Health plan coverage for GARDASIL

Figuring it out doesn't have to be difficult

While many private health plans are providing coverage for GARDASIL, levels of coverage can vary. Your coverage can even change over time. Because your doctor or healthcare professional has many patients with different health insurance benefits, he or she may not know your specific level of coverage for GARDASIL. Before you visit the doctor's office, you may want to call your health plan to find out more about your level of coverage.

By contacting your health plan directly, you can get the most accurate information about your plan's coverage for GARDASIL. Call the phone number on your medical benefit card to learn whether any co-pays, co-insurance, deductibles, or other limitations may apply.

The questions below are meant to start the conversation with your health plan—there may be other questions you should be asking based on your plan's benefits.

  1. Does my health insurance provide coverage for GARDASIL?
  2. Are there any restrictions on coverage? If so, what are the restrictions?
  3. Will I have to pay for anything? For example:
    • Co-pay or co-insurance? If so, what amount?
    • Deductibles that may apply to GARDASIL? If so, what amount?
    • Extra cost if an out-of-network provider is used? If so, what amount?
  4. Is there an annual coverage maximum (such as a limit on wellness or preventive services) that may affect my coverage for GARDASIL? If so:
    • What is the coverage maximum?
    • What is the current balance against the coverage maximum? (The amount in your health insurer's records may not include amounts of pending insurance claims that have not been processed.)

If there is an annual coverage maximum (such as on wellness or preventive services), we suggest you discuss this issue with your doctor or healthcare professional.


IMPORTANT INFORMATION ABOUT GARDASIL

GARDASIL is the only cervical cancer vaccine that helps protect against 4 types of human papillomavirus (HPV): 2 types that cause 70% of cervical cancer cases, and 2 more types that cause 90% of genital warts cases. GARDASIL is for girls and young women ages 9 to 26.

GARDASIL may not fully protect everyone, and does not prevent all types of cervical cancer, so it’s important to continue routine cervical cancer screenings. GARDASIL does not treat cervical cancer or genital warts. GARDASIL will not protect against diseases caused by other HPV types or against diseases not caused by HPV. GARDASIL is given as 3 injections over 6 months.

SELECT SAFETY INFORMATION

Anyone who is allergic to the ingredients of GARDASIL, including those severely allergic to yeast, should not receive the vaccine. GARDASIL is not for women who are pregnant.

The side effects include pain, swelling, itching, bruising, and redness at the injection site, headache, fever, nausea, dizziness, vomiting, and fainting. Sometimes fainting is accompanied by falling with injury, as well as shaking or stiffening and other seizure-like activity. Only a doctor or health care professional can decide if GARDASIL is right for you or your daughter.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Read the Patient Product Information or the Prescribing Information for GARDASIL.







This site is intended only for residents of the United States, its territories, and Puerto Rico.
GARDASIL is a registered trademark of Merck & Co., Inc.
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