Medicare Part B Coverage of Flu, Pneumonia, and Hepatitis B Vaccines

Vaccines are vitally important in preventing illness and maintaining health, particularly in older adults and given the upcoming flu season and ongoing COVID-19 public health emergency. Medicare Part B and Medicare Advantage (Part C) plans cover influenza, pneumococcal, and hepatitis B vaccines offered in several types of settings including nursing homes, outpatient facilities, adult home and assisted living facilities, senior housing facilities, senior centers, hospices, community settings, and individuals’ homes.

A LeadingAge NY memo provides an updated overview and details on Medicare coverage, billing, and payment for influenza, pneumococcal, and hepatitis B vaccinations for the 2020-21 time period. Information is also provided on providers and practitioners that can furnish these vaccinations, and the types of locations they can be offered in. We welcome member questions and feedback on this resource.

Contact: Dan Heim, dheim@leadingageny.org, 518-867-8866