Helpful Hints for Medicare Vaccination Coverage

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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, only those that are considered preventive. Depending on your Medicare plan, you may be responsible for all or a portion 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.

Flu Vaccine

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

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. If you are enrolled in a Medicare Advantage plan or Prescription Drug plan, however, a shingles vaccination is usually covered, but 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 to tetanus but want to receive the Tdap vaccine, you’ll be responsible for the full cost, whether you have a Supplement or Medicare Advantage plan.

Hepatitis B Vaccine

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 you can discuss with your doctor. 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 an increased risk for these diseases, you’ll pay for the vaccine out of pocket.

COVID-19 Vaccine

The COVID-19 vaccines and booster shots are fully covered for all Medicare beneficiaries, as they are considered preventive.

Offering Ohio, Indiana, and Kentucky Help with Medicare

We want to ensure you’re aware of costs and coverage when it comes to your Medicare plan. If you’re new to RetireMed and would like trusted advice on your health coverage, schedule a call with us or call 855.999.7981.

If you’d like to learn more about the vaccines covered by your plan, contact your client advisor team at 877.222.1942 or schedule a call.