Respiratory Syncytial Virus (RSV) Shot

RSV is a respiratory virus that causes cold-like symptoms. People who are 65 and older are at high risk of having serious health complications from RSV. Getting the RSV shot can protect you from getting RSV.

Medicare drug coverage (Part D) covers the RSV shot (not Part A (Hospital Insurance) or Part B (Medical Insurance) )

Your costs in Original Medicare

People with Part D usually pay nothing out of pocket for most vaccines, including the RSV shot. 

Part D covers all vaccines that the Advisory Committee on Immunization Practices (ACIP) recommends, including vaccines for RSV, shingles, whooping cough, and more. Your drug plan won't charge you a copayment or deductible for vaccines that ACIP recommends. 

If the RSV shot isn't on your plan's drug list (formulary) yet, you can ask the plan for a coverage exception. You can also pay for the shot out of pocket and then follow-up with your plan to get reimbursed. If you pay for the shot upfront, your plan must pay you back.

Things to know

  • Adults 60 and older with hematologic disorders, like sickle cell disease, may benefit from getting the RSV shot.
  • You can get the RSV shot in many places, including your doctor’s office and your local pharmacy. If you have a Medicare Advantage Plan, contact your plan to find out where you can get the RSV shot.
  • It’s safe to get the RSV shot with other vaccines, like a COVID-19 vaccine and flu shot.

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