UT Arlington is excited to partner with Passport Health/Staying Healthy Medical Services to provide our 2020 onsite Flu Shot Clinics. Please complete this online registration form and follow the below instructions so you are prepared for your appointment.

For employees with the following insurance, your immunizations are covered at 100% under your plan.

• UT SELECT & CONNECT Blue Cross Blue Shield of Texas PPO

Other health insurance plan options:

• Blue Cross Blue Shield*

• Aetna*

• Cigna**

• Humana

• United Health Care

• Medicare Part B (please provide copies of any supplement plans also)

*We are unable to accept Aetna & Blue Cross Gold, Silver or Bronze plans.

**We are unable to accept Cigna Local Plus plans.

We are unable to accept HMO plans.

If you do not have one of the accepted insurance plans you can still get a flu shot for $20. Please bring cash or a check made out to Staying Healthy Medical Services.

WHAT TO BRING

We require that all participants bring a PHOTO COPY of both their medical insurance card and driver’s license so that the information is correctly submitted for insurance coverage. The driver’s license number can be marked out. In addition, after you register, you will see a confirmation message containing a link to a consent form. Please click the link to download the consent form and bring a signed copy with you to your appointment. This will ensure the shortest possible wait.

Depending on carrier, insurance claims may be filed as Staying Healthy Medical Services or Community Health and Immunizations.

Thank you!



Clinic Location
First Name
Last Name
Email
Confirm Email
Services I'd like to receive
You will receive those immunizations as medically indicated by your health consultant staff. Vaccine Information Statements are available online here.




Need help? Contact us at info@stayinghealthymedical.com