Respiratory Syncytial Virus (RSV) Shot
Medicare Coverage Information
Overview
Medicare provides coverage for RSV shots for eligible older adults and high-risk individuals. These vaccines help protect against serious respiratory infections that can be particularly dangerous for seniors and those with compromised immune systems.
- RSV shots are covered for specific age groups and high-risk populations
- Typically covered under Medicare Part B or Part D
- May require a prescription from a healthcare provider
- Recommended for adults 60 and older or those with certain chronic conditions
- Preventive service designed to reduce hospitalization risks
- Adults 60 years and older
- Individuals with chronic lung or heart conditions
- Immunocompromised patients
- Beneficiaries with Original Medicare or Medicare Advantage plans
- Most beneficiaries pay $0 for RSV shots when administered by an in-network provider
- No copayment or coinsurance for preventive RSV vaccinations
- Potential out-of-pocket costs may vary by specific Medicare plan
- Coverage may require meeting specific age or health criteria
- Must be administered by Medicare-approved healthcare providers
- Annual vaccination recommendations may apply
- Proof of medical necessity might be required
- Consult with your healthcare provider about RSV vaccination
- Verify specific coverage details with your Medicare plan
- Call 1-800-MEDICARE for personalized coverage information
- Schedule vaccination during annual wellness visit
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare RSV shotRespiratory Syncytial Virus vaccineMedicare preventive careSenior vaccinationMedicare immunizations
Related Coverage Topics
Questions About Respiratory Syncytial Virus (RSV) Shot?
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