What Insurance Covers Shingles Vaccine

Shingles is a viral infection that affects the nerve and skin. It is caused by the varicella-zoster virus, which is the same virus that causes chickenpox. Shingles can be painful and uncomfortable, especially for people who are over the age of 50. Fortunately, there is a vaccine that can help prevent shingles. But, does insurance cover the cost of the vaccine? In this article, we will discuss everything you need to know about insurance coverage for the shingles vaccine.

What is the Shingles Vaccine?

The shingles vaccine is a vaccine that helps prevent shingles. The vaccine is also known as the herpes zoster vaccine, which is the medical term for shingles. The vaccine is recommended for adults who are over the age of 50, even if they have had shingles before. The vaccine can reduce the risk of getting shingles by over 90% and can also reduce the severity and duration of the illness if someone does get shingles.

Does Insurance Cover the Shingles Vaccine?

Yes, most insurance plans cover the shingles vaccine. The vaccine is considered a preventive service under the Affordable Care Act, which means that it must be covered by insurance plans without cost-sharing. This means that you should not have to pay any out-of-pocket costs for the vaccine if you have insurance. However, you should still check with your insurance provider to confirm your coverage and any potential costs.

Which Insurance Plans Cover the Shingles Vaccine?

Most insurance plans cover the shingles vaccine, including:

Insurance Plan
Coverage
Medicare Part D
Covered under Part D prescription drug benefit
Medicare Advantage
Covered under the medical benefit
Private health insurance
Covered under preventive services
State Medicaid programs
Covered under certain plans

Again, you should check with your insurance provider to confirm your coverage.

How Much Does the Shingles Vaccine Cost?

The cost of the shingles vaccine can vary depending on your insurance coverage and where you get the vaccine. Without insurance, the cost of the vaccine can range from $150 to $300. However, most insurance plans cover the vaccine without cost-sharing, which means that you should not have to pay any out-of-pocket costs.

Where Can I Get the Shingles Vaccine?

You can get the shingles vaccine at your doctor’s office, pharmacy, or health clinic. You may need a prescription from your doctor to get the vaccine, so be sure to check with your healthcare provider. Many pharmacies also offer the vaccine, so you may be able to walk in and get vaccinated without an appointment.

FAQ: Frequently Asked Questions

Q: Who should get the shingles vaccine?

A: The shingles vaccine is recommended for adults who are over the age of 50, even if they have had shingles before.

Q: Is the shingles vaccine effective?

A: Yes, the shingles vaccine is over 90% effective at preventing shingles.

Q: How often do I need to get the shingles vaccine?

A: The shingles vaccine is given in two doses, usually two to six months apart. After that, you should not need to get vaccinated again.

Q: Can I get the shingles vaccine if I have had shingles before?

A: Yes, you can still get the shingles vaccine even if you have had shingles before. The vaccine can help prevent future outbreaks and can also reduce the severity and duration of the illness if you do get shingles again.

Q: Is the shingles vaccine covered by Medicare?

A: Yes, the shingles vaccine is covered by Medicare Part D and Medicare Advantage plans.

Conclusion

The shingles vaccine is an important preventive measure for adults over the age of 50. Most insurance plans cover the cost of the vaccine without cost-sharing, which means that you should not have to pay any out-of-pocket costs. If you are unsure about your coverage, be sure to check with your insurance provider. Getting vaccinated is a simple step you can take to protect yourself from the pain and discomfort of shingles.