Medicare Advantage Part D Vaccine Information

Did you know that you can save money by getting your vaccines in the right location. Most vaccines (and the cost to get them) are covered under your Medicare Prescription Drug (Part D) benefit.

Examples of vaccines covered under the Part D benefit include:

  • Zoster (Shingles) vaccine
  • Tetanus Diphtheria (Td) vaccine
  • Tetanus Diphtheria Pertussis (Tdap)

If you don’t have Quartz Medicare Advantage Part D:

If you didn’t choose to have Part D coverage, that means your Part D vaccines are not covered. However, a few vaccines are covered under Quartz Medicare Advantage Part B. These vaccines may be covered at no additional cost to you and examples include:

  • Influenza (flu) vaccine
  • COVID-19 vaccine
  • Hepatitis B vaccine (if you are high or moderate risk)
  • Pneumococcal vaccine
  • Tetanus vaccines necessary for the treatment of an illness or an injury that has occurred.

Convenient options to receive your Part D vaccines

All vaccines for adults that are recommended by the Advisory Committee on Immunization Practices (ACIP) will be covered at no additional cost to you.

You can get your Part D vaccines at a network pharmacy or doctor’s office. Choosing to receive the vaccine at a pharmacy is generally the most convenient and recommended option for you.

If you choose to get the vaccine in your doctor’s office, you may have to pay them directly. Most clinics are not able to bill Quartz directly for Part D services. If your clinic is not able to bill Quartz directly for Part D services, submit a Part D prescription drug reimbursement form to Quartz to be reimbursed. Include with the form your receipt of the billing statement. Quartz will fully reimburse you for what the doctor or clinic charges you on your bill.

Medicare Advantage Drug Information

Looking for information on your drug plan? Reach out to a Quartz Champion, or check your formulary (drug list).