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marguerite2 marguerite2 is online now
 
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Vaccination MedicareB
Old 07-23-2020, 11:36 AM
 
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There is a difference between not covered and not accepted.

DH has a primary care doctor appointment coming up and has been getting email and text notifications that he needs a pneumonia shot. His doctor does not do them in the office and recommends you go to the pharmacy.

We always have gotten our flu shots at CVS. So he gets an appointment at the CVS Minute Clinic down the road. We get there and the PA on duty tells him it will be $226 as it’s not covered by Medicare B. Before DH gets his charge card out, I tell him we are leaving.

I know I read online that it is covered, but things change. So I call Medicare and yes it is covered in full.
I think maybe the PA at the clinic misunderstood so I call the Minute Clinic call center. Turns out that CVS Minute Clinic does not accept Medicare B For vaccinations. If he wants the shot there, we pay in full, and try to get a reimbursement from Medicare (which could be up to 35% less than what he paid).

Today we went to Walgreens. They accepted MedicareB as payment in full.

Always double check. Also, if you end up paying check prices. Without insurance Walmart was $199. CVS was $226. Walgreens was $258.

Adding
I have no idea if Walmart accepts Medicare B for vaccinations. Walgreens is much closer to home so when they said they did he went there.



Last edited by marguerite2; 07-23-2020 at 12:30 PM..
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Buyer Beware
Old 07-23-2020, 11:53 AM
 
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Good for you! Everybody is always trying to make a buck so you have to be willing to research carefully.
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Old 07-23-2020, 02:44 PM
 
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Thank you for letting us know!
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Good information! Thanks!
Old 07-23-2020, 03:32 PM
 
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I didn't think to check prices at the various drug stores. I'll have to keep this in mind for any of the shots I'll need in the future. Thanks for posting this info!
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GoodRX
Old 07-23-2020, 04:50 PM
 
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GoodRX has a great website for checking drug and vaccination prices at various pharmacies. You can also use their free program to get discounted prices IF you don't use a prescription plan. Sometimes using GoodRX costs less than the copay. There are a couple of other programs out there that are similar.


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Good to know
Old 07-24-2020, 04:07 AM
 
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I would not have thought about checking other stores and GoodRx. Thanks for sharing some good information.
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Old 07-24-2020, 08:59 AM
 
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Thanks for the heads up!
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Good RX
Old 07-24-2020, 11:25 AM
 
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I helped a friend create a Good RX account, only to find that the pharmacy must be a participant. Ours is not. And with that being the ONLY pharmacy within 90 miles, she was out of luck.
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Couple of alternatives
Old 07-24-2020, 12:13 PM
 
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I know of these two alternatives to GoodRX if your pharmacy does not participate, but I haven't used them.
RxSaver from Retailmenot and Scriptsave from WellRX. There may be others too, if you do a Google search.
Hope this helps your friend, Beach Glass.
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Cvs
Old 07-24-2020, 12:52 PM
 
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Our CVS STORE covered our pneumonia and shingles for a $10.00 fee rest was billed out to Medicare. Maybe it differs by state.


Our CVS runs different discount prescription plans to get the cheapest price for any medications not covered by my medicare part D. Maybe they do it because we buy a number of regular monthly prescriptions.


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Old 07-24-2020, 03:01 PM
 
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mhugs, what is accepted probably does vary by state with CVS. Everything seems to vary lately. What is covered seems to be constantly changing.

I wasnít upset that CVS doesnít accept Medicare B. Iím annoyed that the PA at their Minute Clinic told us it was not covered. There is a huge difference between not covered and not accepted. I wonder how many people have paid not realizing they could have gone somewhere and had it covered completely.
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