Does Medicare Cover the Shingles Vaccine?
Original Medicare, Part A and Part B, does not cover the shingles vaccination. To get this covered, you must enroll in either a stand-alone Medicare Prescription Drug Plan (PDP) or a Medicare Advantage plan that includes prescription drug coverage (also known as Medicare Advantage Prescription Drug plan).
Medicare Prescription Drug Plans and Medicare Advantage plans that provide prescription drug coverage generally cover all commercially available vaccinations. These plans will cover the vaccination medication and the administration of the shot by your doctor or physician. Depending on your plan benefits, you may have to pay a copayment or coinsurance amount. Make sure to follow your plan’s guidelines for this vaccination to be covered.
You will pay the least amount of money out of pocket if you are vaccinated at a pharmacy in your drug plan’s network. If you have questions about which pharmacies are included in your plan’s network, contact your Medicare prescription drug plan or Medicare Advantage Prescription Drug plan for more information.