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We’re covering the COVID-19 vaccine for children
November 19, 2021

This article is for all providers caring for our members

Blue Cross Blue Shield of Massachusetts covers the administration of the Pfizer/BioNTech Comirnaty®'' COVID-19 vaccine for children ages 5 to 11, with no cost share to members. Blue Cross covers all COVID-19 vaccines without cost share when authorized by the Food and Drug Administration (FDA) and approved for use by the Centers for Disease Control (CDC).

You can bill for the administration of Pfizer/Comirnaty vaccine according to our Temporary COVID-19 payment policy, as you would for the administration of COVID-19 vaccines in other age groups.

COVID-19 temporary fee schedule update

We have updated our Professional and Acute Care Hospital Temporary COVID-19 fee schedules.

Professional temporary COVID-19 fee schedule updates
The following temporary COVID-19 professional fee schedules have been updated on Provider Central:

  • Temporary COVID-19 Professional Commercial and FEP Fee Schedule During COVID-19 Public Health Emergency
  • Temporary COVID-19 Professional Medicare Advantage Fee Schedule During COVID-19 Public Health Emergency

To download these fee schedules, log in and go to Office Resources>Billing & Reimbursement>Fee Schedules.

Acute care hospital temporary COVID-19 fee schedule updates

  • For information on COVID-19 temporary hospital outpatient fee schedule updates, please contact your network representative.


Coverage: How the COVID-19 vaccine protects kids 5-11