Medicare provides comprehensive vaccine coverage that helps seniors protect their health without a financial burden. As per Kiplinger, Medicare Part D plans make all adult vaccines recommended by the Advisory Committee on Immunization Practices available at no cost, while Part B covers specific preventive vaccines. Understanding which vaccines are covered can help Medicare beneficiaries stay healthy while maximizing their healthcare benefits.
Shingles (Zoster)
The shingles vaccine protects against a painful condition caused by the same virus that causes chickenpox. Adults who had chickenpox earlier in life remain at risk for developing shingles as they age. The Shingrix shot for shingles is now covered with zero out-of-pocket expenses through Medicare Part D plans. The CDC recommends this two-dose vaccine series for adults aged 50 and older, with doses given two to six months apart.
Respiratory Syncytial Virus (RSV)
RSV poses serious health risks for older adults, particularly those with chronic lung conditions like COPD or asthma. The virus can lead to severe respiratory complications and pneumonia in seniors. Medicare covers the RSV vaccine for adults aged 60 and older through Part D coverage. Adults with underlying respiratory conditions should prioritize this vaccination to prevent serious illness.
COVID-19
Medicare covers COVID-10 vaccines 100% through Medicare Part B, including the updated 2024-2025 formula vaccines from Moderna, Pfizer-BioNTech, or Novavax. This coverage includes both the primary vaccine series and any booster shots recommended by health authorities. Medicare beneficiaries can receive updated COVID-19 vaccines annually without any out-of-pocket costs.
Tetanus, Diphtheria, and Pertussis (Tdap)
The Tdap vaccine offers protection against three dangerous diseases in a single shot. Adults typically need a Tdap booster every ten years to maintain immunity. The Tdap vaccine for tetanus, diphtheria, and pertussis is covered with zero out-of-pocket expenses through Part D plans. This vaccine is especially important for adults who spend time around infants, as whooping cough can be fatal for babies.
Influenza
Medicare Part B covers the annual flu vaccine as long as your provider accepts Medicare. The seasonal flu vaccine targets the strains most likely to circulate each flu season. Since these strains change annually, Medicare beneficiaries need a new flu shot every year. The vaccine is typically available starting in early fall and remains effective throughout the flu season.
Hepatitis B
Hepatitis B vaccination coverage depends on individual risk factors. Medicare Part B covers Hepatitis B vaccines for those at medium to high risk, while Part D covers the vaccine for adults at lower risk. The vaccine protects against a serious liver infection transmitted through blood and other bodily fluids. Healthcare workers, dialysis patients, and those with multiple sexual partners face higher risks.
Hepatitis A
The Hepatitis A vaccine protects against liver infection transmitted through contaminated food and water. Medicare Part D covers this vaccine for adults who were not vaccinated as children or need booster protection. Hepatitis A vaccines are now cost-free for older adults above 65 years with additional risk factors or health needs. International travelers may especially benefit from this protection.
Pneumonia (Pneumococcal)
Pneumococcal vaccines protect against serious lung infections that can be particularly dangerous for older adults. Medicare Part B covers pneumonia vaccines with no cost to beneficiaries. Depending on age and health status, adults may receive either a single-dose vaccine or a two-dose series administered one year apart. Adults with certain chronic conditions may need additional doses.
Meningococcal Disease
Meningococcal A, C, W, Y (MenACWY) and meningococcal B (MenB) vaccines are now cost-free through Medicare coverage. These vaccines protect against serious bacterial infections that can cause meningitis and bloodstream infections. Adults with certain medical conditions or those living in close quarters may have higher risk factors requiring vaccination.
Varicella (Chickenpox)
Adults who lack evidence of immunity to chickenpox should receive the varicella vaccine. However, many adults born before 1980 are generally considered immune due to natural infection during their childhood. Chickenpox vaccines are covered with zero out-of-pocket expenses through Medicare Part D. The vaccine requires two doses given four to eight weeks apart.
Haemophilus Influenzae Type B (Hib)
Haemophilus influenzae Type B vaccines are now cost-free for Medica beneficiaries with specific risk factors. This vaccine prevents serious bacterial infections that can cause meningitis, pneumonia, and several other illnesses. Adults with certain immune system disorders or other medical conditions may need this protection.
Measles, Mumps, and Rubella (MMR)
Adults born after 1957 who lack evidence of immunity should receive the MMR vaccine. Medicare covers this combination vaccine for adults who need protection against these three viral diseases. Healthcare workers, international travelers, and college students may have specific requirements for MMR vaccination. One dose typically provides adequate protection for most adults.
