Because the vaccine works well, it is important to know if and when Medicare covers it. When evaluating offers, please review the financial institutions Terms and Conditions. But that changed in 2023. NerdWallet Compare, Inc. NMLS ID# 1617539, NMLS Consumer Access|Licenses and Disclosures, California: California Finance Lender loans arranged pursuant to Department of Financial Protection and Innovation Finance Lenders License #60DBO-74812, Property and Casualty insurance services offered through NerdWallet Insurance Services, Inc. (CA resident license no. All Medicare Plan D plans offer some level of coverage for the shingles vaccine. The CDC recommends the Shingrix vaccine, but its not always available, so check with your doctors office or pharmacy first. GoodRx Gold members pay just $188.99 Start free trial Shingrix 1 vaccine of 0.5ml 1 carton at CVS Pharmacy $214 $ 210.37 Save 2% Yes, the shingles vaccine is free for Medicare recipients in 2023, if they have purchased optional Part D prescription drug coverage from a private insurance company. Drugs in Tier 1 and 2, mainly lower-priced generics and preferred brand-name drugs, have lower co-pays than more expensive nonpreferred brands in Tier 3 or 4. 2018;14(6):1370-1377. doi:10.1080/21645515.2018.1442162. What parts of Medicare cover the shingles vaccine? Find Medicare.gov on facebook (link opens in a new tab), Follow Medicare.gov on Twitter (link opens in a new tab), Find Medicare.gov on YouTube (link opens in a new tab), A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. COVID-19: The long-awaited coronavirus vaccine is finally available to all adults age 16 and older starting April 19 and earlier in many places. Medigap, or Medicare Supplement Insurance, adds coverage to Original Medicare. In your doctors office: You can get vaccinated in your doctors office. No matter your plan, you'll pay no deductible, copay or other costs for a shingles vaccine.\u003C\/p\u003E\n\n\u003Cp\u003E","padding":"double"}, {"backgroundColor":"ice","content":"\u003C\/p\u003E\n\n\u003Ch2 id=\"reasons\"\u003EWhy doesn't Medicare cover the shingles vaccine as free for all seniors?\u003C\/h2\u003E\n\n\u003Cp\u003EMany people think that a vaccine that's recommended by the CDC for those over age 50 would be fully covered by Original Medicare. If youre 70 or older, they are 91 percent effective. To get an insurance quote over the phone, call: (855) 596-3655 | Agents available 24 hours a day, 7 days a week! In 2022, your actual costs for the vaccine depend on the specifics of your plan. Fortunately, there is a vaccine that can prevent the condition. You'll get the best deal on shingles vaccine coverage with a Medicare plan from Aetna or Wellcare. Four-strain flu vaccine protects against four strains of the virus for children and adults. again. Depending on your prescription drug plan, you still may have to pay: Toward your deductible A copay Out-of-pocket and get reimbursed Medicare Advantage is Medicare coverage provided by private insurance companies. Each of the organizations they represent has a Medicare contract. Here is a list of our partners. According to the drug's manufacturer, Shingrix is typically covered under Medicare Part D. You'll usually pay $50 or less per dose when you get your shot at a retail pharmacy. If you're covered by Medicare, you may feel the pain of a shingles shot more in your wallet than in your arm.. That's because the federal program that insures most seniors in the U.S. provides . Example video title will go here for this video. The symptoms can last for 3 to 5 weeks. After someone recovers from chickenpox, the varicella-zoster virus can lie dormant in nerve tissue around their spinal cord and brain for many years or even decades. About 1out of every 3 people in the United States will develop shingles in their lifetime, the Centers for Disease Control and Prevention (CDC) estimates. The deductible amount of your Medicare plan affects how much you pay out of pocket before your insurer starts contributing to the cost of your prescription drugs. As a result, you are likely to have temporary side effects from getting the shots. Starting in 2023, all Medicare drug plans cover the shingles vaccine in full no deductible, no copay as well as other vaccines recommended by the Advisory Committee on Immunization Practices. Read Also: How To Take Care Of Shingles Rash, Shingles: Signs, Symptoms and Treatment with Dr. Mark Shalauta | San Diego Health, How Long Does It Take To Get Over Shingles, When Do You Take The Second Shingles Vaccine, Does The Shingles Vaccine Help With Herpes, How Much Is The Shingles Vaccine At Walmart, Is It Possible To Have Shingles Without A Rash, Can You Get The Shingles Vaccine Before Age 50, You may work with your doctor to enroll in BENLYSTA Gateway, a service that can answer questions about your insurance plans coverage of BENLYSTA, to see if you are eligible for the BENLYSTA Co-Pay Program, You can check your eligibility