How vaccine coverage works

It’s now common knowledge that COVID-19 vaccines are $0 — but what about other vaccines? There are many different vaccines available to protect you and help you stay healthy. With Medicare, your coverage depends on the vaccine and how you get it.

Medicare Part B (your medical benefits) and Part D (your prescription drug benefits) cover different vaccines. The following are examples of vaccines that are covered differently:

Part B Vaccines

  • COVID-19
  • Influenza (flu)
  • Pneumococcal
  • Hepatitis B, if you are at intermediate or high risk of getting hepatitis B

There is no copay for the COVID-19, flu, pneumococcal and hepatitis B vaccines.

Part D Vaccines

  • Shingles
  • Meningococcal
  • Td/Tdap
  • Other commercially available vaccines not covered under Part B

Part D vaccine update, effective Jan. 1, 2023

Important Message About What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you. Call our dedicated Medicare prescription helpline at 1-855-222-3183 (TTY/TDD: 711) for more information.

  

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.

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Page Last Updated: 10/05/2022
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