For retirees using IRMP with prescription benefits (Cigna and Anthem Blue Cross Plans): Effective August 1, 2011 you can receive vaccines at a $0 copayment or coinsurance even if you haven’t met the plan deductible, when administered at a participating retail pharmacy. Click here for the list of vaccines that are available and for a number to call to verify that your retail pharmacy participates in the Medco network. Some common vaccines that are on the list: Shingles vaccine, Influenza type A & B vaccines, and several vaccines that travelers may utilize like Yellow Fever vaccine, and Typhoid vaccine.
All states will be required to operate a health insurance exchange by January 1, 2014. Here is an example of how Oregon plans to do it.