Your Medicare Coverage
Is my test, item, or service covered?
How often is it covered?
Medicare Part B (Medical Insurance) covers a pneumococcal shot to prevent pneumococcal infections (like certain types of pneumonia). Part B also covers a different second shot 11 months after the exam where you got the first shot. Talk with your doctor or other health care provider to see if you need the shot.
All people with Part B are covered.
Your costs in Original Medicare
You pay nothing for pneumococcal shots if your doctor or other qualified health care provider accepts assignment.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.