Fair Square Medicare Wordmark

Is the Shingles Vaccine Covered by Medicare?

Person receiving a vaccine stock photo
By Daniel Petkevich
Nov 17, 2022

The Shingles Vaccine: Your Questions Answered

Your immune system declines with age. As a result, you may get sick more often or take longer to recover.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.
One particularly painful virus that affects older populations is shingles.
You can avoid shingles by getting vaccinated. But these vaccines can be expensive.
So what should you do? Is there a way for Medicare to cover your vaccination costs?
Let's find out.

What Is Shingles?

Shingles results from the same virus as chickenpox. Here's how it works:
  • When the virus enters your body for the first time, it causes chickenpox
  • The virus then stays in your body — even after your symptoms go away — and reappears as shingles later in life
Visual asset.
Shingles |

Cleveland Clinic

‎So, anyone who has had chickenpox is at risk of developing shingles. But adults ages 60+ account for more than half of the cases.
But unlike chickenpox, you can have shingles more than once.

Who Should Get the Shingles Vaccine?

CDC (Center for Disease Control and Prevention) recommends two doses of Shingrix — two or six months apart — for the following groups:
  • Anyone 50 years or older
  • Adults over the age of 19 who have weakened immune systems
But what if you've already had shingles or previously received a different shingles vaccine? Do you still need the Shingrix vaccine?
The simple answer: Yes.
The CDC clarifies that you should still get Shingrix even if you've had shingles, received Zostavax (a shingles vaccine no longer available in the U.S.), or received varicella (the chickenpox vaccine).
However, the CDC states that you should NOT get Shingrix if you:
  • Had a severe allergic reaction to a previous dose of Shingrix
  • Currently have shingles
  • Currently have a severe illness — with or without a fever
  • Are pregnant

Does Medicare Cover the Shingles Vaccine (Shingrix)?

Starting in January 2023 — per the new guidelines of the

Inflation Reduction Act

Medicare

Part D will cover 100% of the shingles vaccine (Shingrix). Beneficially, the act also includes full coverage for

all adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP)

. These include the Tetanus-Diphtheria-Whooping Cough and COVID-19 vaccines.

How Much Does the Shingles Vaccine Cost?

To recap: in 2023, the shingles vaccine will be free for all Medicare beneficiaries with Part D.
However, if you don't have Medicare yet, the exact cost depends on your plan, insurance provider, and pharmacy.

How Do I Get the Shingles Vaccine?

You can get your shingles shot at the following locations:
  • Local pharmacy — You can get vaccinated in any pharmacy that administers the shingles vaccine.
    • Visit a pharmacy within your plan's network. That way, the pharmacy can directly bill your plan.
  • Doctor's office — In 2023, you can get vaccinated in your doctor's office for free.

I Don't Have Medicare. What Are My Options?

First, if you're eligible, give us a call at

Fair Square Medicare

.
Here are a few different options that can help you pay for your vaccine:
    • To qualify for this program, you must be 18 or older, live in the United States or Puerto Rico, and meet certain income criteria.
    • You might also be eligible if you have Medicare Part D but have already spent $600 on medications through your plan.
  • Discount cards
    • Look out for discount coupons provided by

      GoodRx

      or

      SingleCare

    • Note: These discounts cannot be combined with your Part D benefits
  • Installment payments
    • Pay small amounts at a time if you can't afford the full price upfront
    • Talk to your doctor or check whether your pharmacy allows you to pay in installments

Takeaway

Starting in 2023, the shingles vaccine will be free for all Medicare beneficiaries with Part D. If you haven't yet received the vaccine, you can wait until January to get it for free.
However, if you've already received your first dose and need your second dose before next year, you can get coverage if you're on a prescription drug plan.
And if you're not sure where to start, don't worry!

