Are vaccines covered by Medicare?
Do you have an Aetna® Medicare plan? Many preventive vaccines are covered at $0 cost-share* when you go to a network pharmacy. That means you don’t pay anything there for covered vaccines.
What vaccines are covered by Aetna Medicare?
A lot of people ask, “Is the RSV vaccine covered by Medicare?” or “Does Medicare cover the COVID vaccine?”
The good news is that Medicare covers many vaccines that help prevent you from getting seriously sick.*
Which parts of Medicare cover vaccines?
Some of the most common vaccines are covered by Medicare Part B.
This includes Part B coverage through Original Medicare and Medicare Advantage plans. These vaccines are often part of your preventive care.
Other common vaccines are covered by Medicare prescription drug plans (Part D).This is also called Part D coverage, and it applies to certain Medicare Part D vaccines.
These include vaccines for:
- COVID-19
- Flu
- Pneumonia
- RSV (respiratory syncytial virus)
- Shingles
If you get these vaccines at a network pharmacy, you pay $0 cost-share.
Who recommends these vaccines? The CDC Advisory Committee on Immunization Practices (ACIP).*
Where should I go to get my vaccines?
You can get your covered vaccines at a network pharmacy.
When you go to a network pharmacy:
- You pay $0 cost-share
- You do not pay up front
- Many readily stock vaccines*
- Many offer evening and weekend hours
- Many locations take walk-ins (no appointment needed*)
You can visit one of these in-network pharmacies:
- CVS Pharmacy®
- Kroger®
- Walmart
- Costco® Pharmacies
You can also visit any other pharmacy in the Aetna network.
Reminder: Bring your Aetna member ID card with you.
What if I get my vaccine at my doctor’s office?
Learn how to request reimbursement
Are you planning to get your vaccine at a doctor’s office, clinic or out-of-network pharmacy? You may need to pay the full cost at the time of your visit.
The good news is you may be able to get that money back.
Learn how to file a claim and get the forms you need.
Need help with Aetna Medicare enrollment?
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