PART D covers most vaccines that your doctor recommends you get. The only exceptions are the flu, pneumonia, and hepatitis B vaccines, and certain vaccines that you receive after being exposed to a dangerous virus or disease (such as COVID 19 – see Part B below). Part D plans must include most commercially available vaccines on their formularies, including the vaccine for shingles (herpes zoster).
The amount you pay for your vaccine may vary depending on where you are vaccinated. Make sure to check your plan’s coverage rules and see where you can get your vaccine at the lowest cost. Typically, you will pay the least for your vaccinations at:
- In-network pharmacies
- A doctor’s office
PART B covers certain vaccines – influenza (flu) shots, pneumonia shots, and hepatitis B shots for people who are at high risk of contracting hepatitis B. Part B also covers vaccines after you have been exposed to a dangerous virus or disease, such as COVID 19 or tetanus.
Note: If you have a Medicare Part C plan, your plan automatically includes Parts A (hospital insurance) and Part B (medical insurance) in one plan, and may include Part D (drugs). A Medicare Supplement (Medigap) Plan requires the addition of a stand-alone Part D Drug Plan.