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Why getting a COVID-19 vaccine is likely to be more complicated this year

New federal guidelines and insurance uncertainties have caused confusion over COVID-19 vaccine eligibility and coverage this fall, with some insurers continuing full coverage, experts say.

  • Federal regulators this season approved new COVID-19 shots from Pfizer, Moderna and Novavax, limiting use to people 65 and older and younger people with health conditions, complicating the seasonal vaccine process.
  • Health Secretary Robert F. Kennedy Jr.'s actions earlier this year disrupted COVID-19 vaccine guidance by firing the Advisory Committee on Immunization Practices and reversing recommendations for children and pregnant women.
  • Employers and insurers have historically covered the shots, but some may continue selectively; Walmart and Kaiser Permanente will maintain coverage, though uninsured patients could pay $150 or more.
  • Conflicting advice has left patients asking which guidance to follow, while some pharmacists may hesitate to vaccinate outside FDA-approved ranges, complicating access amid 19 states' restrictions.
  • Doctors note that population immunity is high but wanes, so this fall many patients still consider an annual shot to prepare for a possible winter surge despite varying access.
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King5 NewsKing5 News
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Why getting a COVID-19 vaccine is likely to be more complicated this year

The U.S. Food and Drug Administration has OK'd new shots from Pfizer, Moderna and Novavax, but the approvals came with some new caveats.

·Seattle, United States
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King5 News broke the news in Seattle, United States on Wednesday, August 27, 2025.
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