Does "Medicare" cover shingles shots?
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
(28,889 posts)Mr Lakes supplemental did.
OAITW r.2.0
(24,783 posts)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
(24,802 posts)me, too.
mainer
(12,037 posts)But Shingrix I paid for out of pocket. Its a more effective vaccine.
viva la
(3,371 posts)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
(13,270 posts)ramblin_dave
(1,549 posts)viva la
(3,371 posts)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
(17,375 posts)years ago. Crazy.
Jilly_in_VA
(10,045 posts)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
(22,074 posts)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
(635 posts)cilla4progress
(24,802 posts)but I have a $400 deductible that I am responsible for.
Medigap won't pay on the deductible for prescriptions.
Thanks!
multigraincracker
(32,756 posts)insurance covered it all.
PoindexterOglethorpe
(25,930 posts)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.