and enroll at. Guillain-Barr syndrome , a serious nervous system disorder, has been reported very rarely after Shingrix. The studies report that two doses of Shingrix will be more than 90 percent effective at preventing shingles and its complication called postherpetic neuralgia. In adults with weakened immune systems, Shingrix was between 68% and 91% effective in preventing shingles, depending on their underlying immunocompromising condition. There are 2 ways to get started with the BENLYSTA Co-Pay Program: *Medicare-eligible patients and patients enrolled in government-funded programs are not eligible for the BENLYSTA Co-pay Program. Medicare coverage for Shingrix depends on the type of Medicare coverage you have. <<000329054A34564AA6F2A463A1AEDD33>]>> You might need a tetanus shot, for example, if you step on a rusty nail. These five tips can help you pay less for a shingles vaccine. No matter your plan, you'll pay no deductible, copay or other costs for a shingles vaccine. You can print or show the CVS pharmacist a GoodRx coupon. At the time this article was first written, the zoster live vaccine (Zostavax) was another FDA-approved option for shingles vaccination. She has edited articles on a variety of topics, including business software, Medicare and home improvement. All Medicare prescription drug plans offer some level of coverage for the shingles vaccine. In either case, your doctors office or pharmacy could potentially offer financing options or payment plans to spread your payments out over time. If you prefer, you can still get vaccinated at your doctors office using your medical benefit. Part D: These plans offer coverage for your prescription medications, including several vaccines. Most people get their shingles shots at a pharmacy, and some receive it at their doctors office. Medicaid. New Year, New Deductible: How to Manage Health Care Expenses, Medicare Partial Part B Benefit for Immunosuppressive Drugs (Part B-ID), The Difference Between Part B and Part D Prescription Drug Coverage, An Overview of Medicare Eligibility and Benefits, 5 Changes to Expect During 2023 Medicare Open Enrollment, Best Medicare Supplement Plan F Providers. At a doctors office. And while our site doesnt feature every company or financial product available on the market, were proud that the guidance we offer, the information we provide and the tools we create are objective, independent, straightforward and free. If you experience side effects, you may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen. Some people who got Shingrix experienced side effects that prevented them from doing regular activities. If you find discrepancies with your credit score or information from your credit report, please contact TransUnion directly. Often the skin in the area of the rash continues to hurt even after the rash has healed. The shingles vaccine is not free for all seniors, and how much you pay depends on your Medicare Part D plan or your Medicare Advantage prescription drug benefits. However, this does not influence our evaluations. What Can I Do To Ease The Pain Of Shingles, How To Clean Shingle Granules From Gutters. However, you can find Zostavax and Shingrix on your Part D plan formulary. Each plan has a formulary showing which drugs it will cover, the tier a drug is on, any limits or requirements and mail-order availability. Part B will cover outpatient treatment for shingles issues such as pain or rash. All rights reserved. What Are the Advantages and Disadvantages of Medicare Advantage Plans? What everyone should know about the shingles vaccine (Shingrix). This may influence which products we review and write about (and where those products appear on the site), but it in no way affects our recommendations or advice, which are grounded in thousands of hours of research. 0000007204 00000 n Centers for Disease Control and Prevention. Prescription discount cards: There are many prescription discount cards that offer decreased rates for Shingrix. You will have to decide which will save you the most money. 0000001616 00000 n With a no-deductible prescription drug plan like the AARP MedicareRX Preferred, you'll pay more each month, but the cost of the shingles vaccine would be just $45 each because there is no deductible to meet. Her work was featured by Forbes, USA Today and The Associated Press. For more than 20 years, Wellcare has offered a range of Medicare products, which offer affordable coverage beyond Original Medicare. Use the Shingrix vaccine locator to find where the shingles vaccine is being offered, and check with your Medicare Part D or Medicare Advantage provider to see which locations give you the lowest price. Only one pharmaceutical companyMerckmakes the shingles shot, and theres currently no generic version. A look at what bills could become laws in Arkansas next week, Tornado impacts Pike County, community begins clean up, Your Arkansas weather forecast from THV11, School bus crash causes traffic delays on I-630, can be more than $400 for the required two doses, The Centers for Medicare and Medicaid Services, You can read more about whats covered under each part here, in a fact sheet about the Inflation Reduction Act, No, Medicare is not offering a free flex card, Here's how much Medicare premiums will cost in 2023, Yes, Social Securitys 2023 cost-of-living increase is the highest since 1981. Starting in 2024, the Inflation Reduction Act also expands the level of income eligibility for the Extra Help program. 