The COVID-19 and MMRV Vaccines Remain Covered Under the Health Plan’s Preventive Care Benefits

The Health Plan continues to cover both COVID-19 and childhood MMRV (measles, mumps, rubella and varicella/chickenpox) vaccines under its preventive care benefit.

Changes in COVID-19 Vaccine Availability

Although the CDC no longer recommends the COVID-19 vaccine for certain groups, recent studies show that the vaccine continues to reduce hospitalization and severe outcomes for its recipients across all populations. COVID-19 vaccinations are covered under the Health Plan’s preventive care benefits at 100% of cost if administered by a network provider or pharmacy.

Please note that certain CVS pharmacies nationwide, excluding locations in California and New York, may now require a prescription to receive the vaccine. Additionally, it has been reported that there is limited availability of pediatric doses at some pharmacies. In either case, covered participants can still receive these vaccines from a network provider with no cost sharing.

MMRV Vaccines Remain Covered Under Preventive Care

Parents currently have two options for protecting their children against MMRV: (1) getting two shots — one for chickenpox and another that covers the rest — or (2) getting one combined shot, the MMRV vaccine. On September 18, 2025, the CDC changed its stance on the MMRV vaccine, no longer recommending the combined shot for children under 4 years old.

Regardless, the Health Plan continues to cover both options at 100% when administered by a network provider.

Where to Look for an Up-to-Date List of Covered Vaccines

For guidance on which vaccines the Health Plan covers under its preventive care benefits, visit www.dgaplans.org/preventivecare or review recommendations from the United States Preventive Services Task Force at www.uspreventiveservicestaskforce.org/uspstf/.