Medicare Advantage vaccine coverage from Medica Central health plan

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 plan covers both Part B and Part D vaccines at $0.

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 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

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.