How does Dean Advantage cover vaccinations?
Dean Advantage lists covered vaccines in our Formulary. A new preventive vaccine may not specifically appear in the formulary, but Dean Advantage may still cover the vaccine. Please contact our Member Services at 1-877-232-7566 (TTY: 711) to find out about coverage.
Medicare Part B provides preventive coverage for certain vaccines, which includes:
- Influenza: once per flu season
- 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
Medicare Part D: See your formulary for a full list of covered Part D vaccines at $0 copay.
We cover Shingles and tetanus, diphtheria and acellular pertussis (Tdap) vaccines at no cost to you under the Part D benefit.
To obtain the best benefit under your Part D plan, receive your vaccine from a network pharmacy that employs pharmacists certified to administer vaccines. Search our pharmacy directory to find network pharmacies in your area or contact Member Services at 1-877-232-7566 (TTY: 711). Receiving your Part D vaccines in a physician’s office may mean you are financially responsible for the cost of the services, and will need to submit insurance claims on your own.
Click the link below to learn more about the benefits of Vaccines and Immunization from the Centers for Disease Control and Prevention (CDC):
Vaccines and Immunizations: The Basics