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Does Medicare pay for the pneumonia shot?

En español | Medicare Part B pays for the vaccine that helps protect you against pneumonia for the rest of your life. You can get up to two shots, each targeting a different strain of pneumonia infection, at different times.

You pay nothing for the pneumonia shots (no deductible, no copays) if you meet the following conditions:

  • Your initial shot is the first pneumonia shot you’ve ever had through Medicare
  • You have the second shot more than 12 months after the first
  • In the original Medicare program, the shots must be given by a doctor or pharmacist who accepts Medicare assignment — that is, who has agreed to accept the Medicare-approved payment as full reimbursement for providing this service.

In a Medicare Advantage plan (such as an HMO or PPO), you must follow your plan’s rules — for example, you may be required to have the shot administered by a doctor within your plan’s provider network. 

     

        


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