By Daniel Petkevich
Aug 15, 2022
Aging can be beautiful, but it comes with its fair share of surprises.
As we age, our bodies can become deficient in key vitamins and minerals because we don't absorb them as efficiently as when we were young.
A common example of this is B12 deficiency. B12 shots can help you be healthier by adding more vitamins to your body. If you have Medicare, do you have to pay for B12 shots?
Let's take a look at B12 shots and whether Medicare will cover your expenses.
Vitamin B12 is water-soluble and is naturally found in some foods, such as meat, fish, and dairy products. It's essential for:
Brain and nerve cells
Production of DNA
Production of red blood cells
Without enough Vitamin B12, it's not uncommon to experience anemia, chronic fatigue, mouth ulcers, depression, or memory loss — along with many other symptoms.
Vitamin B12 Deficiency
Vitamin B12 deficiency affects more than 20% of the elderly population.
If you have B12 deficiency, your doctor may suggest that you eat Vitamin B12-rich foods. Something else they might suggest are B12 shots. These are a quicker way to replenish your B12 levels, especially if you have difficulty absorbing Vitamin B12 from food.
Let's look at the situations where Medicare will cover your B12 shots. Keep in mind that even if you do get Medicare coverage for your B12 shots, you might still have deductibles, coinsurance, or copayments.
If you’re admitted to a hospital, a skilled nursing facility, or a hospice care facility — and your doctor orders a B12 shot as a treatment procedure — Medicare Part A may cover your expenses.
For example, if you're in the hospital and your doctor orders medically necessary B12 shots to treat anemia, a gastrointestinal disorder, neuropathy, or some other health issue caused by B12 deficiency, Medicare Part A may provide coverage.
In most cases, you'll receive a B12 shot in an outpatient setting. If your doctor recommends a B12 shot during an outpatient visit, Medicare Part B may cover your expenses. (Part B typically covers drugs that need to be administered by a medical professional).
Even if Medicare Part B approves your B12 shots, you may still owe a copay. This is determined by the type of Medicare plan that you're on.
Still, if you have Medicare Part B coverage, verify what you'll owe your healthcare provider before scheduling an appointment. We can help you do this.
Medicare Part D covers a wide range of prescription drugs. But, it doesn't cover over-the-counter drugs, vitamins, minerals, or supplements.
Part D plans are required to list all prescription drugs they cover in a formulary. Formularies can vary from one Medicare Part D plan to another.
If your Medicare Part D plan lists B12 shots in their formulary, you'll get coverage.
This program evaluates the efficiency and necessity of the treatments you're seeking. If your plan provider considers the treatment a medical necessity based on your doctor's recommendation, you could receive your B12 shots at a much lower cost — or even for free.
Medicare Advantage plans, also known as Medicare Part C, are health insurance plans offered by private insurance companies. They cover the same benefits as Original Medicare — Part A and Part B — but they can also provide additional coverage for providers' visits and treatments like prescription drugs.
Just like Medicare Part D, Medicare Advantage plans have a formulary of drugs they'll cover. If your Medicare Advantage plan includes prescription drugs and B12 shots in its drug formulary, you may get coverage. Check with your plan provider to find out if they cover B12 shots.
The cost of a B12 shot depends on how it's administered. Self-administered B12 shots generally cost less than shots given by a doctor or clinic.
The type of B12 shot also affects the cost. Synthetic B12 shots, which use a form of vitamin B12 not found in nature, are typically less expensive than natural B12 shots.
The human body needs Vitamin B12 to function normally. If your vitamin deficiency is caused by malabsorption of B12 from food, your doctor might recommend B12 shots.
If your provider recommends them, Medicare may cover B12 shots for you. Check with your insurance provider if you're unsure whether your plan provides coverage for B12 shots.
You can also call us at (888)-376-2028. Our team of experts is happy to check your plan's coverage and answer any other Medicare-related questions you have.
How Much Does Open Heart Surgery Cost with Medicare?
How Much Does Xeljanz Cost with Medicare?
How Much Does Rexulti Cost with Medicare?
How Much Does Trelegy Cost with Medicare?
What Does Medicare Cover for Stroke Patients?
Does Medicare Cover Cervical Disc Replacement?
What Happens to Unused Medicare Set-Aside Funds?
Does Medicare Cover Xiafaxan?
Is Botox Covered by Medicare?
What You Need to Know About Creditable Coverage
Does Medicare Cover Light Therapy for Psoriasis?
Does Medicare Cover Wart Removal?
Does Medicare Cover Qutenza?
Can Medicare Help with the Cost of Tyrvaya?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Inqovi?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Bladder Sling Surgery?
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.