.
.
.
. . .
. . .
Q1 Medicare.com Click to Enter Your Drugs and Compare Medicare Part D Plans
Powered by Q1Group LLC Powered by Q1Group LLC.
Education and Decision Support Tools for the Medicare Community
.
.
. . .
. . .
. . .
.
. Home Contact Us MAPD PDP . .
. . 2016 FAQ Blog
.
. . .
. . . . . . .
.
.
: : 2015 Medicare Part D Rx plans
: : 2015 Medicare Advantage plans
: : Browse any 2015 Drug Formulary
: : Find a Medicare plan by drug
: : Newsletter Sign-up
. . . .


.

:: Click here to link to this page on your website
.

    Follow Q1Medicare on Twitter
.

   
. .

Questions & Answers (FAQ)

Browse the Medicare Part D "Living with your Medicare Part D plan" FAQs
If you still have questions, please contact us through our Online Help Desk.


Back To FAQ Home FAQ 26 of 40 in this Category Prev   Next


Question: Does Medicare Part D pay for the shingles vaccine?

Answer:
Zostavax was approved in May 2006 by the U.S. Food and Drug Administration (FDA) as a vaccine for use in adults ages 60 and over who have had chickenpox.  Zostavax is covered under most Medicare Part D plans, however Zostavax can be treated differently depending on the plan.  In most cases Zostavax is treated as a Tier 3 or Tier 4 medication and in some cases requires prior authorization or falls into the step therapy program.

Please check with your specific Medicare Part D plan to determine the handling of Zostavax.

Related Information: 
Medications listed as treatments for Shingles are:
Valtrex (generally a Medicare Part D Tier 3 medication) and
Protopic (generally a Medicare Part D Tier 2, 3 or Tier 4 medication - in some cases requiring prior authorization or step therapy)

Please Note: We are not medical doctors, nor are we pharmacists.  The above information is strictly informational. Please consult your doctor or pharmacist when determining treatments.

Click the link below to see a list of how Zostavax is handled on all stand-alone Medicare Part D plans in Florida: http://www.q1medicare.com/PartD-SearchPDPMedicarePartDDrugFinder.php?stateReg=11FL&ndc=00006496341&drug=ZOSTAVAX%20VIAL
 


: : 2015 PDP-Finder - Medicare Part D Plan Finder
The 2015 PDP-Finder displays Medicare Part D plan information, including plan premium, deductible, type of gap coverage and if the plan qualifies for the $0 premium for those persons with a low income subsidy (LIS).

: : Sign-up for email reminders when the 2016 Medicare plan information is available.
: : Sign-up for our Medicare Part D Newsletter.
: : Still have a question? Click here to let us know.

Back To FAQ Home FAQ 26 of 40 in this Category Prev   Next




Click the +1 button if you have found this page useful:  



.
.
.
Browse Categories
Where do I start?
General Medicare Part D
Medicare Advantage plans (MAPD)
Medicare Supplements or Medigap
Choosing a Medicare plan
Medicare Part D Enrollment
Medicare Enrollment Periods
Medicare plan Disenrollment
The Late-Enrollment Penalty
Special Enrollment Periods (or SEPs)
Paying Your Premiums
Medicaid & Extra Help & LIS
IRMAA: Higher Incomes and Costs
ANOC: Annual Plan Changes
Switching Medicare Part D plans
Medicare plan Star Ratings
Living with your Medicare Part D plan
Using Part D with other Drug programs
Explanation of Benefits (EOB)
Understanding your Formulary
Monthly Formulary Changes
Formulary Exceptions
Straddle Claims
Retail Drug Pricing
Pharmacies and Part D
Medicare plan Providers
Traveling and Medicare Part D
Moving and Medicare Part D
The Coverage Gap or Donut Hole or Doughnut Hole
Entering the Donut Hole
Closing the Coverage Gap
Donut Hole Discount
Exiting the Donut Hole
Out of Pocket Costs: TrOOP and MOOP
Diabetes and Diabetic Coverage
VA and TRICARE Coverage
Q1Medicare.com Tool Tips
Other Q1Medicare.com Questions
General Medicare
Medicare and the ACA Marketplace
Medicare Part B
Medicare Set Aside Arrangements
Important Disclaimers and Tips
$250 Doughnut Hole Rebate



.
.

Medicare Supplements
fill the gaps in your
Original Medicare
1. Select Your State:


Quick Links
: : Sign-up for our Medicare Part D Newsletter.
: : 2015 PDP-Finder: Medicare Part D (Drug Only) Plan Finder
: : PDP-Compare: 2014/2015 Medicare Part D plan changes
: : 2015 MA-Finder: Medicare Advantage Plan Finder
: : MA-Compare: 2014/2015 Medicare Advantage plan changes
: : Drug Finder: 2015 Medicare Part D plan drug search
: : Formulary Browse: View any 2015 Medicare plan formulary
: : 2015 Browse Drugs By Letter
: : PDP-Facts: 2015 Medicare Part D plan Facts & Figures
: : Medicare Part D Reminder Service: 2016
.

. . .
. . .
.
.
What’s New Most Viewed Press . .
.
. . .
.
Sitemap About Us Privacy Policy Newsletter Sign-up Blog FAQ Contact Us Terms Of Use Newsroom
. Enroll in Medicare Part D © Q1Group LLC 2005 - 2015 . .
. . .
. . .
. .
. .

.
.

Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.


.
.
.