Clear Spring Health plan covers the flu vaccine once every flu season. This means you may get a flu vaccine at no extra cost to you. If an additional flu vaccine is needed, authorization may be required. Please work with your provider and the plan’s Utilization Management team.

If you need assistance in finding a place that offers the flu vaccine, you may ask your Primary Care Physician, go to a nearby clinic, go to a pharmacy, or call us at 844-895-9047.

The CDC has developed the content below for people 65 years and older regarding the flu shot.

Download the CDC’s fact sheet here (information from the CDC is always available for no charge):
People 65 Years and Older Need a Flu Shot: Information for Adults 65 Years and Older

Influenza (flu) can be a serious illness, especially for older adults.

FACT: People 65 years and older are at higher risk of developing serious complications from the flu, compared with young, healthy adults.
This risk is due in part to changes in immune defenses with increasing age. While flu seasons vary in severity during most seasons, people 65 years and older bear the greatest burden of severe flu disease. In recent years, it’s estimated that between 70 percent and 85 percent of seasonal flu-related deaths in the United States occur among people 65 years and older, and between about 50 percent and 70 percent of seasonal flu-related hospitalizations have occurred among people of this age group.

An annual flu vaccine is the best way to reduce your risk of flu and its potentially serious consequences.

FACT: While the flu vaccine can vary in how well it works, vaccination is the best way to prevent the flu and its potentially serious complications.
Flu vaccination has been shown to reduce the risk of flu illness and more serious flu outcomes that can result in hospitalization or even death in older people. While some people who get vaccinated may still get sick, flu vaccination has been shown in several studies to reduce the severity of illness in those people.

People 65 years and older should get a flu shot, not a nasal spray vaccine. They can get any flu shot approved for use in their age group with no preference for any one vaccine over another. There are regular flu shots and there also are also enhanced vaccines approved for use in people 65 and older that may provide a better immune response.

1. A high-dose flu vaccine
(Fluzone® High-Dose) contains 4 times the amount of antigen as a regular flu shot. The additional antigen creates a stronger immune response (more antibodies) in the person getting vaccinated.

2. An adjuvanted vaccine
(FLUAD™) is a standard dose flu vaccine with an adjuvant added. An adjuvant is an ingredient added to a vaccine to help create a stronger immune response to vaccination.

Flu shots have an excellent safety record and do not cause flu.

FACT: The side effects of flu shots are mild when compared to the potentially serious consequences of flu infection.
After getting your flu shot, you may experience some mild side effects. The most common side effects include soreness, tenderness, redness, and/or swelling where the shot was given. Sometimes you might have headaches, muscle aches, fever, and nausea or feel tired. The high dose and adjuvanted flu vaccines may result in more of the mild side effects.

Long-term medical conditions can also put you at higher risk of serious flu complications.

doctor sitting in office talking to patient

FACT: Flu can make long-term health problems worse, even if they are well managed.
Diabetes, asthma, and chronic heart disease (even if well managed) are among the most common long-term medical conditions that place people at higher risk of developing serious flu complications. It is particularly important that all adults with these or other chronic medical conditions get a flu shot every year.

FACT: There are prescription drugs that can treat influenza virus infections. People 65 years and older should be treated with influenza antiviral drugs if they get sick with the flu.
If you have flu symptoms–even if you had a flu shot–call your doctor, nurse, or clinic. Doctors can prescribe medicine, called antiviral drugs, to treat the flu and lessen the chance of serious illness. These medicines work better the sooner they are started. Call if you have any or all of the following symptoms:

  • Fever
  • Cough
  • Sore Throat
  • Runny or stuffy nose
  • Muscle or body aches
  • Headache
  • Chills
  • Fatigue (tiredness)
  • Sometimes diarrhea and vomiting

It’s very important that antiviral drugs be used early to treat the flu in people who are very sick with the flu (for example, people who are in the hospital), and people who are sick with the flu and are at higher risk of developing serious flu complications, like people 65 years and older.

Take control of your health and fight the flu this season with an annual flu vaccine. For more information about the flu or the vaccine, call 1-800-CDC-INFO or visit

Use and reproduction of the CDC’s content, including any links to the materials on the CDC, ATSDR or HHS websites, does not imply endorsement by CDC, ATSDR, HHS or the United States Government of Clear Spring Health, its products, facilities, services or enterprise.

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