Does Aetna Medicare Cover Flu Shots?
- Aetna Medicare Advantage plans cover flu shots, as do all Medicare Advantage (Medicare Part C) plans and Part B of Original Medicare. Learn what other benefits some Aetna Medicare Advantage plans may offer and how you can find a plan that fits your needs.
Yes, Aetna Medicare Advantage plans cover flu shots.
With the COVID-19 vaccine being available at no cost to consumers, many older adults may also wonder about the cost and coverage of a flu shot. Beneficiaries enrolled in an Aetna Medicare plan can have their flu shot covered by their Medicare plan in the same way the shot would be covered by Original Medicare (Medicare Part A and Part B).
When Does Aetna Medicare Pay for Flu Shots?
Flu shots are covered by Medicare Part B, and all Medicare Advantage plans are required by law to cover everything covered by Medicare Part A and Part B. Therefore, all Aetna Medicare Advantage plans cover flu shots.
Furthermore, you won’t face any out-of-pocket costs for your flu shot when you receive it from a participating network provider. Flu shots fall into the category of preventive care under the Affordable Care Act (ACA, also called Obamacare).
For those who have Original Medicare, the flu shot is free when administered by a health care provider who accepts Medicare assignment. If you have an Aetna Medicare Advantage plan, you can get a flu shot with no cost-sharing when provided by an Aetna health care provider.
How to Get a Flu Shot With an Aetna Medicare Plan
To use your Aetna Medicare Advantage plan to receive a fully-covered flu shot, you’ll first want to schedule an appointment with a participating provider. Simply log into your secure online Aetna account and use the company’s provider search tool to locate a participating pharmacy, clinic, doctor’s office or other provider near you who offers flu shots.
You can also use the online Aetna “Find a Pharmacy” search tool to locate an Aetna-participating pharmacy near you where you may receive the flu shot at no cost.
Does Aetna Medicare Cover Other Vaccines?
A flu shot isn’t the only vaccine that can be covered by Aetna Medicare Advantage plans. Aetna Medicare Advantage plans may also cover the pneumonia and Hepatitis B vaccinations, while some Aetna Medicare Part D prescription drug plans may cover the Tdap (tetanus, diphtheria, pertussis) and shingles shots (Shingrix), among others.
Like the flu shot, the pneumococcal and Hepatitis B vaccines are fully covered by Aetna Medicare Advantage plans when administered by a participating Aetna health care provider. Shots covered by an Aetna Medicare Part D may require a deductible and/or cost-sharing.
Meningococcal, polio and HPV shots may also be covered by an some Aetna Medicare Advantage plans or Aetna Medicare Part D plans.
Other Preventive Care Covered by Aetna Medicare Advantage Plans
Aetna Medicare Advantage plans can cover a range of additional benefits for preventive care. Coverage can vary, but some Aetna plans may cover:
- Annual wellness visits
- Various screenings and tests for a range of conditions including cancer, cardiovascular disease, depression, diabetes and much more
- Tobacco cessation counseling
- Behavioral therapy
- Pain management
- Cognitive assessments
- Nutrition therapy
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