Medicare covers most recommended vaccines, and since 2023 the Inflation Reduction Act eliminated cost-sharing for all Part D vaccines, meaning you pay $0 for covered vaccines regardless of whether you have met your deductible. The key is knowing which part of Medicare covers each vaccine.
Part B vs. Part D Vaccine Coverage
| Vaccine | Covered Under | Your Cost |
|---|---|---|
Flu (influenza) | Part B | $0 |
COVID-19 | Part B | $0 |
Pneumococcal (pneumonia) | Part B | $0 |
Hepatitis B (medium/high risk) | Part B | $0 |
Shingles (Shingrix) | Part D | $0 (since 2023) |
Tdap / Td (tetanus, diphtheria, pertussis) | Part D | $0 (since 2023) |
RSV (Abrysvo/mResvia) | Part D | $0 (since 2023) |
Hepatitis A | Part D | $0 (since 2023) |
All Part D Vaccines Are Now $0
As of January 1, 2023, the Inflation Reduction Act requires Medicare Part D plans to cover all ACIP-recommended vaccines at $0 cost-sharing. This includes shingles, Tdap, RSV, and others that previously had out-of-pocket costs.
Where to Get Vaccines
Part B vaccines (flu, COVID-19, pneumococcal) can be administered by any Medicare-enrolled provider, including pharmacies. Part D vaccines are typically obtained at in-network pharmacies. If your doctor administers a Part D vaccine in their office, it may still be billed through Part D, so confirm with your pharmacy or plan beforehand to avoid billing confusion.
Does Medicare Advantage cover vaccines?
Yes. Medicare Advantage plans must cover the same vaccines as Original Medicare at no cost. Most MA plans cover both Part B and Part D vaccines at $0.
Why was I billed for my shingles vaccine?
If you were billed for a shingles vaccine after January 1, 2023, it may have been billed incorrectly or administered outside your plan's network. Contact your Part D plan to dispute the charge.
Do I need a prescription for Medicare vaccine coverage?
Part B vaccines generally do not require a prescription. Part D vaccines may require a prescription depending on the pharmacy and plan.
Need Help Understanding Your Medicare Options?
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