0000007856 00000 n However, there are a few reasons why you may end up paying hundreds of dollars for the two-dose regimen. While shingles itself is not contagious, the virus that causes it is. Such infections can lead to scarring. 0000047367 00000 n All Medicare Part D drug plans, or Medicare Advantage plans that include prescription coverage, typically covered the shingles vaccine, usually with an out-of-pocket cost. Typical costs based on available plans in Charlotte, N.C. (AARP, Aetna/SilverScript, Cigna, Humana), Boston (Tufts, Wellcare), and Los Angeles (Anthem Blue Cross Blue Shield, Kaiser Permanente). Applying for Medicare can be an exciting but also a confusing process, Medicare and Medicaid are very different government insurance programs in the United States. Shingrix, the shingles vaccine recommended by the Centers for Disease Control and Prevention, is given in two doses administered between two and six months apart. Licensing information for QWIS can be found here. The CDC-recommended vaccine, Shingrix, is a recombinant zoster vaccine that has two doses administered within six months of each other. If youre just signing up for a Medicare plan and expect to get the shingles vaccine within the next year, you can choose a plan that has a lower copay. That means if you havent met your annual deductible, youll likely wind up paying full price for the shot, which is about $217. Learn More . Yes, the shingles vaccine will be free for Medicare recipients in 2023, if they have purchased optional Part D prescription drug coverage from a private insurance company. 0000007626 00000 n The Centers for Disease Control and Prevention recommends Shingrix vaccination for everyone 50 years and older and those 19 years and older who have weakened immune systemseven if you have already had shingles, if you had another type of shingles vaccine, and if you dont know whether or not youve had chickenpox in the past. On the other hand, Medicare Part Dor a Medicare Advantage plan that includes Part D coveragetypically does cover the vaccine. Protect yourself The CDC recommends that all healthy adults 50 years and older get vaccinated against shingles. Anyone who has had chickenpox in the past can get shingles. The higher the tier, the more you pay. GoodRx offers discounts on vaccines as well as medications. The CDC has no maximum age limit on getting vaccinated against shingles. %PDF-1.4 % Shingrix Medicare Coverage and Co-Pay Details - GoodRx ZOSTER VACCINE is a vaccine used to reduce the risk of getting shingles. The CDC states that the Shingrix vaccine is over 90% effective, and that efficacy remains above 85% for four years after two doses. Remember that if you only have original Medicare and no prescription drug coverage through Medicare, you may pay full price for the vaccine. People 60 and older account for half of cases even when they are not immunocompromised. Keep in mind that this comparison only considers the cost of the shingles vaccine and doesn't take into consideration any other medication costs. Depending on your plan, you may have to pay: Toward your deductible A copay Out-of-pocket and get reimbursed later. Read Also: Does Walgreens Give The Shingles Vaccine. Her additional health-related coverage includes death and dying, skin care, and autism spectrum disorder. En espaol|Yes, if you have prescription drug coverage. receive communications related to AARP volunteering. Does Medicare Cover the Shingles Vaccine? Find an in-network pharmacy at etf.benefits.navitus.com . Medicare Part D plans provide coverage exclusively for prescription drugs. Pre-qualified offers are not binding. The cost is dependent upon your plan, the type of vaccine you get and the place you receive the shot, according to insurance company Humana. Blue Cross Blue Shield Medicare Advantage plans. When you consider that 99% of people born on or before 1980 have had chickenpox (even if they dont remember it), a large portion of the population is at risk. The shingles vaccine is manufactured by GlaxoSmithKline Biologicals, a pharmaceutical company. People on Medicare can purchase Part D coverage from a private insurance company or it may be included as part of Medicare Advantage plans (Part C) offered by private companies. 