Does Medicare Cover the Shingles Vaccine?

Original Medicare does not cover Shingrix — the shingles shot. But most Medicare Part D prescription drug plans and Medicare Advantage plans that include prescription drug coverage will cover the shingles vaccine.

Terry Turner, writer and researcher for RetireGuide
Fact Checked
Fact Checked

Our fact-checking process starts with vetting all sources to ensure they are authoritative and relevant. Then we verify the facts with original reports published by those sources, or we confirm the facts with qualified experts. For full transparency, we clearly identify our sources in a list at the bottom of each page.

Cite Us
How to Cite RetireGuide.com's Article

APA Turner, T. (2022, May 6). Does Medicare Cover the Shingles Vaccine? RetireGuide.com. Retrieved May 23, 2022, from https://www.retireguide.com/medicare/services/vaccines/shingles/

MLA Turner, Terry. "Does Medicare Cover the Shingles Vaccine?" RetireGuide.com, 6 May 2022, https://www.retireguide.com/medicare/services/vaccines/shingles/.

Chicago Turner, Terry. "Does Medicare Cover the Shingles Vaccine?" RetireGuide.com. Last modified May 6, 2022. https://www.retireguide.com/medicare/services/vaccines/shingles/.

Why Trust RetireGuide.com
Why You Can Trust Us

Content created by RetireGuide and sponsored by our partners.

Key Principles

RetireGuide’s mission is to provide seniors with resources that will help them reach important financial decisions that affect their retirement. Our goal is to arm our readers with knowledge that will lead to a healthy and financially sound retirement.

We’re dedicated to providing thoroughly researched Medicare information that guides you toward making the best possible health decisions for you and your family.

RetireGuide LLC has partnerships with Senior Market Sales (SMS) and GoHealth.

Our partners are able to be reached through the phone numbers and/or forms provided on our website.

The content and tools created by RetireGuide adhere to strict Medicare and editorial guidelines to ensure quality and transparency.

Editorial Independence

While the experts from our partners are available to help you navigate various Medicare plans, RetireGuide retains complete editorial control over the information it publishes.

We operate independently from our partners, which allows the award-winning RetireGuide team to provide you with unbiased information.

Visitors can trust our inflexibility regarding our editorial autonomy. We do not allow our partnership to influence RetireGuide’s editorial content whatsoever.

Does Medicare Cover Shingrix?

While Original Medicare — Medicare Part A and Part B — does not cover the cost of the shingles vaccine, or Shingrix (recombinant zoster vaccine), you can purchase private plans — Medicare Advantage or Medicare Part D plans — that do cover the cost.

It is important to note that even if your Medicare Advantage or Medicare Part D plan covers the shingles shot, you may have a copayment or other out-of-pocket costs to pay. Check with your plan for particular details.

What Is Shingles?
Shingles is the common name for herpes zoster, a skin rash with painful blisters that is caused by the same virus that causes chicken pox. Your body cannot shed the chickenpox virus, so it lives on in certain nerves in your body. If you’ve ever had chicken pox, you are at risk for shingles later in life. It’s not clear why the virus comes back as shingles.

Medicare Part D prescription drug plans cover all commercially available vaccinations, except for those already covered under Original Medicare. But these plans will pay only if the vaccinations are considered “reasonable and necessary to prevent illness.”

Vaccines Covered by Medicare Part D Plans
  • Shingles vaccine
  • MMR vaccine (for measles, mumps and rubella)
  • Tdap vaccine (adult booster shot for tetanus, diphtheria and pertussis — also called whooping cough)
  • Other vaccines deemed reasonable and necessary to prevent illness

Medicare Advantage plans may include a Part D component that covers these shots.

Medicare Part B medical insurance, included in Original Medicare, pays for only a few types of vaccines.

Vaccines Covered by Medicare Part B

How Much Does the Shingles Shot Cost?

