PDF Output - Cummins HealthSpan

Dear Cummins Employee:
There's one thing that's certain about the flu: it's unpredictable. That's why we've teamed up with
Walgreens this year and are encouraging all employees and their spouse/domestic partners to protect
themselves with a FREE Walgreens flu shot. The Centers for Disease Control and Prevention
recommends everyone over 6 months of age get a seasonal flu shot. It's quick, easy and simply your
best protection against the flu this season.
When you get your flu shot, present your employee ID badge if you are an employee and a photo ID if
you are a spouse/domestic partner with your voucher. State, age and health condition-related
restrictions may apply. Please consult your Walgreens pharmacist if you have any questions or
concerns.
Get your seasonal flu shot where and when it's most convenient for you. Walgreens administers flu
shots daily at all of its locations - with no appointment necessary. You can also redeem your voucher
at any Healthcare Clinic in select Walgreens or at any Duane Reade location. To find the Walgreens
nearest you, call 800-WALGREENS (800-925-4733) or visit us online at Walgreens.com.
This voucher entitles you to
one flu shot
at no charge.*
* Vaccine not valid in ND. This voucher can be used only
once. It may not be copied, duplicated or transferred.
Healthcare Clinic patient services provided by Take Care
Health Services, an independently owned professional
corporation. “No charge” refers to out-of-pocket
payment due at time of service. Vaccination indicated
on this voucher may be covered by your health plan
benefit. This voucher is not insurance and may not be
used in combination with any insurance billing,
copayment, or any other vaccination payment or
reimbursement. This voucher may not be redeemed for
other vaccinations not indicated on this voucher.
Vaccines are subject to availability. State, age and
health condition-related restrictions may apply
A wellness benefit
brought to you by
Information below must be completed prior to receiving your shot.
Name:
Date of Birth:
Home ZIP Code:
†Points cannot be earned in AR, NJ or NY. For complete
Terms and Conditions, please go to Walgreens.com/
Balance for details.
Group #: 5933XBJRV Expires: 03/31/2015
To find a location near you, call 800-WALGREENS (800-925-4733) or visit Walgreens.com/flu
Provider, please use the following input codes - Plan ID: IMZ
Recipient #: 8-digit patient DOB, 5-digit patient ZIP Code, 5-digit store #
.
13FL0011