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 some or all of a vaccine’s cost.

If you’ve ever wondered, “Does Medicare cover this vaccine?” our team is here to help clarify that for you. Keep this information in mind to ensure you’re aware of the potential costs associated with your next vaccine.

Annual Flu Shot

Since a flu vaccine is considered preventive, Medicare Part B covers one flu vaccination per flu season. You will not pay anything to receive your flu shot as a Medicare beneficiary.

Pneumococcal Vaccine

pneumococcal vaccine is also considered preventive, as it’s 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 Vaccine

shingles vaccine is not classified as preventive and is not covered by Medicare Part B.

But if you are enrolled in a Medicare Advantage plan or Prescription Drug plan, a shingles vaccination is usually covered. However, you can still expect to pay a copay or coinsurance for it.

If you aren’t enrolled in Medicare Advantage or Prescription Drug plan, you’ll be required to pay for the entire cost of the shingles vaccine.

Tdap Vaccine

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 you’ve been directly exposed to tetanus.

If you haven’t been exposed but want to receive the vaccine, you’ll be responsible for the full cost of Tdap vaccination, whether you have a Supplement or 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, which your doctor can discuss with you. Diseases such as hemophilia, diabetes, End-Stage Renal Disease, and other factors may put you at a higher risk for Hepatitis B. If you don’t have or aren’t at a higher risk for these diseases, you’ll pay for the vaccine out-of-pocket.

COVID-19

The COVID-19 vaccines are fully covered for Medicare beneficiaries both in- and out-of-network. This is because they are considered preventive.

Offering Cincinnati and Dayton Help With Medicare

We want to ensure you’re aware of costs and coverage when it comes to your Medicare plan. If you’d like to learn more about the vaccines covered by your Medicare plan, contact our client advisors at 1-877-222-1942 or schedule a call.

If you’re new to RetireMEDiQ but have questions regarding your next steps with Medicare, schedule a call with our team!

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