People With Medicare
Hepatitis B Shots
What it is:
Hepatitis is a swelling of the liver that makes it stop working well. Your liver helps your body digest food, store energy and remove poisons.
Why it is important:
These shots can keep you from getting hepatitis. Medicare covers the shot if you are at medium to high risk for hepatitis B. You should discuss your risks with your doctor.
Who is covered:
People at medium to high risk for Hepatitis B are covered for these shots. You are at higher risk for Hepatitis B if you have:
- End Stage Renal Disease (permanent kidney failure)
- a condition that lowers your resistance to infection.
Other factors may also increase your risk for Hepatitis B. Check with your doctor to see if you are at medium to high risk for this illness.
How often is it covered:
You need 3 shots to be completely protected from Hepatitis B. Ask your doctor for more information about when and how to get these shots.
What you pay:
- If you have Original Medicare and see a doctor who "accepts assignment," you pay nothing for these shots. Doctors who accept assignment agree to accept the amount that Medicare will pay for a visit or service (called the Medicare-approved amount) as payment in full.
If you are in a Medicare Advantage plan, the plan cannot charge you for these shots as long as you see an "in-network" provider, meaning a doctor who has an agreement to treat people who belong to the plan. If you use a provider outside your plan's network, it may cost you money.
Learn more about Hepatitis B Shots on Medicare.gov.
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