Does Medicare Cover the Hepatitis B Vaccine?

Victoria Burke by Victoria Burke | Licensed since 2011

This article was updated on: 09/10/2018

Does your doctor say you should get the hepatitis B vaccine? If you have Medicare Part B, this “hep B shot” might be covered. Here’s what you need to know about the hepatitis B vaccine and Medicare coverage for it.

Does Original Medicare cover hepatitis B vaccine?

Medicare Part B (medical insurance) may cover a hepatitis B vaccine for you if you meet Medicare’s criteria. Generally, if you’re considered at high or medium risk for hepatitis B, Medicare will cover the hepatitis B shot. If your doctor accepts Medicare assignment, you typically pay nothing for your hepatitis B vaccine.

Who might be eligible for the hepatitis B vaccine?

Since Medicare may cover the hepatitis B vaccine for those at risk for the disease, it may be helpful to know what it means to be “at risk.” You may have a higher risk of getting hepatitis B if you have any of the following conditions:

  • Diabetes
  • End-stage renal disease (kidney failure where you need regular dialysis or a kidney transplant)
  • Hemophilia
  • Certain medical conditions that reduce your resistance to infection

There may be other situations that increase your risk for this disease and make you eligible for Medicare coverage of the hepatitis B vaccines. For example, the Centers for Disease Control says you may be at risk for hepatitis B is you share needles to take drugs, or if you have sex with someone who has the disease. If you’re not sure, talk to your doctor about whether you should get the hepatitis B shots.

Does Medicare Advantage cover a hepatitis B vaccine?

If you get your Medicare benefits through a Medicare Advantage plan, you are generally covered for the hepatitis B vaccines the same way as described for Medicare Part B above. Medicare Advantage plans include all of the benefits of Original Medicare, Part B (except for hospice care, which is still covered under Part A); these plans may also include other benefits such as prescription drug benefits, routine hearing care, or wellness programs. Medicare Advantage plans are offered by private insurance companies that contract with Medicare, so plan options, availability, and costs may vary by location.

Learn about Medicare coverage options

Understanding your Medicare coverage for the hepatitis B vaccine and other preventive services is something I can help you with. I’m happy to answer your questions. You can schedule a phone call, or request an email with personalized information, by clicking one of the buttons below. The Compare Plans or Find Plans buttons will show you a list of Medicare plan options you may be eligible for in your area.

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