Part B vs. Part D Vaccine Information

Medicare Part B:

Vaccinations or inoculations are excluded as immunizations unless they are either directly related to the treatment of an injury or direct exposure to a disease or condition.

Medicare Part B covered Vaccines

• INFLUENZA VACCINE (Flu)
• PNEUMOCOCCAL VACCINE (Pneumovax)
• HEPATITIS B VACCINE (Recombivax, Engerix-B) - members at moderate to high risk
• OTHER VACCINES when directly related to the treatment of an injury or direct exposure to a disease or condition, such as:
  RABIES VIRUS VACCINE (RabAvert, Imovax Rabies)
  TETANUS TOXOID VACCINE (Tetanus Toxoid Adsorbed)
  ANTIVENIN SERA

Medicare Part D:

Vaccinations or inoculations are included when their administration is reasonable and necessary for the prevention of illness.

Physians Health Choice Part D covered Vaccines

• CHICKENPOX VACCINE (Varivax)
• DIPHTHERIA TOXOID / HAEMOPHILUS VACCINE (HibTiter)
• DIPHTHERIA TOXOID / TETANUS TOXOID VACCINE (Diphtheria -Tetanus Toxoids, Decavac)
• DIPHTHERIA TOXOID / PERTUSSIS /TETANUS TOXOID VACCINE (Daptacel)
• HAEMOPHILUS INFLUENZAE B / HEPATITIS B (Comvax)
• HEPATITIS A VACCINE (Havrix, Vaqta)
• HEPATITIS A / HEPATITIS B VACCINE (Twinrix)
• HEPATITIS B VACCINE (Recombivax, Engerix-B) - members at low risk
• HUMAN-BOVINE ROTAVIRUS (RotaTeq)
• HUMAN PAPILLOMAVIRUS (Gardasil)
• JAPANESE ENCEPAHLITIS VIRUS VACCINE (Je-Vax)
• MEASLES VACCINE (Attenuvax)
• MEASLES / MUMPS / RUBELLA VACCINE (M-M-R II)
• MEASLES / MUMPS / RUBELLA / VARICELLA VACCINE (ProQuad)
• MENINGOCOCCAL POLYSACCHARIDE VACCINE (Menomune)
• MENINGITIDIS POLYSACCHARIDE DIPHTHERIA TOXOID VACCINE (Menactra)
• PERTUSSIS / DIPHTHERIA / TETANUS VACCINE (Adacel, Boostrix, Tripedia, Infanrix)
• PERTUSSIS / DIPHTHERIA / HAEMOPHILUS B / TETANUS VACCINE (TriHIBit)
• PERTUSSIS / DIPHTHERIA / HEPATITIS B / POLIO VACCINE (Pediarix)
• POLIOVIRUS VACCINE INACTIVATED (Ipol)
• RABIES VIRUS VACCINE (RabAvert, Imovax Rabies) - for prevention
• RUBELLA VIRUS VACCINE (Meruvax II)
• TETANUS TOXOID VACCINE (Tetanus Toxoid Adsorbed) - for prevention
• TYPHOID VACCINE (Vivotif Berna Vaccine)
• TYPHOID VI POLYSACCHARIDE VACCINE (Typhim VI)
• YELLOW-FEVER VIRUS VACCINE (YF-VAX)
• ZOSTER VACCINE LIVE (Zostavax)