Hepatitis B Vaccination
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who haven't previously gotten a completed hepatitis B shot series or whose shot history is unknown.
High risk individuals include:
- ESRD patients
- Hemophiliacs who receive Factor VIII or IX concentrates
- Clients of institutions for the mentally retarded
- Persons who live in the same household as a hepatitis B Virus carrier
- Homosexual men
- Illicit injectable drug abusers
- Persons diagnosed with diabetes mellitus
Individuals at intermediate risk include:
- Staff in institutions for the mentally retarded
- Workers in health care professions who have frequent contact with blood or blood-derived body fluids during routine work
Additional Information:
- Medicare beneficiaries who are currently positive for antibodies for hepatitis B are not eligible for this benefit
- Medicare pays an additional payment for in-home hepatitis B shot administration under certain circumstances
- A physician's order is no longer required for the administration of a hepatitis B shot
- Hepatitis B vaccines can be roster billed
Deductible and coinsurance are waived for this service.
References