- Medicare Part B Immunization BenefitsMedicare provides coverage for seasonal influenza, pneumococcal, and hepatitis B vaccines and their administration, under Medicare Part B, for qualified beneficiaries as preventive immunizations. Providers who accept the Medicare-approved payment amount for these services are reimbursed under Medicare Part B.
- Seasonal Influenza Immunization
Medicare provides payment for the seasonal influenza vaccine and its administration for all people with Medicare, once per influenza season, in the fall or winter. Medicare may cover additional influenza vaccinations, if medically necessary. (Note: According to the Centers for Disease Control and Prevention, the 2010 – 2011 influenza vaccine will protect against the 2009 H1N1, and two other influenza viruses) - Pneumococcal Immunization
Medicare provides payment for the pneumococcal vaccine and its administration for all beneficiaries, generally once in a lifetime. Medicare may cover additional vaccinations based on risk. - Hepatitis B Immunization
Medicare provides payment for the hepatitis B vaccine and its administration for beneficiaries at medium to high risk of contracting hepatitis B.
CMS Adult Immunizations Webpage
Please Note: The “Immunizers’ Question & Answer Guide to Medicare Coverage of Seasonal Influenza and Pneumococcal Vaccinations”, which provides administration and flu vaccine payment rates for use by mass immunizers and physician practices, will be updated and posted to this site sometime in early October 2010.
CMS Medicare Learning Network (MLN) Preventive Services Educational Products Webpage
This site provides access to MLN educational resources developed by CMS for fee-for-service providers related to Medicare-covered preventive services, including adult immunizations.
Centers for Disease Control and Prevention Website
This site provides information about National Immunization Awareness Month.
