Medicare Advantage vaccine coverage from Medica Central Health Plan

nurse giving a patient a vaccine

Important message about what you pay for vaccines

Our plan covers Part B and Part D* vaccines at no cost to you — even if you haven't paid your deductible. Call the Customer Care Center listed on your ID card for more information.

*Medica Central Salute plan only covers Part B vaccines and does not have Part D coverage.

How are vaccinations covered?

Members can find covered vaccines listed in our formulary. A new preventive vaccine may not specifically appear in the formulary, but we may still cover the vaccine. Contact our Customer Care team at 877-301-3326 (TTY: 711) to find out about coverage.

Your Benefit allows you to get your preventative vaccines at your network retail pharmacy or at your doctor office during a regular visit.  

 Our plan provides preventive coverage for certain Part B vaccines at $0, including:

  • Influenza: once per flu season
  • COVID-19: per CDC guidelines
  • Pneumococcal: once per lifetime with high-risk booster after five years
  • Hepatitis B: for persons at intermediate- to high-risk
  • Other immunizations are covered under Medicare Part B only for those who meet coverage rules and are at high risk
  • Part B vaccinations are covered on the Salute plan, Part D drugs are not

See your formulary for a full list of covered vaccines at $0 copay.

Learn more about the benefits of vaccines and immunization from the Centers for Disease Control and Prevention (CDC): Vaccines and Immunizations: The Basics.

View our Medicare disclaimer.