Does "Medicare" cover shingles shots?

[cilla4progress]

My Plan D carrier says they cover it, but I have a $400 deductible. The expensive Shingrix shot costs about $200

My medigap insurance is saying they will pick up the deductible "if Medicare covers it" and that Plan D is not "Medicare" so they won't cover it.

So... Is Plan D Medicare or ...???

TIA!

[LakeArenal]

1. Mine was not covered by either Medicare nor my supplemental

Mr Lake’s supplemental did.

[OAITW r.2.0]

2. I have A/B and they quoted me $260.00 w/o any C coverage.

So, I don't think so. I may still get the shot, though. My aunt had Shingles and it was pretty painful for her.

[cilla4progress]

3. Yes,

me, too.

[mainer]

4. I think the old vaccine was

But Shingrix I paid for out of pocket. It’s a more effective vaccine.

[viva la]

5. It's the prescription coverage, and plan b covers most vaxxes

So if you were over the deductible, presumably it would cover it.
And if you're NOT over the deductible, it sounds like your medigap should.

Are you getting it at your dr or a pharmacy? I got it at a pharmacy, and my insurance covered it. AFter all, it's much cheaper than paying for treatment if you get it!


I had to get it twice, as the current one replaced a not-as-effective one.

[enough]

6. Yes. We had ours for $47 for each shot. NT

[ramblin_dave]

7. It's covered by part D, if you have that

https://www.aarp.org/health/medicare-qa-tool/does-medicare-cover-shingles-shot/]

[viva la]

8. from the medicare site-

Medicare Part D covers most vaccines and immunizations. However, there are certain vaccinations that are always covered by Part B:
Influenza (flu) shots, including both the seasonal flu vaccine and the H1NI (swine flu) vaccine
Pneumococcal (pneumonia) shots
Hepatitis B shots
COVID-19 vaccine

--

No mention of shingles, but "most vaccines" should include that.

[MLAA]

9. I'm pretty sure my private insurance did NOT cover it when I got it a couple of

years ago. Crazy.

[Jilly_in_VA]

10. Not really

Last quote I got was in the $170-something range. Oh yeah, they want you to get it, but they want you to pay through the nose for it too.

[PJMcK]

11. Iposted about my Shingrix shot the other day and Medicare coverage came up

Here's a site that might clarify Medicare coverage.

https://www.medicare.gov/coverage/shingles-shots

Good luck. You don't want to get shingles.

[nancy1942]

12. Yes , it did mine at least.

[cilla4progress]

13. I understand that my Medicare part D covers it,

but I have a $400 deductible that I am responsible for.

Medigap won't pay on the deductible for prescriptions.



Thanks!

[multigraincracker]

14. My union won supplemental retiree's

insurance covered it all.

[PoindexterOglethorpe]

15. My Advantage plan covered it.

I know it's popular to trash Advantage plans, but they tend to be focussed on prevention, and so cover things like Shingrix. What a novel concept.