topic Re: Medicare and Shingrix ?? in Wellness

Medicare and Shingrix ??

Shelbelle — Sat, 08 Aug 2020 14:52:03 GMT

Hello, does Medicare pay for Shingrix in full, and for both doses, many thanks.

Re: Medicare and Shingrix ??

ID2 — Sat, 08 Aug 2020 15:19:49 GMT

Yes, they do cover a portion of it.

Re: Medicare and Shingrix ??

Shelbelle — Sat, 08 Aug 2020 15:10:17 GMT

My DH just went to Wegmans for the first dose, he is on Med, and he still owed $50. They said Med only pays in full if you have Part D,or the Med Adv. Plan which we dont have. We have a supp with Care First.

Re: Medicare and Shingrix ??

alicedee — Sat, 08 Aug 2020 15:01:47 GMT

It depends on your plan. I have a Medicare Advantage Plan through HAP. I paid $38 each for the series of two Shingrix vaccines.

Re: Medicare and Shingrix ??

Still Raining — Sat, 08 Aug 2020 15:03:03 GMT

It is covered as a part of your Part D plan.

The out of pocket amount will vary by plan.

Re: Medicare and Shingrix ??

Carmie — Sat, 08 Aug 2020 15:04:41 GMT

Regular traditional Medicare Part A and Part B do NOT cover the shingles vaccine.

If you have RX coverage with Medicare Part D, it might cover all or part of your vaccine. In addition, if you have a Medicare Advantage Plan, it could be covered.

Since all Medicare Advantage Plans and RX plans are different, you will need to call your insurance company to see if you have coverage.

Re: Medicare and Shingrix ??

inthewindow — Sat, 08 Aug 2020 15:07:03 GMT

Hi there -- I have Medicare and supplemental and when I got my Shingrix shot at Rite Aid three weeks ago, I had to pay $107. Then I got some kind of a coupon which I assume will pay for the second shot. Has to be at least two months after the first shot, so I'm going to get it with my flu shot in the Fall. Got DTap and pneumonia #2 shot at same time as shingles and paid nothing for those. They did two shots in one arm and one in the other and boy was I sore, but glad to have them all up-to-date! HTH

Re: Medicare and Shingrix ??

Shelbelle — Sat, 08 Aug 2020 15:12:20 GMT

Second Shingrix dose is betweeen 2 and 6 months after the first one.

Re: Medicare and Shingrix ??

geegerbee — Sat, 08 Aug 2020 16:59:30 GMT

Medicare does not pay for Shingrix. Secondary will pay. However, I have Unirted Healthcare from AARP and Shingrix is considered a 3rd Tier drug with a 350 deductible. Therefore it cost me $141 for each of the 2 injections out of pocket at Sams Club.

Re: Medicare and Shingrix ??

coffee drinker — Sat, 08 Aug 2020 17:04:37 GMT

@Shelbelle Ours payed for most of it. If you can, do get the shots. Money well spent as my husband can attest. He had shingles and is still suffering with neuralgia paid approx. 1.5 years after his outbreak. So, beg, borrow or steal the cost.

Re: Medicare and Shingrix ??

chlema — Sat, 08 Aug 2020 17:23:44 GMT

I have Medicare and plan D. My shingle shots were fully covered.

Re: Medicare and Shingrix ??

Shelbelle — Sat, 08 Aug 2020 18:20:17 GMT

@coffee drinker wrote:
@Shelbelle Ours payed for most of it. If you can, do get the shots. Money well spent as my husband can attest. He had shingles and is still suffering with neuralgia paid approx. 1.5 years after his outbreak. So, beg, borrow or steal the cost.

ITA to get the shot, I did get the older one in 2013. It is not the money just so annoyed that you pay for all these insurances and still end up with bills. Hope your hubby is over this very soon.

Re: Medicare and Shingrix ??

patbz — Sat, 08 Aug 2020 20:31:08 GMT

I have Part A and Part B plus BCBS; both Shingrix shots were completely covered. Btw, in the eleven years I've been on Medicare I've never paid a penny for anything.

Re: Medicare and Shingrix ??

HLP — Sun, 09 Aug 2020 09:21:35 GMT

@Shelbelle wrote:
Hello, does Medicare pay for Shingrix in full, and for both doses, many thanks.

They paid mine in full, but I do have a second policy, so don't know if it was paid by both. I didn't pay anything.

Re: Medicare and Shingrix ??

hick — Sun, 09 Aug 2020 10:32:52 GMT

I too had to pay a small fortune for the two shots. I do consider it money well spent.

However, it burns me that traditional Medicare doesn't cover the things that Seniors need like eye glasses, dental and hearing aids.

Yes, you can add a supplemental policy but most of them are financially prohibitive.

I have a supplemental that pays for hardly anything. And, my Part D has such a high deductible that I get better prices from Good Rx.

Re: Medicare and Shingrix ??

meem120 — Sun, 09 Aug 2020 12:11:06 GMT

It is not covered in full. Depends on coverage. I had to pay $51 and my husbands was $74. I have AARP Plan and my husb has an Advantage plan.

Re: Medicare and Shingrix ??

conlt — Sun, 09 Aug 2020 14:51:11 GMT

I am 62, so not on Medicare yet. I had Shingle in July 2019. I was lucky enough to get the Shingrix vaccine X 2 though my work insurance. I had no co-pay. I was very surprised, but I have the "gold" plan from work with BCBS. My old insurance did not cover it. After having Shingles on my face, I agree with the person who posted to beg, borrow or steal to get the vaccine.

Re: Medicare and Shingrix ??

chlema — Mon, 10 Aug 2020 15:24:35 GMT

@hick A supplement is just that - it pays for the difference that Medicare does not pay for. If something is not covered by Medicare the supplement does not pay for it.

Re: Medicare and Shingrix ??

Hoovermom — Mon, 17 Aug 2020 18:39:47 GMT

@Carmie : Off topic, but it is nice to see you again.

Re: Medicare and Shingrix ??

Carmie — Mon, 17 Aug 2020 21:57:07 GMT

@Hoovermom I spend most of my summer months at our summer place at the lake. It is difficult to get internet service in the area.

Thanks for your kind words.