As the leaves start to fall and the temperatures cool down, autumn brings many joys, but it also signals the beginning of cold and flu season. During this time, taking proactive steps to protect your health is essential. One crucial measure is staying up-to-date with vaccines. In this article, we will delve into the RSV (Respiratory Syncytial Virus) vaccine and its coverage under Medicare, focusing on how it can safeguard the health of Medicare beneficiaries during the fall and winter months.

What is the RSV Vaccine?

RSV, or Respiratory Syncytial Virus, is a common virus that can lead to lower respiratory tract disease. It can affect individuals of all ages but poses particular risks to infants and older adults. The RSV vaccine is designed to prevent these serious infections, making it an important tool for maintaining good health, especially during autumn.

RSV Season and Risks

RSV season typically kicks off in the fall and peaks in winter. During this period, the virus can spread more easily, increasing the risk of infection. Infants and older adults are particularly vulnerable to severe RSV-related complications, such as pneumonia and bronchiolitis, making vaccination a crucial preventive measure.

Medicare Coverage for the RSV Vaccine

Medicare covers recommended vaccines for seasonal illnesses through Part B and Part D.

In a recent development, the RSV vaccine has been approved by the Food and Drug Administration (FDA). This vaccine is now covered by Medicare Part D, provided it is recommended by the Advisory Committee on Immunization Practices (ACIP). Currently, ACIP recommends the RSV vaccine for adults aged 60 and over.

How to Access the RSV Vaccine with Medicare

If you’re eligible for the RSV vaccine and have Medicare Part D, you can access it at no additional cost. However, if your pharmacy attempts to charge you a copay or deductible for the vaccine, don’t hesitate to ask for assistance.

As autumn arrives and the cold and flu season approaches, safeguarding your health becomes paramount. The RSV vaccine, now covered by Medicare Part D, offers a powerful defense against respiratory infections. By staying informed and taking advantage of Medicare’s vaccine coverage, you can protect yourself and your loved ones from the seasonal health challenges that lie ahead.


Does Medicare cover RSV vaccines?

Medicare Part D provides coverage for the RSV vaccine when the Advisory Committee on Immunization Practices (ACIP)recommends it. The ACIP government agency offering guidance on vaccine recommendations. Currently, ACIP recommends the RSV vaccine for individuals aged 60 and above.

Who is eligible for the RSV vaccine?

Individuals aged 60 and older, as well as infants and children under 19 months, should consult their healthcare provider to assess whether RSV vaccination or preventive treatment suits their specific needs.

How much does the RSV vaccine cost?

The new RSV vaccines follow comparable guidelines, and their cost per shot typically ranges from $180 to $295. Since the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices endorsed the RSV vaccine, individuals with private insurance can access it without copay.

How long does the RSV vaccine last?

Individuals 60 and above should get the RSV vaccine to protect themselves throughout the entire RSV season. Therefore, it’s advisable to receive the vaccine as early as possible. Moreover, early data indicates that the RSV vaccine may only need to be administered every other year for continued effectiveness.

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Lindsay Malzone, Lindsay Malzone is the Medicare editor for She's been contributing to many well-known publications since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.
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Rodolfo Marrero, Rodolfo Marrero is one of the co-founders at He has been helping consumers find the right coverage since the site was founded in 2013. Rodolfo is a licensed insurance agent that works hand-in-hand with the team to ensure the accuracy of the content.