Which Vaccines Does Medicare Cover
Vaccinations are an important part of preventive healthcare, especially for older adults who may be at higher risk of serious illness. Fortunately, Medicare provides coverage for many common vaccines, but which vaccines does Medicare cover? Additionally, knowing which part of Medicare covers what can help beneficiaries avoid surprise costs.
Vaccines Covered by Medicare Part B
Medicare Part B covers certain vaccines that are considered medically necessary for disease prevention. These include:
- Flu shot (Influenza vaccine): Covered once per flu season, and sometimes more if medically necessary.
- Pneumococcal vaccine: Helps prevent pneumonia and other infections. Medicare covers two different pneumococcal shots at no cost when given at least one year apart.
- Hepatitis B vaccine: Covered for beneficiaries at medium or high risk (such as those with diabetes, liver disease, or certain occupational exposures).
- Vaccines needed due to injury or exposure: For example, if you’re exposed to rabies or step on a rusty nail and need a tetanus shot, Medicare Part B covers it.
There’s no deductible or copayment for these vaccines if you receive them from a provider who accepts Medicare assignment.
Vaccines Covered by Medicare Part D
Medicare Part D (prescription drug coverage) handles most other commercially available vaccines that are not covered by Part B. This includes:
- Shingles (Herpes Zoster) vaccine
- Tetanus, Diphtheria, and Pertussis (Tdap) vaccine when not related to an injury
- RSV (Respiratory Syncytial Virus) vaccine for older adults
- Travel vaccines, such as those for hepatitis A or typhoid, depending on your plan
Part D plans must cover all vaccines recommended by the Centers for Disease Control and Prevention (CDC) that aren’t already covered by Part B. Since 2023, beneficiaries pay no out-of-pocket costs for these recommended vaccines under Part D.
Watch a YouTube video on the Medicare Prescription Payment Program
Why Staying Up to Date Matters
Getting the right vaccines can help prevent hospitalizations and serious illness. With Medicare’s expanded coverage, beneficiaries can stay current on vaccinations at little to no cost. It’s always best to check with your provider or Part D plan to confirm coverage before receiving any vaccine
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Medicare makes it easier than ever to stay protected. Part B covers flu, pneumonia, Hepatitis B (for those at risk), and vaccines needed due to injury, while Part D covers all other recommended vaccines; often at no cost.