Prevea360 Medicare Advantage lists covered vaccines in our formulary. A new preventive vaccine may not specifically appear in the formulary, but Prevea360 Medicare Advantage may still cover the vaccine.
Medicare Part B covers preventative vaccines in the doctor office such as:
Your pharmacy can administer other vaccines with a $0 dollar copay. Some of these vaccines include Shingles and tetanus, diphtheria and acellular pertussis (Tdap). Our plan covers these at an In-network pharmacy where pharmacist are certified to administer.
See your formulary for all covered vaccines.
Contact our Member Services at 1-877-232-7566 (TTY: 711) to find out about coverage.
Medicare Part B provides preventive coverage for certain vaccines, which includes:
Medicare Part D: See your formulary for a full list of covered Part D vaccines.
These $0 vaccines are listed in our formulary as tier 6. Cost-sharing will apply when you are in the catastrophic stage. To obtain the best benefit under your Part D plan, receive your vaccine from a network pharmacy that employs pharmacists certified to administer vaccines. Search our pharmacy directory to find network pharmacies in your area or contact Member Services at 1-877-232-7566 (TTY: 711). Receiving your Part D vaccines in a physician’s office may mean you are financially responsible for the cost of the services and will need to submit insurance claims on your own.
Learn more about the benefits of vaccines and immunization from the Centers for Disease Control and Prevention (CDC):