There is currently only one shingles vaccine available in the United States, sold under the brand name Shingrix. An older shingles vaccine called Zostavax (zoster vaccine live) was taken off the market in November 2020.

Shingrix is delivered in two shots. Without insurance, each shot retails for around $202 for a total of $404, according to GoodRX in 2021. Discounts can lower that cost by nearly $50 per shot.

Medicare Part D and Medicare Advantage plans may cover most of the cost of the Shingrix vaccine, but you could have out-of-pocket costs for both the shot and your doctor visits.

Before getting the vaccine, check with your plan’s administrator to make sure your policy covers the shingles shot.

How to Get Coverage for the Shingles Vaccine

While Original Medicare will not cover the shingles vaccine, there are other options for you to get coverage through either a Part D prescription drug plan or a Medicare Advantage plan.

Medicare Part D Coverage

Original Medicare doesn’t cover most prescription drugs, but you do have the option of purchasing a Part D plan. These plans are sold by private insurers and offer coverage for a range of prescription drugs.

While there is some variation in Part D plans since they are provided by different private companies, they typically must include coverage for Shingrix.

Medicare Advantage Plan

Another way to be eligible for coverage of the shingles shot is through a Medicare Advantage plan. Like Part D, Medicare Advantage is provided through private insurers.

The plans include, at minimum, everything that is covered under Original Medicare, and they also offer additional and expanded coverage as well. One of the most common forms of expanded coverage is prescription drugs, which means your shingles shot can be covered under many different Medicare Advantage plans.

Don't Leave Your Health to Chance
You've worked hard your whole life by thinking ahead. Now do the same for your health. Get free Medicare help to plan your future.

Where to Get the Shingles Vaccine

You have a few different options on where to get the shingles vaccine. You usually can receive it directly from your doctor at a doctor’s office or at a pharmacy.

The major pharmacy chains typically offer shingles shots so you should be able to get it at a location near you. You will still need a prescription from your doctor in order to get it at a pharmacy.

Who Can Administer Your Shingles Shot?
  • Your doctor
  • Your local pharmacy

The vaccine is administered as a shot to your upper arm. While the Shingrix vaccine is safe and effective at preventing shingles, there are some possible side effects. According to the CDC, you may experience some common mild symptoms associated with vaccines, such as arm soreness, muscle pain or a headache.

Remember that the vaccine comes in two doses, so you will have to return to wherever you got the shot two to six months later to receive the second dose. The immune reaction may come with the first or second dose, or with both doses of Shingrix.

Last Modified: May 6, 2022

8 Cited Research Articles

  1. U.S. National Library of Medicine. (2022, April 1). Shingles. Retrieved from https://medlineplus.gov/ency/article/000858.htm
  2. U.S. Centers for Medicare & Medicaid Services. (2022, January). Medicare Part D Vaccines. Retrieved from https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Vaccines-Part-D-Factsheet-ICN908764.pdf
  3. U.S. Centers for Disease Control and Prevention. (2020, October 5). What Everyone Should Know About Zostavax. Retrieved from https://www.cdc.gov/vaccines/vpd/shingles/public/zostavax/index.html
  4. U.S. Centers for Disease Control and Prevention. (2018, January 25). Shingles Vaccination. Retrieved from https://www.cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html
  5. U.S. Centers for Disease Control and Prevention. (2017, March 31). How to Pay for Vaccines. Retrieved from https://www.cdc.gov/vaccines/adults/pay-for-vaccines.html
  6. AARP. (2020). Does Medicare Cover the Shingles Vaccine? Retrieved from https://www.aarp.org/health/medicare-qa-tool/does-medicare-cover-shingles-shot/
  7. GoodRx. (n.d.). Shingrix. Retrieved from https://www.goodrx.com/shingrix
  8. U.S. Centers for Medicare & Medicaid Services. (n.d.). Shingles Shots. Retrieved from https://www.medicare.gov/coverage/shingles-shots