Helpful Hints for Medicare Vaccination Coverage

By RetireMEDiQ

It’s important to take care of your health by receiving vaccinations as directed by your doctor. As you consider your doctor’s recommendations, be mindful that not all vaccines are covered by Medicare Part B. You could be responsible for all or part of an injection’s cost, depending on your Medicare plan.

The RetireMEDiQ Client Services team created the hints below regarding Medicare coverage guidelines for common vaccines. Keep these helpful tidbits in mind to ensure you are aware of the potential costs associated with your next vaccine!

Flu

A flu vaccine is considered preventive and therefore, Part B covers one flu vaccination per flu season.

Pneumococcal

A pneumococcal vaccine is considered preventive, as it is designed to prevent pneumococcal infections, such as certain types of pneumonia. Part B covers one pneumococcal vaccination per 12 months, as well as a separate second vaccination if administered one year or more after the initial vaccination. If your health care provider recommends this vaccine, he or she will be able to determine if you need the initial vaccination or both.

Shingles

A shingles vaccine is not classified as preventive and is not covered by Part B. If you are enrolled in a Medicare Advantage plan or Prescription Drug Plan, a shingles vaccination is covered. If not, you will be required to pay for the entire cost of the injection.

Tdap

Tdap is the vaccine for tetanus, diphtheria and pertussis (also known as whooping cough). Tdap is not considered preventive and is not covered by Part B unless one has been directly exposed to tetanus. If you have not been exposed, but wish to receive the vaccine, you will be responsible for the full cost of the vaccine. The same guidelines apply if you are enrolled in a Medicare Advantage plan.

We want to ensure you are always knowledgeable about your Medicare costs and coverage. If you would like to learn more about the vaccines Medicare covers, contact our Client Services team at 1-877-222-1942 or client@retiremediq.com.

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