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cilla4progress

(25,676 posts)
Mon Jan 24, 2022, 06:31 PM Jan 2022

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!

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Does "Medicare" cover shingles shots? (Original Post) cilla4progress Jan 2022 OP
Mine was not covered by either Medicare nor my supplemental LakeArenal Jan 2022 #1
I have A/B and they quoted me $260.00 w/o any C coverage. OAITW r.2.0 Jan 2022 #2
Yes, cilla4progress Jan 2022 #3
I think the old vaccine was mainer Jan 2022 #4
It's the prescription coverage, and plan b covers most vaxxes viva la Jan 2022 #5
Yes. We had ours for $47 for each shot. NT enough Jan 2022 #6
It's covered by part D, if you have that ramblin_dave Jan 2022 #7
from the medicare site- viva la Jan 2022 #8
I'm pretty sure my private insurance did NOT cover it when I got it a couple of MLAA Jan 2022 #9
Not really Jilly_in_VA Jan 2022 #10
Iposted about my Shingrix shot the other day and Medicare coverage came up PJMcK Jan 2022 #11
Yes , it did mine at least. nancy1942 Jan 2022 #12
I understand that my Medicare part D covers it, cilla4progress Jan 2022 #13
My union won supplemental retiree's multigraincracker Jan 2022 #14
My Advantage plan covered it. PoindexterOglethorpe Jan 2022 #15

OAITW r.2.0

(28,135 posts)
2. I have A/B and they quoted me $260.00 w/o any C coverage.
Mon Jan 24, 2022, 06:35 PM
Jan 2022

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

viva la

(3,720 posts)
5. It's the prescription coverage, and plan b covers most vaxxes
Mon Jan 24, 2022, 06:36 PM
Jan 2022

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.

viva la

(3,720 posts)
8. from the medicare site-
Mon Jan 24, 2022, 06:38 PM
Jan 2022

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.


Jilly_in_VA

(10,795 posts)
10. Not really
Mon Jan 24, 2022, 07:23 PM
Jan 2022

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

(22,809 posts)
11. Iposted about my Shingrix shot the other day and Medicare coverage came up
Mon Jan 24, 2022, 07:35 PM
Jan 2022

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.

cilla4progress

(25,676 posts)
13. I understand that my Medicare part D covers it,
Mon Jan 24, 2022, 08:07 PM
Jan 2022

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

Medigap won't pay on the deductible for prescriptions.



Thanks!

PoindexterOglethorpe

(26,544 posts)
15. My Advantage plan covered it.
Mon Jan 24, 2022, 08:29 PM
Jan 2022

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.

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