INSURANCE GUIDE

Call Your Insurance Provider to See How Much the Shingles Vaccine May Cost You Call Your Insurance Provider to See How Much the Shingles Vaccine May Cost You

Insurance Coverage Information for ZOSTAVAX

Learn more about insurance coverage for ZOSTAVAX by selecting your insurance type below. Then, simply call the 1-800 number on your insurance card to find out if you have any out-of-pocket costs, deductibles, or co-pays. If your insurance plan needs the CPT® code for ZOSTAVAX, it’s 90736.

CPT = Current Procedural Terminology. Copyright © 2017. American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association.

ZOSTAVAX® (Zoster Vaccine Live) is Covered by Many Private Insurance and Medicare Part D Plans

ZOSTAVAX is covered by many private insurance and Medicare Part D plans.

Because all plans are different, coverage can vary depending on factors such as your age and your insurance plan, and you may be covered by more than one plan. Once you understand your insurance coverage you can decide where to get vaccinated and find a pharmacy near you that carries ZOSTAVAX® (Zoster Vaccine Live). Please note that pharmacy regulations vary by state. Check with your local pharmacy to see if they can offer you the Shingles vaccine.

 

Private Insurance

Your Private Health Insurance May Cover Costs of ZOSTAVAX® (Zoster Vaccine Live)

Call the 1-800 number on your insurance card to speak with your provider.

Ask your insurance plan these questions:

  • Do I have coverage?
  • What are my out-of-pocket costs?
  • Is my coverage and/or cost different at my doctor’s office or at my pharmacy?
  • If I go to the pharmacy, does it make a difference what pharmacy I go to?

Merck does not warrant or guarantee coverage by your insurance plan, or that asking these questions will result in you or your doctor receiving reimbursement, or that any reimbursement amount you receive will cover your expenses. Merck is not responsible for any action that you or your health care provider take in seeking reimbursement.

You or your health care provider should contact your plan directly to ensure that you have the most accurate and timely information on reimbursement, patient out-of-pocket costs, and applicable billing procedures as your coverage status can change.

 

Medicare Part D

Your Medicare Part D Prescription Plan May Cover Costs of ZOSTAVAX® (Zoster Vaccine Live)

Call the 1-800 number on your insurance card to speak with your provider.

Ask your insurance plan these questions:

  • Do I have coverage?
  • What are my out-of-pocket costs?
  • Is my coverage and/or cost different at my doctor’s office or at my pharmacy?
  • Is the cost different depending on what pharmacy I go to?

Merck does not warrant or guarantee coverage by your insurance plan, or that asking these questions will result in you or your doctor receiving reimbursement, or that any reimbursement amount you receive will cover your expenses. Merck is not responsible for any action that you or your health care provider take in seeking reimbursement.

You or your health care provider should contact your plan directly to ensure that you have the most accurate and timely information on reimbursement, patient out-of-pocket costs, and applicable billing procedures as your coverage status can change.

 

Other Insurance

Call the 1-800 number on the back of your insurance card. Your provider will be able to explain your exact type of insurance, as well as answer any questions you have about paying for ZOSTAVAX® (Zoster Vaccine Live).

E-MAIL
 

Out-of-pocket

The amount of money (including co-pays and deductible) you pay for health care services.

 
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Deductible

The amount of money you owe for covered health care services before your health insurance or prescription plan begins to pay.

 
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Co-pay

A fixed amount you pay for a covered health care service, usually when you receive the service. The amount can vary based on the type of insurance and health care service.

 
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CPT code

Current Procedural Terminology (CPT®) codes are a way for people in the health care field to identify medical, surgical, and diagnostic services. The CPT code for ZOSTAVAX® (Zoster Vaccine Live) is 90736.

 
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Important Safety Information

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please read the accompanying Patient Information for ZOSTAVAX® (Zoster Vaccine Live) and discuss it with your health care professional. The physician Prescribing Information also is available.

Having trouble paying for your Merck vaccine? Merck may be able to help. Visit http://www.merckhelps.com/