Does Medicare Cover The Shingles Vaccine?

As you get older, your risk for shingles goes up. About 1 in 3 people will get it in their lifetime. That’s why it’s important for seniors to know how to stay protected. Shingles comes from the same virus as chickenpox. If you had chickenpox, the virus is still in your body and can come back later. Shingles can cause a painful rash and nerve pain that may last for weeks or longer. This can make it hard to sleep or enjoy daily life.

The good news is there’s a vaccine called Shingrix that can help prevent shingles and reduce pain. The CDC recommends it for adults age 50 and older.

Shingles Vaccine Cost with Medicare

Original Medicare Part A and Part B do not cover the shingles vaccine. However, Medicare Part D drug plans do, and most people pay $0. Many Medicare Advantage plans also include drug coverage and cover the vaccine at no cost. Coverage can vary, and you may need to use a pharmacy in the plan’s network. Check your plan details to be sure.

The KelseyCare Advantage Difference

KelseyCare Advantage makes staying healthy simple. Most of our Medicare Advantage plans include drug coverage, so the shingles vaccine and many other vaccines are $0. You can get your shot during a doctor visit, schedule a vaccine-only appointment, walk in to a Kelsey pharmacy, or at any in-network pharmacy. You can even get shingles along with flu or COVID vaccines, saving time and trips. Care is connected through Kelsey-Seybold Clinic, so getting your vaccines is easy and part of your complete care plan.

Get the Vaccine Coverage You Need

If you’re on Original Medicare, the shingles vaccine is not covered and you may pay out of pocket. KelseyCare Advantage combines coverage and convenience, making it easy to get the vaccines you need at $0. Our licensed local agents are available to answer any questions you might have about our coverage. Give us a call at 713-442-5646 (TTY: 711).