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.

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

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