Promoting and protecting the health and safety of all Idahoans

How Do I Pay For Immunizations?

Private Insurance

All Health Insurance Marketplace plans and most other private insurance plans must cover the following vaccines without charging a copayment or coinsurance when provided by an in-network provider. This is true even for patients who have not met a yearly deductible.

◾Hepatitis A
◾Hepatitis B
◾Herpes Zoster
◾Human Papillomavirus
◾Influenza
◾Measles, Mumps, Rubella
◾Meningococcal (check with your provider about your coverage)
◾Pneumococcal
◾Tetanus, Diphtheria, Pertussis
◾Varicella

Check with your insurance provider for details of coverage and whether there is any cost to you for vaccines.

Medicare

Medicare Part B will pay for the following vaccines:

Influenza (flu) vaccine
Pneumococcal vaccines
Hepatitis B vaccines for persons at increased risk of hepatitis
◾Vaccines directly related to the treatment of an injury or direct exposure to a disease or condition, such as rabies and tetanus.

Medicare Part D plans identify covered vaccines through formularies. Part D plan formularies must include all commercially available vaccines (except those covered by Part B). A new preventive vaccine might not specifically appear in the formulary, but your plan may still cover the vaccine. Contact your insurance provider to find out about coverage.

Medicare Part D or Medicare Advantage Plan Part C that offers Medicare prescription drug coverage may also have coverage for:

Zoster
◾MMR
Tdap

Medicaid

Idaho’s Medicaid agency will cover at least some adult immunizations, but may not offer all vaccines that are needed. Check with Idaho's Medicaid agency for more information.

Military

If you serve in the military or are a military dependent, you are eligible for TRICARE. TRICARE vaccines are covered according to the CDC recommended schedule.

No Insurance?

If you do not currently have health insurance, visit https://www.yourhealthidaho.org/ to learn more about Idaho’s affordable health coverage options.

You can also go to a federally funded health center to find affordable vaccines near you.

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