As of January 1, 2023, co-payments or deductibles for any of the vaccinations recommended by ACIP (Advisory Committee on Immunization Practices) were eliminated for those with Medicare Part D. This is a significant change, because vaccines covered under Medicare Part B have been handled differently than those under Part D.
Part B vaccines have had and will continue to have no out-of-pocket costs for Medicare beneficiaries. These include influenza vaccine, COVID-19 vaccines, vaccines for pneumococcal infections, and, for people at risk of contracting the disease, Hepatitis B shots.
Part D-covered vaccines, on the other hand, have generally had copayments or deductible costs that had to be paid by the insured. Now, those vaccines will also be available at no charge when prescribed. This category includes Tdap (tetanus, diphtheria and pertussis), and Shingrix (for prevention of shingles). In addition, those with special risk factors are eligible for no cost vaccination against Hepatitis A, varicella, meningococcal A, C, Y; meningococcal B, and haemophilus influenzae type b.