Typically, the shingles shot or the shingles vaccine is a covered benefit offered under your Medicare Prescription Drug Plan.
Your cost for the shingles shot will vary depending on the details of your Medicare Prescription Drug Coverage (also known as Medicare Part D). Typically, Medicare Part D Plans provide coverage for the shingles shot as a Tier 3 or Tier 4 Level Brand-Name Drug.
These Tier Levels might have a deductible ranging from $0-$415 that must be paid before your plan provides coverage on the shingles shot. If you have not yet met your Annual Prescription Drug Plan Deductible, you will need to meet this deductible first and then pay your tier-specific copayment for the shingles shot (Tier 1 and Tier 2 prescription drugs many times do not apply toward this deductible).
For Example: If your Annual Prescription Drug Deductible is $200 and your Tier 4 copayment is $100, then assuming you have not yet paid toward your deductible, your cost for the shingles shot would be $300.
In my experience, typical out-of-pocket costs for the shingles shot range from $200-$300 with most Medicare Part D Plans. Finding out the details of your Annual Prescription Drug Deductible and Tier 3/4 Level copayment are keys in determining your exact cost of the shingles shot. If we can help answer specific questions about this topic or questions about your Medicare Coverage please call us or use the “Contact Us” page to get in touch with us. We are here to help!
Jay Looft and the team at SeniorSource Medicare Solutions have been dedicated to helping people with their Medicare Insurance since 2009. They take pride in having the heart of a teacher and look forward to helping you!