0000001123 00000 n Currently, there is only one vaccine available that has been approved by the FDA to prevent shingles. Angela Underwood's extensive local, state, and federal healthcare and environmental news coverage includes 911 first-responder compensation policy to the Ciba-Geigy water contamination case in Toms River, NJ. Medicare is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions. . You should get Shingrix even if you have a history as follows: Unlike the flu and pneumonia vaccines, which are fully covered as preventive services under Medicare Part B, the shingles shot and other recommended vaccinations are covered as prescription drugs under Medicare Part D and Medicare Advantage plans. Most people got a sore arm with mild or moderate pain after getting Shingrix, and some also had redness and swelling where they got the shot. Many plans put the vaccine into a Tier 3 . In both cases, a shingles vaccine dose costs less than $50, and the Part D plans are affordable, averaging $36 to $37 per month. This shingles vaccine has been shown to decrease the risk for shingles by 97% for people between 50 and 69 years old and by 91% for people 70 and older. The vaccine is typically administered to adults who are 50 years and older. These plans are sold through private insurers. Anju Goel, MD, MPH, is a board-certified physician who specializes in public health, communicable disease, diabetes, and health policy. covered under Part D. Medicare Part B does not cover administration of Part D vaccines . The big choice: Original Medicare vs. Medicare Advantage. Also Check: How Long Does It Take To Get Over Shingles. Shingles affects about one-third of people whove had chickenpox, leading to burning, tingling, and shooting nerve pain. Another thing to be concerned about is contagion. To see if travel vaccines are covered by your Medicare Part D plan, check with the plan's formulary, or list of covered drugs. Whether you pay all at once for your vaccine depends on where you get it. Yes, it's covered through Medicare Part D plans and Medicare Advantage plans with prescription drug coverage. Advertiser Disclosure: Some of the offers that appear on this website are from companies which ValuePenguin receives compensation. But how you find out how much of the cost your plan covers? It reduces complications as well. You need two rounds of the shot when getting this shingles vaccine. This article was prepared as a service to the public and is not intended to grant rights or impose obligations. It helps with up to a total of $15,000 for 12 months. Medicare Part A (Hospital Insurance) nor. How much you pay will vary based on the plan you choose. This vaccine is not used to treat shingles or nerve pain from shingles. Many or all of the products featured here are from our partners who compensate us. The Centers for Disease Control and Prevention recommends that healthy adults 50 years and older get two doses of Shingrix two to six months apart to prevent shingles and complications from the disease. For the two-dose sequence, the total cost is $324. Eligible patients could pay as little as $0 for BENLYSTA. You can have a Part D plan with Original Medicare or with a Medicare Advantage plan that does not have prescription drug benefits. At one time, some states required a prescription to get the shingles vaccine at a pharmacy, but those states recently changed their rules to allow the vaccine without a doctors order. This charge can sometimes be wrapped into your total vaccine cost. Kaiser Family Foundation. Calls to QWIS will be routed to a licensed agent who can provide you with further information about the insurance plans offered by one or more third-party partners of QWIS. Part C: Also known as Medicare Advantage, Part C plans cover everything that Part A and Part B do. The rash is also uncomfortable and makes it challenging to rest. Medicare is broken down into four different parts. Medicare Part B (Medical Insurance) cover the shingles shot. If you do not have insurance coverage, you may have to pay the full price out of pocket. Medicare Part D generally covers vaccines that Medicare Part B does not cover, like the shingles (zoster) vaccine and the Tdap vaccine. Most Medicare drug plans cover at least 50 percent of a drug's retail price. This may explain why the cost of the vaccine can sometimes be higher than the GlaxoSmithKline estimate. Congress eliminated cost-sharing for all vaccines covered under Medicare Part D. Medicare now covers the entire cost of the shingles vaccine and others recommended by the Advisory Committee on Immunization Practices. Or, you can switch plans during the annual open enrollment period to find one that covers it at a better price. For some, this virus reactivates and becomes a shingles infection. Invitations for application for insurance may be made through QW Insurance Solutions, LLC ("QWIS"), a subsidiary of QuoteWizard.com, LLC ("QuoteWizard"), a LendingTree subsidiary, or through its designated agents, only where licensed and appointed. The full cost of Shingrix is $162 per shot, totaling $324 for the recommended two doses. The pneumonia vaccine is fully covered by Medicare Part B