Medicare Coverage and the Shingrix Vaccination

There are several vaccines that Medicare will cover, but is Shingrix one of those? If you only have Original Medicare, you do not have coverage for a Shingrix vaccination.

What is shingrix?

Shingrix is a shingles vaccination and the only one that’s been approved by the FDA in the past 10 years. The Shingrix vaccine has been proven to be 90 percent effective against shingles.

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How it works

The Shingrix vaccine helps boost the body’s protection and defense against shingles. As people age, their immune system gets weaker. A lower immune system leaves you vulnerable to shingles.

Medicare coverage

Part A and Part B of Original Medicare will not cover the costs of a shingles vaccination. However, if you are enrolled in Medicare Advantage (Part C) or a Medicare Prescription Drug Plan (Part D), you could have coverage.

Medicare Part D plans and Medicare Advantage plans offer coverage for almost all commercially available vaccines. The coverage for these vaccinations extends from medication to administering the shot.

Depending on your plan, you will likely have to cover the costs of a copayment or coinsurance. Talk to your doctor about what is the best option for you.

In order to pay the least amount of money, you should get your vaccinations at a pharmacy that is in your plan’s network. If you are not sure which pharmacies are in your plan’s network, you can contact your Medicare Advantage or Medicare Part D plan directly for more information.

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