Helpful Hints for Medicare Vaccination Coverage

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. Depending on your Medicare plan, you may be responsible for all or a portion of a vaccine’s cost.

Our team at RetireMEDiQ 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 generally covered. If you are 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.

Hepatitis B

Hepatitis B is a virus that can infect the liver. Medicare Part B may cover your hepatitis B shot if you have a higher risk for Hepatitis B. Diseases such as hemophilia, diabetes, End-Stage Renal Disease, and other factors may put you at a higher risk for Hepatitis B.

We want to ensure you are aware of costs and coverage when it comes to your Medicare plan. If you would like to learn more about the vaccines Medicare covers, contact our team at 1-877-222-1942 or client@retiremediq.com.

 

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