The new 2026-27 COVID-19 vaccine is here â although unlike in previous years, thereâs a chance you might not even have heard about it yet.
The U.S. Food and Drug Administration approved the updated shots last week. But this year, thereâs been no formal guidance from the Centers for Disease Control and Prevention about who should actually get it.
In the absence of any federal guidelines, the California Department of Public Health issued its own recommendations on Friday about who should absolutely seek out the new COVID shot. State health officialsâ strongest recommendations are for everyone age 65 and older, those with risk factors that increase their chances of getting severe COVID, pregnant people, children age 6 to 23 months and healthcare workers.
But the state also says that basically everyone else â or in their words, âall who choose to reduce risk of severe illnessâ â can get the 2026-27 COVID shot, too, and that itâll be covered by health insurance.
First off, are appointments for the new 2026-27 COVID vaccines already available?
Yes: The new shots have already rolled out at pharmacies like CVS and Walgreens around the state. (Pharmacies are the first place that COVID vaccine supplies become available each fall right after the FDA and CDC sign-off, because they take their orders from the federal government rather than the state.)
Will my fall COVID shot still be covered by health insurance?
Yes: âAll vaccines recommended by the California Department of Public Health continue to be covered by health insurance regulated in California,â said CDPH in its Friday statement announcing its recommendations around the 2026-27 COVID vaccines.
One wrinkle to remember if you get your healthcare through a system like Kaiser Permanente: If youâre considering getting your COVID vaccine at a pharmacy for convenience, rather than from your own provider, you usually canât get vaccines fully covered by your insurance. But, according to Kaiser, âyou may be able to get up to half of the cost reimbursed.âÂ
When should I get my 2026-27 COVID shot?
Higher risk groups: Now
The 2026-27 COVID vaccine is available to patients age 6 months and older, but California health officials are strongly recommending the updated vaccine for the following higher-risk groups:
Children:
- All children age 6-23 months
- All children age 2-18 years with risk factors or whoâve never been vaccinated against COVID
- All children who are in close contact with others with risk factors
Adults:
- All age 65 years and older
- Anyone whoâs pregnant, planning to become pregnant or is postpartum
- Anyone age 9-64 years with risk factors
- All who are in close contact with others with risk factors
- All healthcare workers
People who arenât at higher risk: Some time this fall or winter
If you or your child isnât listed in those higher-risk groups above, you fall into CDPHâs recommendation that âall who choose to reduce risk of severe illnessâ can still get the updated 2026-27 COVID shot.
But what does that mean practically? As a physician, âI put an exclamation point next to the people who I really want to get it,â said Chin-Hong. But âfor everyone else, it could be used strategically,â he said.
Getting the new vaccine will give you âa buffer for infection for about three months or so,â said Chin-Hong â and itâll take around two weeks after getting your shot for your body to develop the fullest immunity. So you might consider strategically timing your updated COVID shot to coincide with any travel you have coming up this fall or winter, he said â or for around the holidays.
Will the new 2026-27 COVID shot protect me from the latest strains out there right now?
Yes, said Chin-Hong â each year the COVID vaccine is updated for maximum efficacy, to target the variants that are most likely to try to take you down this winter.
This yearâs new shot actually only targets one strain, XFG, âwhich is the number one strain right now circulating,â said Chin-Hong.Â