Medicare Covers RSV Vaccine

RSV vaccine

Autumn brings many great things, such as crisp, cool nights, falling apples, pumpkin harvests and turning leaves. It also brings the beginning of cold and flu season. One way to help prevent sickness and stay healthy is to make sure you’re up-to-date with your vaccines, especially the flu shot and any COVID-19 boosters, which are covered under Medicare Part B.

Earlier this year, the Food and Drug Administration (FDA) also approved the RSV vaccine. The RSV vaccine can help prevent lower respiratory tract disease caused by respiratory syncytial virus (RSV). This virus can affect people of all ages but may be especially serious for infants and older adults. RSV season varies from year to year, but usually starts in the fall and peaks in the winter.

Thanks to the Inflation Reduction Act’s (IRA) expansion of Medicare’s vaccine coverage, this RSV vaccine is covered by Medicare Part D and is cost-free to you. Medicare Part D covers this vaccine as long as the Advisory Committee on Immunization Practices (ACIP) recommends it. The ACIP, a government agency that gives advice about who should get certain vaccines, currently recommends the RSV vaccine for adults ages 60 and over.

If your pharmacy tries to charge a copay or deductible, call 1-800-MEDICARE (1-800-633-4227) for help. Remember, as long as you have Medicare Part D, this RSV vaccine should be free for you. You can also call your local Health Insurance Counseling and Advocacy Program (HICAP) for assistance at 1-800-434-0222.

See Medicare.gov for more information on Medicare-covered vaccines and preventive services.

Karen Joy Fletcher

Our blogger Karen Joy Fletcher is CHA’s Communications Director. With a Masters in Public Health from UC Berkeley, she is the online “public face” of the organization, provides technical expertise, writing and research on Medicare and other health care issues. She is responsible for digital content creation, management of CHA’s editorial calendar, and managing all aspects of CHA’s social media presence. She loves being a “communicator” and enjoys networking and collaborating with the passionate people and agencies in the health advocacy field. See her current articles.