Can my child get free or low cost shots?

Patient self-screening form.

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Can my child get free or low cost shots? (PDF: 63KB/1 page)

The Minnesota Vaccines for Children Program (MnVFC) offers free or low cost shots for children 18 years of age and younger. Please see the categories below to find out if your child is eligible and share the completed form with your doctor or clinic.

Please note: Office visit costs, the cost of giving the vaccine, and other related fees are not covered under this program.

1. checkbox My child has health insurance and I know it covers the cost of all vaccines
(If you’re not sure, go to question 5).
Your insurance already covers the cost of vaccines. Your child is not eligible for MnVFC.
2. checkbox My child doesn’t have health insurance (is uninsured)
Your child is eligible for MnVFC.
3. checkbox

My child is on a Minnesota Health Care Program such as:

  • Medical Assistance
  • MinnesotaCare
  • Prepaid Medical Assistance Plan
Your child is eligible for MnVFC.
4. checkbox My child is American Indian/Alaskan Native
Your child is eligible for MnVFC.
If you checked boxes 2, 3, or 4 above, your child is eligible for free or low cost vaccines from the MnVFC program. Check with your clinic to see if they participate in this program.
6. checkbox

My child has health insurance, but I am not sure if it covers vaccines
Most insurance plans cover the full cost of vaccines under preventive care benefits, even if you have a deductible. If your insurance does not cover the cost of vaccines or you are not sure what your insurance covers, please call your insurance company using the number on the back of your card. Ask them the following question to determine whether the cost of vaccines is covered:

  • “Does my plan cover all of the vaccines for my child with no additional cost?”

If your insurance representative answers:
checkbox No

Your child is eligible for free or low cost vaccines at the following types of clinics: local public health clinics (LPH), Federally Qualified Health Centers (FQHC), Rural Health Centers (RHC), Indian Health Service (IHS), and tribal health clinics. Go to Vaccine Clinics Serving Underinsured Children to find a public clinic in your area. You can also call the MnVFC program at 651-201-5522 or 1-800-657-3970.

checkboxYes

Your child’s insurance already covers the cost of vaccines. Your child is not eligible for MnVFC.

Updated Tuesday, 10-Jul-2012 15:34:30 CDT