Medicare Coverage of Immunizations

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Medicare Part B
Medicare Part D

You may have a large deductible or copay.
Call the customer service number on the back of your plan card to find out how much it will cost you to get vaccinated.

MEDICARE PART B
Medical benefits

Who has Medicare Part B coverage?

Almost all adults over the age of 65 have Medicare Part B coverage, either directly or through a Medicare Advantage Plan.

What immunizations does Medicare Part B cover?

  • All influenza vaccines
  • Pneumococcal vaccine [1] [2]
  • Medically necessary vaccines (Td for wound management or Hepatitis B for high risk people) [1]

Where can a person use Medicare Part B insurance coverage?

  • Medical offices
  • Some pharmacies
  • Some local public health departments

MEDICARE PART D
Prescription benefits

Who has Medicare Part D coverage?

Medicare eligible adults who have chosen to enroll in a prescription drug benefit plan.

What immunizations does Medicare Part D cover?

All immunizations not covered by part B, including:

  • Tdap (tetanus, diphtheria, pertussis) [1]
  • Zoster (shingles) [1]
  • Varicella (chickenpox) [1]
  • Hepatitis B [1]

Where can a person use Medicare Part D insurance coverage?

  • Pharmacies
  • Some medical offices
  • Some local health departments

[1] Deductibles and copays may be applied.

[2] There are two different pneumococcal vaccines recommended for age 65 and older, coverage is only for the first dose given.

Updated Monday, September 22, 2014 at 10:51AM