Health & Safety

November 21, 2012

Ask the doc

Tags:
99th Medical Group

Q. Does TRICARE pay for the shingles vaccine?

A. Yes. TRICARE covers Zostavax, the vaccine that helps reduce the risk of getting shingles (herpes zoster).

The Centers for Disease Control and Prevention (CDC) recommends a single dose of the vaccine for adults age 60 or older regardless of whether they report a prior episode of shingles (herpes zoster). TRICARE follows the CDC’s recommendations. For more information on the vaccine, please visit FDA’s Questions & Answers on ZostavaxT

TRICARE Pharmacy Program-Applies to All Beneficiaries The shingles vaccine is also covered under the TRICARE pharmacy benefit. There’s no co-pay for the vaccine. Call your local TRICARE network retail pharmacy to make sure it participates in the vaccine program, has the vaccine in stock, and can administer the vaccine. Not every pharmacy is able to administer the shingles vaccine. State laws affect which vaccines can be administered at a pharmacy. To find a network pharmacy near you, call Express Scripts Inc. (ESI) at 1-877-363-1303 or to find a TRICARE network retail pharmacy near you visit ESI’s Pharmacy Locator

Note: TRICARE won’t pay for the shingles vaccine if its purchased at a pharmacy or if your doctor writes you a prescription to buy the shingles vaccine and have it administered at his or her office.

TRICARE Prime Beneficiary: As long as you get your shingles vaccine from your primary care manager, from a network provider, or TRICARE Network retail pharmacy referrals, authorizations, or pre-authorizations from your primary care manager aren’t needed and you won’t be responsible for a deductible or co-pay.

TRICARE Standard/Extra Beneficiary: As long as you get your shingles vaccine from any TRICARE-authorized provider (network or non-network) who obtains and administers the vaccine in his or her office or from a TRICARE Network retail pharmacy; you won’t be responsible for Standard/Extra deductibles and cost shares.

TRICARE For Life Beneficiary: TRICARE will be the primary payer for the vaccine. You may get the shingles vaccine from any TRICARE-authorized provider (network or non-network). Standard/Extra deductibles and cost shares apply. The Standard/Extra cost sharing waiver doesn’t apply to TRICARE beneficiaries who are Medicare-eligible.

Send your questions to askthedoc@nellis.af.mil




All of this week's top headlines to your email every Friday.


 
 

 
Sports

Fitness: Warrior Challenge

U.S. Air Force photo by Airman 1st Class Mikaley Towle Tech. Sgt. Amanda Cook, 99th Civil Engineer Squadron unit training manager, throws a medicine ball up after performing a crunch during a Warrior Challenge class at the Warr...
 
 
doctor

Ask the Doc

Q: Who is eligible for the Transitional Assistance Management Program? A: TAMP is for sponsors and their eligible family members when the sponsor: • Involuntarily separates from active duty under honorable conditions. • Is ...
 
 
Sports

Fitness: Lifting weights

Lei Govan, a shift manager at the Mike O’ Callaghan Federal Medical Center, lifts weights at the Warrior Fitness Center Feb. 18. Weightlifting can help burn fat, reduce the risk of diabetes, prevent back pain and help fight d...
 

 
doctor

Ask the Doc

Q: My child is coming home this summer from college. Does he need to transfer his TRICARE Prime enrollment? A:  No.  Getting Care When Traveling During School Breaks You should get all of your routine care from your regular ...
 
 
doctor

Ask the Doc

Q:  Does TRICARE for Life have a deductible? A:  If Medicare doesn’t pay and TRICARE is the only payer, you’re responsible for the TRICARE deductible, which varies based on your sponsor’s status — active duty vs. reti...
 
 

99th MDG beneficiaries may see change of PCM due to optimization

The Mike O’Callaghan Federal Medical Center is adapting to changes in the Primary Care Manager staff while simultaneously increasing enrollment in the Internal Medicine clinic, which could cause beneficiaries to see a change of their PCM as a result. Additionally, the Flight Medicine Clinic has transformed into a more comprehensive model known as a Patient...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin