Medicare Covered Vaccines - But Which Part Letter Covers Your Vaccine?

Both Medicare Part D and Part B can cover the cost of vaccines, but it depends on the type of immunization on which plan letter covers which vaccines .

Most (but not all) commercially available vaccines will be listed in your plan’s formulary and will be covered under your Part D plan (Prescription Drug Plan). However, some vaccines will be covered under Part B. Some of those Part B coverage exceptions are: Flu, Pneumonia, Hepatitis B, and COVID-19 vaccinations.

The amount you pay for your vaccine may depend on several things:

  • Where you get vaccinated (in-network or out-of-network)
  • Your copay or coinsurance amount (Determined by the tier level of vaccination in your plan)
  • If have satisfied your annual deductible yet. (If applicable)
  • If the vaccination is listed in your Part D plan formulary or if it is covered by Part B.
  • If a shot is covered under Part B, you possibly may be responsible for up to 20% of the cost depending on what type shot you get and if it was administered by a doctor in a doctor’s office. Always best to ask BEFORE you get your shot, so no surprise after the fact.

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

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