prevention and care.

Please take a moment to check your contact information using your myEmblemHealth account. Be sure to update your email address, cell phone number, and preferred language. You can also call us at the number on your member ID card. A Customer Service representative will be happy to help update your records.

If your doctor has a patient portal, you’ll want to be sure you are registered, and your contact information is correct.

All residents 16 and older are now eligible for a vaccine in NY. Residents 12 and older are eligible for the Pfizer vaccine at some locations. For the most up-to-date information, you can visit the New York State or New York City websites and use the Am I Eligible app to schedule an appointment for a vaccine.

The CDC recommends that people who have recovered from COVID-19 get vaccinated. Experts don’t know how long you are protected from getting sick again after recovering from COVID-19. You should wait 90 days before getting a COVID vaccine if you were treated with monoclonal antibodies or convalescent plasma. It’s important to keep practicing hand hygiene, mask wearing, and avoiding crowds whenever possible. Stay up to date on current vaccine guidance on the CDC’s webpage

The FDA has already authorized Pfizer and Moderna boosters for individuals with compromised immune systems (like people with cancer or who had organ transplants). If you think you have a compromised immune system, talk to your doctor about whether you should receive a booster.
 

The FDA has also authorized Pfizer boosters for:

  • Individuals 65 and older and residents in long-term care settings.
  • Individuals ages 18-64 with underlying health conditions at high risk of severe COVID-19.
  • Individuals ages 18-64 who are frequently exposed to SARS-CoV-2, such as at work or in a school or hospital, and are at high risk of serious complications from COVID-19.

The CDC is currently recommending Pfizer boosters only for those who received their primary vaccination series with Pfizer. Patients should wait until six months after their second Pfizer dose before receiving a booster.
 

We are closely monitoring this rapidly changing situation. You can stay up to date by visiting your state’s vaccine website.

It’s important to have a conversation with your doctor about the vaccines and if they are right for you and your family. When you or your child have an opportunity to be vaccinated, make sure to speak with your doctor to discuss family and personal health history to help you decide. You can stay up to date on current vaccine guidance on the CDC’s webpage.

 

Coverage

The FDA-authorized COVID-19 vaccines will be covered under your plan. In some situations, the government may cover the vaccine cost. Members will pay $0 out-of-pocket for both doses of the vaccine they receive. This applies whether you visit health care providers in or out of our network.

Members will pay $0 out-of-pocket at both in- and out-of-network providers to be vaccinated. That means no copays, deductibles, or coinsurance will apply.

You can find more coverage and benefit updates due to COVID-19.

If you are eligible under FDA rules to receive a booster, you will pay $0 out-of-pocket. This means no copays, deductibles or coinsurance will apply. 

 

Protecting yourself

The best ways to help keep you and your family safe from COVID-19 are to:

  • Get vaccinated
  • Wash your hands often and disinfect frequently touched surfaces.
  • Wear a mask over your nose and mouth when around others. Remember to check your state’s guidance on wearing masks in public spaces. The CDC now recommends that fully vaccinated people wear a mask in certain situations.
  • Avoid crowds and stay at least 6 feet away from people outside of your household.
  • Monitor your health for any COVID-19 symptoms.
  • Stay home if you are sick.

Viruses commonly change through mutation and new variants are expected over time. The new variants of COVID-19 are reported to spread more easily and quickly. Scientists are working hard to learn more about them.

Research released from the makers of the Pfizer and Moderna vaccines show that the vaccine provides some protection from the new COVID-19 variants, including Delta.

It’s important to continue taking some precautions. Getting both doses of either vaccine on time is just one of the ways you can help prevent the spread of COVID-19. After getting the vaccine, the best ways to help keep you and your family safe from COVID-19 are to:

  • Wash your hands often and disinfect frequently touched surfaces.
  • Wear a mask over your nose and mouth when around others. Remember to check your state’s guidance on wearing masks in public spaces. The CDC now recommends that fully vaccinated people wear a mask in certain situations.
  • Avoid crowds and stay at least six feet away from people outside of your household.
  • Monitor your health for any COVID-19 symptms.
  • Stay home if you are sick.

The precautions you take depend on your personal circumstances, vaccination status, and state rules. Visit your state’s COVID sites for updates to guidance.

Getting both doses of the vaccine on time is just one of the ways you can help prevent the spread of COVID-19. The Johnson and Johnson COVID-19 vaccine, however, is only one dose. The CDC recently updated its guidance for fully vaccinated people. You are fully vaccinated when you have:

  • Received both vaccine doses (The Johnson and Johnson COVID-19 vaccine, however, is only one dose.) and
  • It has been at least two weeks since your last dose.

You can find the most up to date recommendations on the CDC’s website. You should always check your state’s guidance for specific instructions.

For information about getting vaccinated, visit your city or state’s COVID-19 vaccine sites for information: New York City, New York State, New Jersey, Connecticut, Pennsylvania. You can find trusted information on the COVID-19 vaccine, including safety, doses, and more, on the CDC’s webpage.