I'm a Texas native covering the latest trends in tech, science and healthcare through explainer pieces on the breaking news team. Previously, I was a Forbes HBCU Scholar writing under the innovation and health and science teams.
Some seniors and pregnant people—among the most vulnerable to respiratory syncytial virus —are forced to pay out of pocket for an RSV vaccine this year due to a loophole that means it’s not covered under all Medicare plans.
In comparison, several common vaccines like the Covid and flu vaccines are covered under Part B, which covers the full costs of vaccines, including vaccine administration fees. Even those signed up for Part D face hurdles: Doctor’s offices are reimbursed for administering vaccines under Part B but not Part D, so they’repatients with Part D coverage to pharmacies to pay for the RSV vaccine out of pocket, but some patients abandon the vaccine at that point.. There’s an open enrollment period between October 15 and December 7 for all beneficiaries, but coverage doesn’t begin until January 1.
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