Does Medicare Cover Flu Shots?

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Does Medicare Cover Flu Shots?

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Did you know that the CDC estimates that the flu affects between 9 million and 49 million each year? Over 200,00 people are hospitalized and annual deaths range from 3,000 to 49,000! The flu vaccine is often recommended as the first and best way to prevent the flu virus and its serious complications. But, will Medicare pay for your flu vaccine? Does Medicare cover flu shots?

In this article we’ll discuss:

Does Medicare Cover Flu Shots?

The short answer is YES. If you are a Medicare beneficiary, you will be covered for one Medicare flu shot each year during the fall or winter seasons. Original Medicare will cover your flu shot at 100% of the Medicare-approved amount. Your shot mush be administered by a participating provider. 

Additional flu shots may be covered by Medicare if considered medically necessary from your doctor or provider.

Type of Vaccine Coverage Rules Medicare Coverage
Influenza shot Medicare Part B Medicare recommends and pays for a single shot each flu season. Additional flu shots may be covered if they are determined to be medically necessary.

IMPORTANT: Your health care provider or physician may sometimes recommend that you receive medical services more frequently than Medicare covers. Sometimes they may recommend a service that Medicare will not cover. When this happens, you may be responsible to pay for some or all of these additional medical costs. Make sure to ask your provider questions so you know and understand why your doctor is recommends these services (and if Medicare will pay for them.)

does medicare pay for flu shots?

Yes. You will pay nothing for your influenza vaccination as long as your physician or other qualified health care provider accepts assignment & administers the shot. Medicare Part B pays for your flu shot. This means your shot will cost you nothing (no deductible or coinsurance).

medicare flu shot FAQ

YES. Your influenza shot is free with Medicare Part B. Flu shots are available to you when a CVS immunizing pharmacist or MinuteClinic health care provider is available and while supplies last. Age restrictions apply.

Yes, Medicare covers flu shots at Wal-Mart. Your flu shot will be given by a licensed pharmacist and covered by Medicare Part B. You can be proactive with staying healthy this flu season by setting an online appointment at an onsite immunization clinic with one of Wal-Marts certified pharmacists.

Yes, Medicare covers flu shots at Walgreens. They are offering influenza shots at all of their pharmacies, which includes Duane Reade pharmacies in New York, as well as all of the Walgreens Healthcare Clinic locations.

Influenza vaccines are available during all Walgreen pharmacy and clinic hours. An immunizing health professional must be present to provide the shot. Availability includes evenings, weekends, overnights at 24-hour pharmacy locations  and holidays. No appointment is necessary for your flu shot.

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