Medicare Advantage vaccine coverage

For plan members in Illinois and Missouri

Important message about what you pay for vaccines

Our plan covers Part B and Part D* vaccines at no cost to you — even if you haven't paid your deductible. Call the Customer Care Center listed on your ID card for more information.

*Medica Central Salute plan only covers Part B vaccines and does not have Part D coverage.

How are vaccinations covered?

Members can find covered vaccines listed in our formulary. A new preventive vaccine may not specifically appear in the formulary, but we may still cover the vaccine. Contact Member Services at 1-877-301-3326 (TTY: 711) to find out about coverage.

Your Benefit allows you to get your preventative vaccines at your network retail pharmacy or at your doctor office during a regular visit.

Our plan provides preventive coverage for certain Part B vaccines at $0, including:

Influenza: once per flu season
COVID-19: per CDC guidelines
Pneumococcal: once per lifetime with high-risk booster after five years
Hepatitis B: for persons at intermediate- to high-risk
Other immunizations are covered under Medicare Part B only for those who meet coverage rules and are at high risk
Part B vaccinations are covered on the Salute plan, Part D drugs are not

See your formulary for a full list of covered vaccines at $0 copay.

Learn more about the benefits of vaccines and immunization from the Centers for Disease Control and Prevention (CDC): Vaccines and Immunizations: The Basics.

Questions? We can help.

Members

Talk with Member Services at 1-877-301-3326 (TTY: 711)

8 a.m. to 8 p.m. weekdays (year-round) and weekends (Oct. 1 – March 31).

Medica Central Health Plan
1277 Deming Way
Madison, WI 53717