at zero cost. In the example above, the AARP MedicareRx Walgreens prescription drug plan has a $455 deductible for Tier 3 drugs like the shingles vaccine. This compensation may impact how and where offers appear on this site (including, for example, the order in which they appear). However, there are other Medicare plans that may cover at least part of the costs. Centers for Medicare and Medicaid Services. Deductible copay: free to $164 for each shot, After deductible is met: free to $164 for each shot, Donut hole/coverage gap range: free to $74 for each shot, Look for prescription assistance and coupons on websites that help with medication costs. A lot of plans list Shingrix on Tier 3 drug as a preferred brand-name drug. As a result of the Inflation Reduction Act, beginning Jan. 1, 2023, there will be no cost-sharing for all adult vaccines covered under Part D that are recommended by the Advisory Committee on Immunization Practices. Medicare Part A and Part B wont cover the shingles vaccine. If you do not have a Part D drug plan, check pricing on Cleverrx.com, where you can find coupons that may save you some money on this vaccine. These private plans must cover all commercially available vaccines needed to prevent illness, except for those that Part B covers. More from VERIFY:Inflation Reduction Act only caps insulin prices for Medicare patients, not for people with private insurance. It can also be used by anyone on Part D as long as they have already spent $600 on medications through their plan that year. The FDA approved Shingrix in 2017. You can also follow us on Snapchat, Twitter, Instagram, Facebook and TikTok. 0000001301 00000 n 0000002134 00000 n xb```f``o l@q Studies show that Shingrix is safe. In adults 50 years and older, Shingrix was 91% effective in preventing PHN in adults 70 years and older, Shingrix was 89% effective. Medicare is a federally-funded healthcare program for people 65 and older and for people with qualifying disabilities. Some of those plans provide better coverage than others, but nearly all of them divide their formularies, or list of covered drugs, into tiers according to cost. Call your doctor to find out if they can bill your Part D plan directly. We've explained what you need to know about Medicare Part C. Here's help to understand what it covers, plan options, enrollment requirements, Medicare is the U.S. health insurance program for people 65 years old and over. Most Medicare plans offering prescription drug coverage used to require a copayment for the vaccine that could vary widely in cost based on your plan. If the pharmacy you prefer to use for your vaccine/immunization is not in the Navitus network , contact your health plan to see if they will cover your claim through the pharmacy under the medical benefit. Keep reading to find out how to get Medicare coverage for the shingles vaccines or get financial help if your plan doesnt cover the vaccine. Vaccination mitigates this possibility. Medicare Part D, which is voluntary, provides coverage for prescription drugs and immunizations. Pharmacists in all states can administer vaccines included on the CDC-recommended adult immunization schedule, including the shingles vaccine. Starting in 2023, all Medicare drug plans cover the shingles vaccine in full no deductible, no copay as well as other vaccines recommended by the Advisory Committee on Immunization Practices. In 2022, your actual costs for the vaccine depend on the specifics of your plan. In 2022, you could pay less than $50 per shingles shot with a Medicare Part D plan from Aetna or Wellcare. For some enrollees, the shingles vaccine could be free, but others may pay full price if a deductible must be met before the cost-sharing benefits begin. 188 22 This means each plan has its own set of premiums, benefits, copayments, deductibles and coinsurance. Many people with Medicare pay less than $50 per shot, and your coverage amount depends on your prescription drug plan. Many Medicare plans offer partial coverage for the shingles vaccine. If you have a Medicare Advantage plan with prescription drug coverage, or a standalone Part D plan, then you should be covered for the shingles vaccine in many circumstances. Medicare Advantage plans provide coverage for all Medicare Part A and Part B benefits, and most Medicare Advantage plans also cover prescription drugs. Disclaimer . Yes. When can I join a Part D prescription drug plan or switch plans if I already have coverage. You might have a reaction to the first or second dose of Shingrix, or both doses. Postherpetic neuralgia can cause the following symptoms: The older you are, the more likely you are to have postherpetic neuralgia. This is a type of pain that lingers where a shingles rash begins. Anyone who has ever had chickenpox can get shingles, including children, but people who are older or those with weakened immune systems are at increased risk. The VERIFY team works to separate fact from fiction so that you can