Does United Healthcare Pay For Shingles Vaccine

Vaccination immunization page 1 of 8 unitedhealthcare medicare advantage policy guideline approved 07 08 2020 proprietary information of unitedhealthcare.

Does united healthcare pay for shingles vaccine.

Most plans don t cover it before age 60 but there are some exceptions. Contact your medicare drug planfor more information about coverage. Medicare coverage for shingrix and zostavax the two commercially available shingles vaccines is provided only if you are enrolled in a stand alone part d drug plan or a medicare advantage plan that includes part d drug coverage. Protects against a painful skin rash.

Generally medicare prescription drug plans part d cover all commercially available vaccines like the shingles shot needed to prevent illness. Network coverage at no cost share for non grandfathered fully insured and self funded customers that follow unitedhealthcare standard preventive services benefits shingrix will be included as a covered benefit beginning april 1 2018. Medicare requires part d plans to cover the shingles vaccine so if you re enrolled in part d you shouldn t have difficulty obtaining the shot. Under 60 and you pay out of pocket.

You may have a copay or coinsurance for covered vaccines depending on the plan you have and whether you use a network pharmacy. These vaccines are under the plan s treatment benefits not under preventive care benefits. The preferred vaccine for preventing shingles and related complications. However there are other medicare plans that may cover at least part of the costs.

Vaccines that that fall under one of the exclusions in the member specific benefit plan document. For example therapeutic treatment of an animal bite using the rabies vaccine. It s generally recommended for adults 60 and older. Certain vaccines are used as a medical treatment.

As with most commercially available medicare part d vaccines needed to prevent illness your medicare part d plan covers the shingles vaccine and its administration. Original medicare part a hospital coverage and part b medical coverage doesn t cover the shingles vaccine. The united healthcare website states that it does cover the shingles vaccine for people 60 and older.