Vaccines can be an important way to help reduce your risk of certain infections and viruses. But how does Medicare cover these, including the COVID-19 vaccine? Let’s take a look…
Vaccines Under Medicare Part B
COVID-19 (no-cost)
The COVID-19 vaccine is covered by Medicare. Whether you have Original Medicare or Medicare Advantage, you will not pay for the shot or the administration of it. More information via the CDC.
Flu (no-cost)
The flu vaccine is covered once every flu season.
Pneumonia (no-cost)
The pneumonia (pneumococcal) vaccine is covered at anytime, however it’s typically only required once in your lifetime. If a 2-dose series of shots is recommended by your doctor, the second shot is covered if given at least one year after the first shot.
Hepatitis B (No-Cost)
The hepatitis B vaccine is covered if you’re at a higher risk for hepatitis B.
Vaccines Under Medicare Part D (or Medicare Advantage)
IMPORTANT: In order for Part D vaccinations to be fully covered, you must get them at a pharmacy. If your doctor’s office administers the vaccination in their office, you typically will be charged.
Shingles (No-Cost as of 1/1/2023)
Starting in 2023, the shingles vaccine is now 100% covered by your stand-alone Part D drug plan or Medicare Advantage plan with Part D drug coverage!
Tdap (No-Cost as of 1/1/2023)
Starting in 2023, the Tdap vaccine is now 100% covered by your stand-alone Part D drug plan or Medicare Advantage plan with Part D drug coverage! This is the adult booster shot for tetanus, diphtheria, and pertussis (whooping cough).
Click here for the CDC’s complete recommended adult immunization schedule. And contact us for specific answers to your vaccination coverage under Medicare.
Reference Links
www.medicare.gov
COVID-19 Coverage
COVID-19 Shots (CDC)
Pneumococcal Shots
Shingles Shots
Shingles Shots (CDC)
Flu Shots
Hepatitis B Shots
Tdap Shots
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