Medicare Vaccination Coverage

Posted: April 20, 2023, 11:19AM

The Inflation Reduction Act passed last year included changes in Medicare benefits. One of these additional benefits is the coverage of vaccinations under prescription drug coverage that some beneficiaries have as separate coverage (a Part D product) or as part of their Medicare Advantage coverage. This includes the pneumonia vaccination, the two-part shingles shot, and others.

If a Medicare beneficiary does NOT have prescription drug coverage, they will most likely have a fee for vaccinations. In addition, those beneficiaries who did not enroll in a Part D plan or a Medicare Advantage plan with drug coverage, or who did not have creditable coverage through separate coverage, will pay a penalty for the time they were eligible but did not enroll.

Learn more about Medicare Part D.