National Immunization Awareness Month presents a great opportunity to educate 
seniors and other people with Medicare on the importance of disease control and 
prevention through immunization and the vaccines covered by Medicare that help 
prevent disease. Vaccine-preventable disease levels are at or near record lows, 
yet many adults remain under-immunized, missing opportunities to protect 
themselves against diseases such as hepatitis B, seasonal influenza, and 
pneumococcal disease. Vaccines are even more important for people with chronic 
health conditions. An underlying health condition can make a person more 
susceptible to contracting a disease or have a more serious outcome if they do 
contract a disease.

Medicare Part B Immunization Benefits:
Medicare provides coverage for seasonal influenza, pneumococcal, and hepatitis 
B vaccines and their administration for qualified beneficiaries as preventive 
immunizations.

 *   Seasonal Influenza Immunization:  Medicare covers one seasonal influenza 
virus vaccine per influenza season; a beneficiary could get more than one 
seasonal influenza virus vaccination in a 12-month period. Medicare may cover 
additional influenza vaccinations, if medically necessary.
 *   Pneumococcal Immunization:  Medicare generally covers pneumococcal 
vaccination once in a lifetime for all Medicare beneficiaries. Medicare may 
cover additional vaccinations based on risk or uncertainty of beneficiary 
pneumococcal vaccination status.
 *   Hepatitis B Immunization:  Medicare covers the hepatitis B vaccinations 
that are reasonable and necessary for the prevention of illness for those 
individuals who are at high or intermediate risk of contracting hepatitis B 
virus.

CMS asks healthcare providers who provide care to seniors and others with 
Medicare to join us during National Immunization Awareness Month to help 
protect your Medicare patients from vaccine-preventable diseases. This can be 
done by ensuring their immunizations are up-to-date, educating them on risk 
factors, and encouraging their use of appropriate Medicare-covered 
immunizations.

Resources from CMS for Healthcare Professionals:

 *   The Guide to Medicare Preventive 
Services<http://www.cms.gov/MLNProducts/downloads/mps_guide_web-061305.pdf>, 
Chapter 5

 *   Medicare Immunization Billing Quick Reference 
Chart<http://www.cms.gov/MLNProducts/downloads/qr_immun_bill.pdf>
 *   Preventive Immunizations 
Brochure<http://www.cms.gov/MLNProducts/downloads/adult_immunization.pdf>
 *   Mass Immunizers and Roster Billing 
Factsheet<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Mass_Immunize_Roster_Bill_factsheet_ICN907275.pdf>
 *   CMS Immunizations Web Page<http://www.cms.gov/AdultImmunizations/>
 *   CMS Medicare Learning Network® (MLN) Preventive Services Educational 
Products Web Page<http://www.cms.gov/MLNProducts/35_PreventiveServices.asp>

More Information for Healthcare Professionals:

 *   The CDC Vaccines and Immunizations Web Page<http://www.cdc.gov/vaccines/>
 *   National Immunization Awareness Month 2012 
Toolkit<http://www.healthfinder.gov/nho/augtoolkit.aspx>

§  Immunization Action Coalition Website<http://www.immunize.org/>

________________________________

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