Medicare Coverage of Immunizations

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Medicare Coverage of Immunizations (PDF)

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Medicare Part B
Medicare Part D

Medicare Part B

• Medial 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.
• Medically necessary vaccines (Td for wound management or Hepatitis B for people at intermediate or high-risk).
• COVID-19 vaccine.

Where can a person use Medicare Part B insurance coverage?

• Medical offices, some pharmacies, and 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).
• Zoster (shingles).
• Varicella (chickenpox).
• Hepatitis B - Covered under Part D benefit for people not at high or intermediate risk.

Where can a person use Medicare Part D insurance coverage?

• Pharmacies, some medical offices, and some local health departments.