www.medicare.gov Open in urlscan Pro
2a02:26f0:7100:1a9::348  Public Scan

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Effective URL: https://www.medicare.gov/medicare-coronavirus?utm_campaign=20220310_cvd_prv_gal&utm_content=english&utm_medium=email&utm_...
Submission: On March 10 via api from US — Scanned from DE

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MEDICARE & CORONAVIRUS




GET A COVID-19 VACCINE AS SOON AS YOU CAN.

 * Medicare covers the COVID-19 vaccine at no cost to you. Medicare covers the
   vaccine for anyone 5 and older who has Medicare due to their age, a
   disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s
   disease). Be sure to bring your Medicare card.

 * Medicare covers a COVID-19 vaccine booster shot at no cost to you. You can
   get a booster from the same COVID-19 vaccine that you originally got, or
   choose a different one.
   
   * If you got a Pfizer or Moderna COVID-19 vaccine, you can get a booster shot
     at least 5 months after you complete your second dose of the Pfizer or
     Moderna COVID-19 vaccine series.
   * If you got a Johnson & Johnson COVID-19 vaccine, you can get a booster shot
     at least 2 months after you got your first shot.
   * Learn more about who should get a booster shot.
 * If you’re immunocompromised (like people who have had an organ transplant and
   are at risk for infections and other diseases), Medicare will cover an
   additional dose of the COVID-19 vaccine, at least 28 days after a second
   dose, at no cost to you. Note: Don’t mix vaccines. If your first two doses
   were Pfizer, your third dose should also be Pfizer. If your first two doses
   were Moderna, your third dose should also be Moderna.
 * COVID-19 vaccines are safe and effective. Get details about the vaccine.
 * If you have Medicare and have a disability or face other challenges in
   getting to a location away from home for a vaccination, Medicare will pay a
   doctor or other care provider to give you the COVID-19 vaccine in your home.
   You may need to give them your Medicare Number for billing, but there’s still
   no cost to you for the vaccine and its administration. Get details about the
   vaccine at home.

Find Vaccine Near Me

Medicare wants to help protect you from COVID-19:

 * Medicare covers items & services related to COVID-19
 * If you paid to get a a COVID-19 vaccine
 * Be alert for scammers trying to steal your Medicare Number
 * How to stay up to date


MEDICARE COVERS ITEMS & SERVICES RELATED TO COVID-19

 * FDA-authorized and FDA-approved COVID-19 vaccines. You pay no out-of-pocket
   costs. 
 * Lab tests for COVID-19. You pay no out-of-pocket costs.
 * COVID-19 Over-the-Counter (OTC) tests—see section below for details. 
 * FDA-authorized COVID-19 antibody (or “serology”) tests if you were diagnosed
   with a known current or known prior COVID-19 infection or suspected current
   or suspected past COVID-19 infection.
 * Monoclonal antibody treatments for COVID-19.
 * All medically necessary hospitalizations. This includes if you're diagnosed
   with COVID-19 and might otherwise have been discharged from the hospital
   after an inpatient stay, but instead you need to stay in the hospital under
   quarantine. You’ll still pay for any hospital deductibles, copays, or
   coinsurances that apply.
 * Expanded telehealth services during the Public Health Emergency.
   
   Note 
   
   Military hospital ships and temporary military hospitals don’t charge
   Medicare or civilians for care.  If you’re not sure whether the hospital will
   charge you, ask them.

 * If you have a Medicare Advantage Plan, you have access to these same
   benefits. Medicare allows these plans to waive cost-sharing for COVID-19 lab
   tests. Many plans offer additional telehealth benefits and expanded benefits,
   like meal delivery or medical transport services. Check with your plan about
   your coverage and costs.


COVID-19 OVER-THE-COUNTER (OTC) TESTS

Currently, Original Medicare doesn’t pay for over-the-counter COVID-19 tests.

In early Spring 2022, people with Medicare will be able to go to a network of
pharmacies and health care facilities to get up to 8 free, over-the-counter
COVID-19 tests a month through Medicare. More information will be available in
early Spring.

Medicare does cover COVID-19 tests you get from a laboratory, pharmacy, doctor,
or hospital, and when a doctor or other authorized health care professional
orders it. You can also get up to one lab-performed test during the COVID-19
public health emergency without an order, at no cost to you.

Some Medicare Advantage Plans may cover and pay for at-home over-the-counter
COVID-19 tests as an added benefit. Check with your plan to see if it will cover
and pay for these tests.

For now, you can:

 * Visit COVIDtests.gov to order 4 free at-home COVID-19 tests per household.
 * Access low-to-no-cost COVID-19 tests through healthcare providers at over
   20,000 free community-based testing sites nationwide.


IF YOU PAID TO GET A COVID-19 VACCINE

When you get a COVID-19 vaccine, your provider can’t charge you for an office
visit or other fee if the vaccine is the only medical service you get. If you
get other medical services at the same time you get the COVID-19 vaccine, you
may owe a copayment or deductible for those services.

If you paid a fee or got a bill for a COVID-19 vaccine, check this list to see
if your provider should have charged you:

 * Check the receipts and statements you get from your provider for any
   mistakes.
 * Call your provider’s office to ask about any charges you think are incorrect.
   The person you speak to may help you better understand the services you got,
   or realize they made a billing error.
 * If you have Original Medicare, review your “Medicare Summary Notice” for
   errors. Report anything suspicious to Medicare by calling 1-800-MEDICARE
   (1-800-633-4227).
 * If you have other coverage like a Medicare Advantage Plan, review your
   “Explanation of Benefits.” Report anything suspicious to your insurer.

If you think your provider incorrectly charged you for the COVID-19 vaccine, ask
them for a refund. If you think your provider charged you for an office visit or
other fee, but the only service you got was a COVID-19 vaccine, report them to
the Office of the Inspector General, U.S. Department of Health and Human
Services by calling 1-800-HHS-TIPS or visiting TIPS.HHS.GOV.


BE ALERT FOR SCAMMERS TRYING TO STEAL YOUR MEDICARE NUMBER

Medicare covers the vaccine at no cost to you, so if anyone asks you for your
Medicare Number to get the vaccine or to get a free COVID-19 test, you can bet
it’s a scam.

Scammers may use the COVID-19 public health emergency to take advantage of
people while they’re distracted. As always, guard your Medicare card like a
credit card, check Medicare claims summary forms for errors. If someone calls
asking for your Medicare Number, hang up.


HOW TO STAY UP TO DATE

 * CDC.gov/coronavirus has the latest public health and safety information from
   CDC and for the overarching medical and health provider community on
   COVID-19.
 * USA.gov has the latest information about what the U.S. Government is doing in
   response to COVID-19.


FIND OUT WHO TO CALL ABOUT MEDICARE OPTIONS, CLAIMS AND MORE.

Talk to Someone


IS MY TEST, ITEM, OR SERVICE COVERED?

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