Patient Eligibility

Patients who meet the following criteria may be eligible for GSK Vaccines Access Program:

  • The patient has no health insurance for vaccines,
  • The patient is an adult, age 19 or older
  • The patient lives in one of the 50 states or the District of Columbia, and
  • The patient has an annual household income less than or equal to 250% of the federal poverty level, adjusted by household size.

Income limits

Maximum Monthly Gross Income
Household Size
48 States and D.C.
Alaska
Hawaii
1
$2,475.00
$3,091.67
$2,847.92
2
$3,337.50
$4,170.83
$3,839.58
3
$4,200.00
$5,250.00
$4,831.25
4
$5,062.50
$6,329.17
$5,822.92
For each additional person, add
$862.50
$1,079.17
$991.67
Calculate your monthly income limit if you have more than 4 people in your household

Household Income
Income documentation such as tax forms will no longer be required to confirm eligibility as the program will complete automated validation of income. The program will reach out when circumstances require these forms to ensure current and accurate information has been received.

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