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Ms. Toad

(35,899 posts)
43. Do you have a separate part D plan?
Sat Apr 15, 2023, 07:12 PM
Apr 2023

(or a MA plan which incorporates part D) Was the price quote after Jan 1?

The rules changed January 1 of this year. My mother's pharmacy seemed not to know anything about it. They told her ahead of time the vaccinations weren't free. When she went in this year, they told her they couldn't tell her the price (which seems odd, since drug prices are run through insurance immediately).

But in case you need ammunition: From Shingrix

From AARP:

Medicare’s Part A and Part B don’t cover shingles vaccinations, even though the Centers for Disease Control and Prevention (CDC) recommends that everyone age 50 and older get the vaccine. Medicare Part B covers some other vaccines as free preventive care, such as flu and pneumonia vaccines

A prescription drug plan, such as Medicare Part D bought as an add-on to original Medicare or that is part of a Medicare Advantage plan that provides drug coverage, will pay for the shingles vaccine. These private plans must cover all commercially available vaccines needed to prevent illness, except for those that Part B covers.


https://www.aarp.org/health/medicare-qa-tool/does-medicare-cover-shingles-shot/

And from the Center for Medicaid and Medicare services:
People with Medicare could also save money on vaccines. Starting January 1, 2023, Part D-covered adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP), including the shingles and Tetanus-Diphtheria-Whooping Cough vaccines, will be available with no deductible and no cost-sharing to people with Medicare prescription drug coverage.


https://www.cms.gov/files/document/10522-external-faqs-about-inflation-reduction-act.pdf

I know I've found statements directly on the Medicare site, but the only thing I can find at the moment is pretty generic.

Recommendations

0 members have recommended this reply (displayed in chronological order):

Do get the Shingles vaccine, please [View all] question everything Apr 2023 OP
got mine! also got my first flu shot ever.... samnsara Apr 2023 #1
I've had shingles (a VERY mild case) but I recently got the vaccination Siwsan Apr 2023 #2
I had a mild case, too, several years ago. ShazzieB Apr 2023 #27
A friend of mine had a bad coincidence when she got the vaccine Siwsan Apr 2023 #46
My spouse has had it at least 4 times. Ms. Toad Apr 2023 #31
Yes, I want to!!!! piddyprints Apr 2023 #3
My mother got shingles from the vaccine. lastlib Apr 2023 #4
Some people will develop shingles despite vaccination Shermann Apr 2023 #5
The vaccine cannot "give" anyone Shingles grantcart Apr 2023 #17
The newer vaccine is better. LisaM Apr 2023 #10
Coincidences happen. Raven123 Apr 2023 #20
Unlikely NewEnglandAutumn Apr 2023 #24
She didn't get Shingrix... lastlib Apr 2023 #41
If so, your mother is 1/10,000 Ms. Toad Apr 2023 #35
Shingrix is curious PJMcK Apr 2023 #6
It became free recently. grantcart Apr 2023 #16
Depends on insurance NewEnglandAutumn Apr 2023 #25
Free? CVS told me that it would be $75 per shot. wnylib Apr 2023 #26
Medicare is required to cover it, Ms. Toad Apr 2023 #36
I'm on Medicare and CVS knows it. That's where I have all my prescriptions. wnylib Apr 2023 #40
Do you have a separate part D plan? Ms. Toad Apr 2023 #43
It was last year when I asked them about the price. wnylib Apr 2023 #45
Last year I had a co-pay of, I think, $47 Rorey Apr 2023 #47
Thanks. I have UHC, too. wnylib Apr 2023 #48
I think that's wise Rorey Apr 2023 #49
I got shingles 4 months after turning down louis-t Apr 2023 #7
Got minely last year. WinstonSmith4740 Apr 2023 #8
Medicare Part D DOES cover Shingrix. spooky3 Apr 2023 #9
I got my Shingrix vaccine at the VA. It was free. LastLiberal in PalmSprings Apr 2023 #23
I echo this. LisaM Apr 2023 #11
I'm so sorry you had to go through that Rorey Apr 2023 #50
Yes it was, particularly since we are in an apartment. LisaM Apr 2023 #51
Yes, Shingles can be bad. TNNurse Apr 2023 #12
My father had herpetic neuralgia the last 10 years or so of his life. He had terrible pain. diane in sf Apr 2023 #13
Also be attentive to an occurrence. If immediately knocked down with antiviral, it is very effective Bernardo de La Paz Apr 2023 #14
Good to know. Thanks! nt pnwmom Apr 2023 #28
Biden's recent Medicare boost now covers it. grantcart Apr 2023 #15
I got both Shingrix shots soon after it became available central scrutinizer Apr 2023 #18
My neighbor went blind in one eye because of it. He was also in pain for an eternity. Native Apr 2023 #19
If you notice a shingles rash see a doctor right away. FuzzyRabbit Apr 2023 #21
If you have any one-sided intense pan on touch see a doctor right away. Ms. Toad Apr 2023 #37
Thanks for posting this Farmer-Rick Apr 2023 #22
Got my first shot two days ago LittleGirl Apr 2023 #29
Medicare pays for it under the drug plan. Ms. Toad Apr 2023 #30
shingle vaccine maliaSmith Apr 2023 #32
My parents just got their first shingles vaccination at 91. Ms. Toad Apr 2023 #38
I am so sorry for your loss. question everything Apr 2023 #44
Part D moniss Apr 2023 #33
I've had 3 friends who had shingles. WestMichRad Apr 2023 #34
Got 1st dose last week ThoughtCriminal Apr 2023 #39
Agree. My nephew is suffering w/ it right now. Didn't get the vaccine when he hit 50. CousinIT Apr 2023 #42
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