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Does Medicare pay for shingles vaccine?

8 answers | Last updated: Sep 18, 2014
pomdog asked...
Will Medicare pay for the shingles vaccine?
For this question:

Caring.com User - Joseph L.  Matthews
Caring.com Expert
Joseph L. Matthews is a Caring.com Expert, an attorney, and the author of Long-Term Care: How to Plan & Pay for It and...
90% helpful

No, it won't. In general, Medicare doesn't do a very good job of covering preventive medical care . The only immunizations it covers are a yearly flu shot, the pneumonia vaccine, and the vaccine against hepatitis B (if you are at medium or high risk for contracting the disease).


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33% helpful
An anonymous caregiver answered...

if you are 65 or older medicare will pay for this vaccination. I am under that age and have several flareups of shingles. This is the diagnosis from my physician.


67% helpful
An anonymous caregiver answered...

The medicare co-pay for the shingles vaccine I paid was $90.00. The total cost for the vaccine was around $190.00. I had the vaccine back in the spring of this year (2013).


Mahakavi answered...

Medicare part B does NOT cover shingles vaccination. Part D covers it as a prescription drug (even though it is a preventive vaccine). If your Medicare advantage plan covers part D (drugs) then the shingles vaccine is covered. Your copay may vary from plan to plan. CDC determines the cost of the vaccine including the administration fee is around $190 (2013 price). The copay one has to pay may vary from $60 to 80 to 100. If you have a Medigap (supplemental coverage) policy you may avoid the copay also. Check with your Medigap policy administrator.


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