Will Medicare Cover New Shingles Vaccine

The devil is in the details. Medicare coverage for shingrix and zostavax the two commercially available shingles vaccines is provided only if you are enrolled in a stand alone part d drug plan or a medicare advantage plan that includes part d drug coverage. Medicare part b covers a small handful of vaccines for the flu hepatitis b and the pneumococcal pneumonia vaccine.

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Is The Shingles Vaccine Covered By Medicare

Here s the quick answer.

Will medicare cover new shingles vaccine.

On the other hand medicare part d or a medicare advantage plan that includes part d coverage typically does cover the vaccine. Medicare requires part d plans to cover the shingles vaccine so if you re enrolled in part d you shouldn t. Original medicare part a and part b does not cover the shingles vaccination but medicare part d does. While original medicare medicare part a and part b does not cover the shingles vaccine called shingrix some medicare advantage plans and some medicare part d plans may offer coverage for the vaccine.

Surprisingly original medicare parts a and b doesn t cover the shingles vaccine even though it covers other vaccines like the flu vaccine and pneumonia shot. Original medicare part a hospital coverage and part b medical coverage doesn t cover the shingles vaccine. To get this covered you must enroll in either a stand alone medicare prescription drug plan pdp or a medicare advantage plan that includes prescription drug coverage also known as medicare advantage prescription drug plan. Generally medicare prescription drug plans part d cover all commercially available vaccines like the shingles shot needed to prevent illness.

However there are other medicare plans that may cover at least part of the costs. Medicare part a hospital insurance or medicare part b medical insurance doesn t cover the shingles shot. Contact your medicare drug plan for more information about coverage.

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Does Medicare Cover Shingles Vaccines Like Shingrix

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