August is National Immunization Awareness Month. This annual health
observance is a great opportunity to educate seniors and other people
with Medicare about the importance of disease control and prevention
through immunization. Vaccine-preventable disease levels are at or near
record lows. Yet, many adults remain under-immunized, missing
opportunities to protect themselves against diseases such as hepatitis
B, seasonal influenza, and pneumococcal disease. The Centers for
Medicare & Medicaid Services (CMS) ask all health care providers who
provide care to Medicare patients to join us during National
Immunization Awareness Month to help protect your Medicare patients from
vaccine-preventable diseases by checking to make sure their
immunizations are up-to-date and encouraging utilization of
Medicare-covered immunizations that are appropriate for them.

Medicare Part B Immunization Benefits

Medicare provides coverage for seasonal influenza, pneumococcal, and
hepatitis B vaccines and their administration, under Medicare Part B,
for qualified beneficiaries as preventive immunizations. Providers who
accept the Medicare-approved payment amount for these services are
reimbursed under Medicare Part B.

*         Seasonal Influenza Immunization

Medicare provides payment for the seasonal influenza vaccine and its
administration for all people with Medicare, once per influenza season,
in the fall or winter. Medicare may cover additional influenza
vaccinations, if medically necessary. (Note: According to the Centers
for Disease Control and Prevention, the 2010 - 2011 influenza vaccine
will protect against the 2009 H1N1, and two other influenza viruses
http://www.cdc.gov/flu/about/disease/.)

*         Pneumococcal Immunization

Medicare provides payment for the pneumococcal vaccine and its
administration for all beneficiaries, generally once in a lifetime.
Medicare may cover additional vaccinations based on risk. 

*         Hepatitis B Immunization

Medicare provides payment for the hepatitis B vaccine and its
administration for beneficiaries at medium to high risk of contracting
hepatitis B. 

For More Information:

 

CMS Adult Immunizations Web Page http://www.cms.gov/AdultImmunizations/
(Please Note: The "Immunizers' Question & Answer Guide to Medicare
Coverage of Seasonal Influenza and Pneumococcal Vaccinations", which
provides administration and flu vaccine payment rates for use by mass
immunizers and physician practices, will be updated and posted to this
site sometime in early October, 2010.)

 

CMS Medicare Learning Network (MLN) Preventive Services Educational
Products Web Page
http://www.cms.gov/MLNProducts/35_PreventiveServices.asp#TopOfPage -
This site provides access to MLN educational resources developed by CMS
for fee-for-service providers related to Medicare-covered preventive
services, including adult immunizations. 

 

For information about National Immunization Awareness Month, please
visit the Centers for Disease Control and Prevention website at
http://www.cdc.gov/vaccines/events/niam/default.htm  

 

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