These data reflect the most commonly purchased benefits package for each of the health plans in
the year 2000. Coventry/Principal would not supply updated information.

HMO Immunizations
Aetna US Healthcare Covers: Recommended children’s immunizations and other medically necessary immunizations.

Excludes: Immunizations for the purpose of travel or employment.

Blue Cross Blue Shield Covered.
CIGNA / Healthsource Covered.
Doctors Health Plan Covered.

Excludes: Vaccinations required to travel abroad.

Generations Covers: Pediatric and adult immunizations.

Excludes: Immunizations needed for foreign travel.

Optimum Choice Covered.

Excludes: Immunizations for foreign travel.

PARTNERS Covers: Immunizations for pediatrics if recommended by the American Academy of Pediatrics and the Centers for Disease Control. Covers adult immunizations as indicated by medically recognized risk factors.

Excludes: Immunizations for employment or foreign travel.

Coventry/Principal Health Care of the Carolinas Covered.

Excludes: Immunizations for travel and employment.

QualChoice Covered.

Excludes: Immunizations for travel and employment.

The Wellness Plan of North Carolina, Inc. Covers routine immunizations.
United HealthCare Covered.

Excludes: Immunizations relating to career education, travel, employment, insurance, marriage or adoption. Also excludes immunizations for judicial or administrative proceedings or orders; those conducted for medical research or to obtain or maintain any type of license.

WellPath Covers: Routine immunizations.

Cost-sharing: Service included in the applicable office visit copayment.

Excludes: Immunizations for travel outside the U.S., employment, school sports, extracurricular or recreation activities.

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