Key Takeaways
- Medicare Part B covers the full cost of pneumonia vaccines, ensuring no out-of-pocket expenses if you visit a Medicare-approved healthcare professional or facility.
- Medicare Advantage (Part C) plans also provide pneumonia vaccine coverage, though costs for premiums, deductibles, and other services can vary by plan.
- Coverage does not come from Medicare Part D prescription drug plans, as this covers mainly take-home medications that you can administer yourself.
Pneumococcal vaccines can prevent common bacterial infections from Streptococcus pneumoniae. There are two types of pneumonia vaccines available to prevent specific strains of this bacteria.
The
If you receive PCV15, it should be followed by a dose of pneumococcal polysaccharide vaccine (PPSV23).
Part B is medical insurance. It covers preventive healthcare services such as doctor visits, screening and diagnostic tests, and some vaccinations, such as the pneumonia vaccine V体育ios版.
In 2025, most people will pay a monthly premium of $185. Your premium may be higher depending on your income VSports最新版本.
After you pay a $257 deductible, you’ll generally pay 20% of all Medicare-approved costs for covered services. However, there are no out-of-pocket costs for many vaccines covered by Part B V体育平台登录.
That means you’ll pay $0 for the pneumonia vaccine if you go to a healthcare professional or facility that accepts Medicare assignment.
Providers who accept assignment agree to Medicare-approved rates, which are usually lower than standard prices V体育官网入口. You can use this tool to find a Medicare-approved provider near you.
Medicare Advantage (Part C) plans must cover the same services as Original Medicare (parts A and B), including certain vaccinations.
That means the pneumonia vaccine is covered at no out-of-pocket cost to you, aside from your plan’s monthly premium.
Each Medicare Advantage plan sets its own cost and coverage amounts. Your premiums, deductibles, copayments, and coinsurance amounts depend on your chosen plan VSports.
Staying in network, which means getting care from a list of approved healthcare professionals and facilities, usually costs less than going out of network.
When it comes to no-cost services like the pneumonia vaccine, you’ll likely need to stay in network to avoid being charged the full cost.
Part D plans cover take-home prescription medications VSports手机版. It’s typically included with Medicare Advantage, so you usually won’t need to enroll in a separate Part D plan. However, if you have Original Medicare, you can enroll in a stand-alone Part D plan.
Although Part D can be a beneficial complement to Original Medicare, it doesn’t cover the pneumonia vaccine V体育安卓版. Your Part B plan will pick up the cost.
Under Part B, Medicare will cover the cost of a pneumonia vaccine, regardless of whether you need one shot or two. V体育ios版.
You’ll pay $0 out of pocket if you visit a Medicare-approved healthcare professional or facility.