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Vaccines under Medicare Part D

  • June 04, 2021
  • |Quartz
|
As you know, information is always subject to change.
There may have been updates since this blog post was published.
Questions? Please contact Customer Service
Vaccines

Most vaccines are covered under Medicare Part D and should be administered at a pharmacy. Most medical providers are not set up to bill Medicare Part D. If a provider administers a Part D vaccine in a clinic or other provider facility, the patient will typically have a higher bill than if had they received the same vaccine at a pharmacy.

Note: Providers can administer and bill certain vaccines covered under Part B. This includes vaccinations for influenza, pneumococcal, and Hepatitis B (if intermediate to high risk). Part B also covers vaccines if the patient is exposed to a virus or disease (e.g., tetanus vaccination is covered if the patient stepped on a rusty nail, rabies vaccination is covered if bitten by a dog, etc.).

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Vaccines under Medicare Part D

  • June 04, 2021
  • |Quartz
|
As you know, information is always subject to change.
There may have been updates since this blog post was published.
Questions? Please contact Customer Service
Vaccines

Most vaccines are covered under Medicare Part D and should be administered at a pharmacy. Most medical providers are not set up to bill Medicare Part D. If a provider administers a Part D vaccine in a clinic or other provider facility, the patient will typically have a higher bill than if had they received the same vaccine at a pharmacy.

Note: Providers can administer and bill certain vaccines covered under Part B. This includes vaccinations for influenza, pneumococcal, and Hepatitis B (if intermediate to high risk). Part B also covers vaccines if the patient is exposed to a virus or disease (e.g., tetanus vaccination is covered if the patient stepped on a rusty nail, rabies vaccination is covered if bitten by a dog, etc.).

Comments

Load more comments
Thank you for the comment! Your comment must be approved first