It is CDC’s intention to ensure that all individuals have equitable access to vaccines.   Referring uninsured and underinsured individuals to a different organization for vaccination is considered denying vaccination based on the recipient’s coverage status or network status.  If a provider remains in the CDC COVID-19 Vaccination Program, CDC’s expectation is that providers will not engage in any of the following: Administering COVID-19 Vaccine at any out-of-pocket cost to the recipient Denying anyone vaccination, or differentially reducing appointment access, based on the vaccine recipient’s coverage status or network status Charging an office visit or other fee if COVID-19 vaccination is the sole medical service provided Requiring additional medical services to receive COVID-19 vaccination Seeking any reimbursement, including through balance billing, from the vaccine recipient