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Madison County Health Center participates in the Vaccine for Children Program (VFC).

VFC is an entitlement program based solely on eligibility for children from birth through 18 years of age who:

Medicaid eligible: A child who is eligible for the Medicaid program. (For the purposes of the VFC program, the terms "Medicaid-eligible" and "Medicaid-enrolled" are equivalent and refer to children who have health insurance covered by a state Medicaid program)

  • Uninsured: A child who has no health insurance coverage

  • American Indian or Alaska Native: As defined by the Indian Health Care Improvement Act (25 U.S.C. 1603)

  • Underinsured: A child who has commercial (private) health insurance but the coverage does not include vaccines, a child whose insurance covers only selected vaccines (VFC-eligible for non-covered vaccines only), or a child whose insurance caps vaccine coverage at a certain amount. Once that coverage amount is reached, the child is categorized as underinsured. Underinsured children are eligible to receive VFC vaccine only through a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC).


The Madison County Health Department offer vaccines for private insured individuals.  For the insured Madison County Health Department accepts most commercial insurances including the following insurance companies for billing:

  • AETNA Better Health

  • Anthem Blue Cross Blue Shield

  • Cigna

  • Care Improvement Plus (Flu and Pneumonia only)

  • Coventry

  • Cox Health

  • Golden Rule

  • Group Health Plan

  • Healthlink HMO & PPO

  • Home State Health Plan

  • Humana (Flu and Pneumonia only)

  • Medicaid

  • Medicare (Flu and Pneumonia only)

  • Meritain Health

  • Missouri Care Health Plan

  • Tricare

  • UMR

  • United Healthcare


Please bring your insurance card on each visit to the health department for verification of billing information. Contact your insurance company regarding any questions about benefits and/or coverage.


Adults with no health insurance, those under-insured without access to care, and those with insurance with a high deductible that they are unable to pay may be eligible for certain vaccines. Call the health department to see if you qualify: 573-783-2747



Immunization Shot Clinic Schedule

Shots are given with an appointment or walk-in 

Monday- Friday from 7:00- 11:30 AM & 1:00-5:00 PM

Please bring Blue Immunization Record with you to each visit or an updated copy of shot record.


Check with our nurses to see if you qualify for available vaccine.

The immunization program is offered in cooperation with the Missouri Department of Health and Senior Services and CDC.  Our vaccines are purchased, in part, with federal funds.   If you have any questions, please call this number: 573-783-2747


Click on the links below to learn more about immunizations:


Flu information from the U.S. Center for Disease Control

Missouri Department of Health & Senior Services

Centers for Disease Control and Prevention - Your Online Source for Credible Health Information

Tips for Locating Old Immunization Records


Immunization Notice

The Centers for Disease Control and Prevention (CDC) is implementing changes to Section 317 policy. Beginning October 1, 2012, Section 317 vaccine may not be used for routine vaccination of any fully insured individual.

The CDC defines fully insured as:
Anyone with insurance that covers the cost of vaccine, even if the insurance includes a high deductible or co-pay, or if a claim for the cost of the vaccine and its administration would be denied for payment by the insurance carrier because the plan’s deductible had not been met.

In order to assure that 317 vaccines remains available for those who truly have no other option, it is important that all fully insured children are vaccinated with vaccines purchased through their insurance. If you fall under this category you will need to contact your primary care physician for your child’s immunizations. The Vaccines for Children (VFC) program will continue to serve eligible children and adolescents.

For more information regarding this policy change, contact the Madison County Health Department at 573.783.2747 or the Missouri Department of Health & Senior Services, Bureau of Immunization Assessment and Assurance at 800.219.3224.

Click below for updated Weekly Influenza Surveillance Report
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