The single best way to prevent shingles is to get your shot
How shingles shots are covered
Zostavax and Shingrix are both covered under Medicare Part D benefits at preferred brand cost share. We encourage you to get Part D vaccines at network pharmacies for cost savings and convenience (you won’t need to submit a paper claim form).
Options to get your shingles shot with our Medicare Advantage (MAPD) plans
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Visit a network pharmacy for vaccine and injection
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Get your vaccine at a network pharmacy and pay just your cost share (covers both the vaccine and injection).
Search through our network pharmacies
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Visit a network pharmacy for vaccine and go to your doctor for injection
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Get the vaccine through a network pharmacy and have your doctor perform the injection. You pay the pharmacy cost share for the vaccine (preferred brand) and the doctor administration fee for the injection. You can then request reimbursement for your doctor’s fee by submitting a Direct Member Reimbursement form. You’ll be reimbursed for the allowable amount that Aetna pays the provider; any amount above the allowable amount is your responsibility.
Search through our network pharmacies
Search for your doctor
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Visit a doctor for vaccine and injection
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Get the vaccine and injection from your doctor. You pay for both the vaccine and injection. You can then submit a Direct Member Reimbursement form. If you paid out of pocket for the vaccine, you’ll be reimbursed up to the amount of your cost share. For the injection, you’ll be reimbursed for the allowable amount that Aetna pays the provider; any amount above the allowable amount is your responsibility.
Search for your doctor
