Basic Medicare coverage, Part A and Part B, does not cover the shingles vaccination.
Coverage Options for the Shingles Vaccine
One option for coverage is to enroll in a Medicare Prescription Drug Plan (PDP). Another way to gain coverage for the shingles vaccine is to enroll in a Medicare Advantage Prescription Drug Plan (a Medicare Advantage plan that specifically includes prescription drug coverage).
Both plans provide prescription coverage for almost all commercially available vaccinations, and include both the medication and the cost of administering the shot in their coverage.
For help finding a Medicare Prescription Drug Plan try our Medicare Cost Revealer where you can add your prescription drugs and compare the true cost of using each plan.
Depending on your plan benefits, you may still be responsible for a copayment or coinsurance amount, even with coverage. Check your plan's guidelines before you receive the vaccination to ensure you work with an in-network vaccination provider to minimize costs.
Other Options for Obtaining the Shingles Vaccine
Getting vaccinated at a pharmacy that is within your drug plan's network will generally be the best option for reducing the amount you spend out of pocket. To check if a pharmacy is included in your network, refer to your Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug Plan.
You can also search for an appropriate plan with our Medicare Cost Revealer or contact Medicare with questions at any time at 1-800-MEDICARE (1-800-633-4227; TTY users 1-877-486-2048).
Each Medicare plan covers different drugs, and re-imburses different amounts.
Until now, it was impossible to compare Medicare plans — to know how much you will really pay under each plan.
Medicare Helper is proud to introduce our Medicare True-Cost Revealer. Just tell us your drugs, and we’ll show you the "Everything Cost" for each plan — that is, the real cost of the plan through the year.