Each year in August, National Immunization Awareness Month (NIAM) provides an opportunity to highlight the value of immunization across the lifespan. National Immunization Awareness Month presents a great opportunity to educate seniors and other people with Medicare on the importance of disease control and prevention through immunization and the vaccines covered by Medicare that help prevent disease.
Vaccine-preventable disease levels are at or near record lows, yet many adults remain under-immunized, missing opportunities to protect themselves against diseases such as hepatitis B, seasonal influenza, and pneumococcal disease. Vaccines are even more important for people with chronic health conditions. An underlying health condition can make a person more susceptible to contracting a disease or have a more serious outcome if they do contract a disease.
Medicare Part B Immunization Benefits
Medicare provides coverage for seasonal influenza, pneumococcal, and hepatitis B vaccines and their administration for qualified beneficiaries as preventive immunizations.
- Seasonal Influenza Immunization: Medicare covers one seasonal influenza virus vaccine per influenza season; a beneficiary could get more than one seasonal influenza virus vaccination in a 12-month period. Medicare may cover additional influenza vaccinations, if medically necessary. *
- Pneumococcal Immunization: Medicare generally covers pneumococcal vaccination once in a lifetime for all Medicare beneficiaries. Medicare may cover additional vaccinations based on risk or uncertainty of beneficiary pneumococcal vaccination status.
- Hepatitis B Immunization: Medicare covers the hepatitis B vaccinations that are reasonable and necessary for the prevention of illness for those individuals who are at high or intermediate risk of contracting hepatitis B virus.
CMS asks healthcare providers who provide care to seniors and others with Medicare to join them during National Immunization Awareness Month to help protect your Medicare patients from vaccine-preventable diseases. This can be done by ensuring their immunizations are up-to-date, educating them on risk factors, and encouraging their use of appropriate Medicare-covered immunizations.