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Kath @kathmarval.bsky.social

There's more nuanced guidance for people born before 1957 who know they didn't have measles, or work in health care, but in general yes (for the US). If you were born after 1957 but before 1967, you might have gotten the wrong measles vaccine & you should seriously consider getting an MMR now. 1/

sep 8, 2025, 4:21 am • 0 0

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Libraryanna @libraryanna.bsky.social

If in doubt, a doctor can run a measles titer test.

sep 8, 2025, 4:39 am • 0 0 • view
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Kath @kathmarval.bsky.social

Yes. Sometimes they say just get the vaccine, it's simpler, & cheaper in the long run. It's kind of up to your doctor, oops, no, your insurance company which way is better (other things being equal, I've observed that the doc is likely to say just get the vaccine).

sep 8, 2025, 11:31 am • 0 0 • view
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Libraryanna @libraryanna.bsky.social

Um, insurance companies will recommend not doing something that costs money. I trust my doctor. Don’t you?

sep 8, 2025, 3:34 pm • 0 0 • view
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Kath @kathmarval.bsky.social

I think I wasn't clear. The doc will usually recommend the process the insurance co will pay for. Sometimes the insurance co will pay for titers but won't pay for a new shot unless the titers fail. Sometimes the insurance co will agree - just get the shot its simpler. 1/

sep 8, 2025, 9:29 pm • 0 0 • view
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Kath @kathmarval.bsky.social

I've seen docs say "just get the shot" when arguing w/ an insurance co isn't a factor. 2/2

sep 8, 2025, 9:30 pm • 0 0 • view
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Libraryanna @libraryanna.bsky.social

They know you. So unless there are contraindications, why wouldn’t they recommend a vaccine?

sep 8, 2025, 11:14 pm • 1 0 • view
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Kath @kathmarval.bsky.social

Let me try again. A doc recommended I just get an MMR, without bothering to check titers. I did. Sometimes, docs recommend checking titers, not because they think it's a better plan, but because the insurance co will pay for checking titers, but won't pay for the shot unless your titers are low. 1/

sep 9, 2025, 12:06 am • 0 0 • view
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Kath @kathmarval.bsky.social

That's how the insurance co gets into it. 2/2

sep 9, 2025, 12:06 am • 0 0 • view
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Kath @kathmarval.bsky.social

If you grew up outside the US, the birth year before which you're presumed to have gotten the measles may be different, because other countries introduced the measles vaccine later. 2/2

sep 8, 2025, 4:22 am • 1 0 • view
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Libraryanna @libraryanna.bsky.social

So that would be well after 1957!

sep 8, 2025, 4:38 am • 0 0 • view
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Kath @kathmarval.bsky.social

Yup.

sep 8, 2025, 11:32 am • 0 0 • view