Does Medicare cover the shingles vaccine?

Some Medicare plans may include coverage for the shingles shot, but it’s not covered under Original Medicare (Parts A and B).

Here’s some helpful information on the symptoms and causes of shingles, Medicare coverage of the vaccine and where to get a shot.

What is shingles?

Shingles is a viral infection caused by the same virus as chicken pox—the varicella-zoster virus. It starts as a painful rash on one side of the face or body and develops into blisters. The blisters continue to form over 3–5 days and eventually dry and crust over. Healing can take between 2–4 weeks, but shingles can leave scars and permanent pigmentation changes.1

Is the shingles shot covered by Medicare?

Original Medicare (Parts A and B) does not pay for the shingles vaccine. However, if you’re enrolled in a Medicare prescription drug plan (Part D) or have a Medicare Advantage plan (Part C) that includes drug coverage, your shot may be covered.*

What shingles vaccines are available?

According to the Centers for Disease Control and Prevention (CDC), there are 2 vaccines licensed and recommended to prevent shingles in the U.S.: Shingrix and Zostavax.2 The CDC recommends that healthy adults 50 years and older get 2 doses of Shingrix, separated by 2 to 6 months, to prevent shingles and the complications from the disease.3

Where do you get a shingles shot?

You can generally get a shingles shot at any doctor’s office or most pharmacies. If you go to a pharmacy, you’ll need a doctor’s prescription.*

To find Humana in-network doctor’s offices or pharmacies near you that offer the vaccine, use Humana’s Find a doctor tool.

How much does the shingles shot cost?

The cost of the shot can depend on your Medicare plan, the vaccine type and where you get it. Most require a copayment, which can vary widely from plan to plan. If you haven’t met your plan’s deductible for the year, you may have to pay full price.

Protect yourself

The CDC recommends that all healthy adults 50 years and older get vaccinated against shingles. If you have any additional questions, contact your healthcare provider for more information.

*Depending on your plan, the location in which you receive the vaccine may impact coverage. Check your benefit breakdown to learn if the vaccine is covered at your provider's office, local pharmacy or both.

Sources

  1. “Shingles (Herpes Zoster): Clinical Overview,” Centers for Disease Control and Prevention, last accessed July 9, 2020, https://www.cdc.gov/shingles/hcp/clinical-overview.html, opens new window.
  2. “Shingles Vaccination,” Centers for Disease Control and Prevention, last accessed July 9, 2020, https://www.cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html, opens new window.
  3. “Shingles Vaccination,” Centers for Disease Control and Prevention.

Humana answers your Medicare questions

How can we help?

Call us

Licensed Humana sales agents are available Monday - Friday, 8 a.m. to 8 p.m., local time.

1 - 888 - 204 - 4062 (TTY: 711)

See plans in your area

Enter your ZIP code below to see plans with their premiums, copays, and participating doctors and pharmacies.

Request a call

Our licensed Humana sales agents are available to help you select the coverage that best meets your needs.