understand what is true and false. Two doses of Shingrix provide strong protection against shingles and postherpetic neuralgia , the most common complication of shingles. However, you may be able to get coverage through a Medicare Advantage or Medicare Part D plan. 0000006486 00000 n We believe everyone should be able to make financial decisions with confidence. Javascript must be enabled to use this site. improvement, food, personal finance and lifestyle. Be sure to. So how do we make money? Please enable Javascript in your browser and try Original Medicare Part A (hospital coverage) and Part B (medical coverage) doesnt cover the shingles vaccine. In rare cases, it can lead to encephalitis. Surprisingly, Original Medicare (Parts A and B) doesn't cover the shingles vaccine, even though it covers other vaccines like the flu vaccine and pneumonia shot. All financial products, shopping products and services are presented without warranty. Use the AARP Auto Buying Program to find your next safe car! GSK Patient Assistance Program for Vaccines. Human Vaccines & Immunotherapeutics. Also, if you havent yet reached the annual deductible for your insurance plan yet, youll have to pay the entire amount out of pocket . Recommended Reading: What Is Good For Shingles Rash. The individual may feel stabbing or throbbing or even weakness. Enrollment in any plan depends on contract renewal. If you receive your vaccine before you have met your Part D plans deductible, you will be responsible for 100% of the cost. syndicated on over 200 websites nationwide. It is administered in two doses two to six months apart. Influenza, Pneumonia, Tetanus, Hepatitis, Shingles, Measles, Mumps, Human Papillomavirus , Pertussis, Varicella, Meningitis, You dont have prescription drug coverage or a Part D plan and have spent at least $600 during the calendar year, You live in the U.S., Puerto Rico, or the District of Columbia, You dont qualify for Puerto Ricos Government Health Plan, You apply through your health care provider, who will register for the patient assistance program and submit your application. Verywell Health's content is for informational and educational purposes only. Part A and Part B are referred to as Original Medicare because they were the first parts written into law in 1965. Medicare Part B covers a small handful of vaccines for the flu, Hepatitis B and the pneumococcal (pneumonia) vaccine. Find the content you are looking for by entering in search terms below. You should not get the vaccine if you have a severe allergy to any of the components, currently have shingles, or you have lab tests that definitively show that you do not have antibodies against the varicella-zoster virus. It could range from $0 to over $100 depending on your plan, and depending on whether you get the vaccine in or out of network. 2023 Dotdash Media, Inc. All rights reserved, Tanya Feke, MD, is a board-certified family physician, patient advocate and best-selling author of "Medicare Essentials: A Physician Insider Explains the Fine Print. It has not been previewed, commissioned or otherwise endorsed by any of our network partners. This means people with Medicare Part D will pay nothing out-of-pocket for the shingles vaccine and others recommended by ACIP, the Centers for Medicare and Medicaid Services says in a fact sheet about the Inflation Reduction Act. Sign up and well send you Nerdy articles about the money topics that matter most to you along with other ways to help you get more from your money. In this situation, the person with the MedicareRx Walgreens plan pays less overall, even though they're paying full price for the shingles vaccine. These insurers offer plans in most states. (2020). Scenario: Shingrix is the only medication needed during the policy. However, there are a few reasons why you may end up paying hundreds of dollars for the two-dose regimen.\u003C\/p\u003E\n\n\u003Cp\u003E\u003Cdiv class=\"ShortcodeList--root \"\u003E\n\n \u003Cdiv class=\"ShortcodeList--content\"\u003E\n \u003Cdiv class=\"ShortcodeList--column\"\u003E\n \u003Cul class=\"ListUnordered--root ListUnordered--bullet\"\u003E\n \u003Cli class=\"ListUnordered--list-item\"\u003E\n \u003Cstrong\u003EMedicare coverage levels\u003C\/strong\u003E: Some Medicare drug plans have better cost-sharing benefits than others, and how much you pay for the shingles vaccine depends on the plan you choose.\n \u003C\/li\u003E\n \u003Cli class=\"ListUnordered--list-item\"\u003E\n \u003Cstrong\u003EPharmaceutical classification\u003C\/strong\u003E: Medicare classifies the Shingrix vaccine as a part of its pharmaceutical coverage, meaning it would fall under Medicare Part D coverage rather than Part A or Part B. The Inflation Reduction Act, which Congress passed in 2022, includes prescription drug and vaccine provisions that impact Medicare Part D recipients. To help ensure the price of your medicine is affordable to you, BENLYSTA offers a co-pay program that helps eligible patients.