The US government’s shift in vaccine recommendations has left many questions unanswered about employer insurance coverage. While some experts believe coverage will be widely available this year, others warn of uncertainty and potential exclusions.
Health and Human Services Secretary Robert F. Kennedy Jr.’s announcement on May 10 changed the recommended age range for COVID vaccines. The changes have sparked debate among experts, with some disputing his claims about vaccine safety risks for pregnant people and children.
Currently, only certain age groups are eligible for vaccination. Adults over 65 are fully approved for Moderna’s Spikevax COVID vaccine, while those 12 to 64 years old with underlying health conditions can get vaccinated. Pfizer’s Comirnaty vaccine remains available for all ages without restrictions.
Employer and insurer coverage policies vary, but most private plans are required by law to cover recommended vaccines. However, the law kicks in after federal recommendations, so some employers and insurers may choose not to offer coverage this year.
To determine eligibility, individuals should consult their employer or insurer about coverage policies before getting vaccinated. Health care professionals can also help people assess their risk factors for severe disease.
With 200 million people eligible due to health conditions like asthma or diabetes, the importance of vaccination cannot be overstated. However, concerns persist that shifting guidelines may deter vaccine uptake.
Source: https://www.phillyvoice.com/covid-19-vaccines-fall-2025-health-insurance-coverage