Our team

is here to help. We'll answer any questions you might have about shingles, vaccines, and Medicare plans. Give us a call at 1-888-376-2028.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Medicare at 62 stock image
Does Retiring at Age 62 Make Me Eligible for Medicare?
Jun 16, 2022
woman in a hospital wearing a bandana being shown information by her doctor stock photo
Medicare Advantage Plans for Disabled People Under 65
Mar 24, 2023
Cover image
Can I Change My Primary Care Provider with an Advantage Plan?
Aug 25, 2023
Senior woman checking blood pressure/heart rate at home stock photo
Does Medicare Cover Home Heart Monitors?
Dec 1, 2022
Cover image
How Are Medicare Star Ratings Determined?
Sep 6, 2023
20 Q's with Fair Square
20 Questions to Ask Your Medicare Agent
Mar 17, 2023
Health insurance form on a table with pen, calculator and glasses stock image
What You Need to Know About Creditable Coverage
Jan 18, 2023
Medicare Set Aside funds stock image
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
Cover image
Does Medicare Cover RSV Vaccines?
Sep 13, 2023
Older woman during an eye exam
Does Medicare Cover Diabetic Eye Exams?
Jan 11, 2023
Cover image
Does Medicare Cover Cold Laser Therapy (CLT)?
Jun 14, 2023
Medicare cost stock image
How Much Does Medicare Cost?
Jul 25, 2022
Doctor demonstrating upper cervical spine anatomy stock photo
Does Medicare Cover Cervical Disc Replacement?
Jan 20, 2023
Black debit card changing hands against a yellow background stock image
What's the Deal with Flex Cards?
Dec 15, 2022
Arizona desert stock photo
13 Best Ways for Seniors to Stay Active in Phoenix
Mar 6, 2023
Person receiving a vaccine stock photo
Is the Shingles Vaccine Covered by Medicare?
Nov 17, 2022
Prescription Drug Bars
Estimating Prescription Drug Costs
May 25, 2020
Cover image
What People Don't Realize About Medicare
Mar 27, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Indianapolis

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways for Seniors to Stay Active in Seattle

15 Best Ways for Seniors to Stay Active in Denver

Can Medicare Advantage Plans be Used Out of State?

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Do All Hospitals Accept Medicare Advantage Plans?

Do You Need Books on Medicare?

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Chiropractic Visits?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Flu Shots?

Does Medicare Cover Fosamax?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Mental Health?

Does Medicare Cover Nuedexta?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Stair Lifts?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Tymlos?

Does Medicare Cover Urodynamic Testing?

Does Medicare Cover Xiafaxan?

Does Medicare Pay for Bunion Surgery?

Does Medicare Pay for Funeral Expenses?

Does Medicare Require a Referral for Audiology Exams?

Fair Square Client Newsletter: AEP Edition

How Do I Sign up for Medicare? A Simple How-To Guide For You

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How is Medicare Changing in 2023?

How Much Does a Pacemaker Cost with Medicare?

How Much Does Rexulti Cost with Medicare?

How to Apply for Medicare?

How to Become a Medicare Agent

How to Deduct Medicare Expenses from Your Taxes

How to Enroll in Social Security

Is Displacement Affecting Your Medicare Coverage?

Is Emsella Covered by Medicare?

Medicare & Ozempic

Medicare Deductibles Resetting in 2024

Medicare Explained

Medicare Guaranteed Issue Rights by State

Medicare Savings Programs in Kansas

Plan G vs. Plan N

Saving Money with Alternative Pharmacies & Discount Programs

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: June 2023

The Fair Square Bulletin: October 2023

The Fair Square Bulletin: September 2023

Top 10 Physical Therapy Clinics in San Diego

Welcome to Fair Square's First Newsletter

What If I Don't Like My Plan?

What is a Medicare Beneficiary Ombudsman?

What Is the Medicare Birthday Rule in Nevada?

What is the Medicare ICEP?

What to Do When Your Doctor Doesn't Take Medicare

What's the Difference Between HMO and PPO Plans?

Which Medigap Policies Provide Coverage for Long-Term Care?

Why Is Medicare So Confusing?

Will Medicare Cover Dental Implants?

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2023

Terms of Use
Notice of Privacy Practices

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.

MULTIPLAN_FairSquareMedicare_01062022_M