August is National Immunization Awareness Month (NIAM)!
The goal of NIAM is to increase awareness about immunizations across the
life span, from infants to the elderly. Getting immunized is a lifelong effort
regardless of age, sex, race, ethnic background or country of origin. As parents
prepare their children for school, students enter college and healthcare workers
prepare for the upcoming flu season, the month of August and NIAM present an
excellent opportunity to remind individuals that they can help protect
themselves, their families, friends and their communities from serious,
life-threatening infections by staying up-to-date with their immunizations.
Medicare helps beneficiaries with the cost of adult immunizations by providing
coverage for pneumococcal, influenza and hepatitis B vaccines. Medicare covers
the cost of pneumococcal and influenza vaccines and their administration by
recognized providers. No beneficiary co-insurance or co-payment applies and a
beneficiary does not have to meet his or her deductible to receive an influenza
or pneumococcal immunization. Medicare also covers hepatitis B vaccination for
persons at high or intermediate risk. The coinsurance or co-payment applies for
hepatitis B vaccination after the yearly deductible has been met.
How Can You Help?
As a health care professional, you play an important role in helping
your Medicare patients and others understand the importance of disease
prevention through immunizations. Your recommendation is one the most important
factors in increasing immunization rates among people with Medicare. Be aware of
the recommended vaccines for adults of all ages and particularly seniors.
Encourage your Medicare patients to stay up-to-date on recommended vaccines
including those adult immunizations covered by Medicare (an annual influenza
vaccination, a pneumococcal vaccination and the hepatitis B vaccination (for
beneficiaries at high to intermediate risk)) by encouraging utilization of these
benefits as appropriate.
For More Information
• The Centers for Medicare & Medicaid Services (CMS) has developed a
variety of provider education and outreach resources to help providers and
suppliers to learn more about Medicare’s coverage, coding, billing and
reimbursement of influenza, pneumococcal, and hepatitis B immunizations.
Resources include:
o The Guide to Preventive Services for Providers, Physicians, Suppliers and
Other Health Care Professionals
http://www.cms.hhs.gov/MLNProducts/downloads/mps_guide_web-061305.pdf
o Quick Reference Information: Medicare Part B Immunization Billing Chart
http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdf
o Adult Immunizations Brochure
http://www.cms.hhs.gov/MLNProducts/downloads/Adult_Immunization.pdf
o The MLN Preventive Services Educational Products Web Page
www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp#TopOfPage
• For information to share with your Medicare patients, please visit
www.medicare.gov on the Web.
• To learn more about National Immunization Awareness Month, please visit
http://www.cdc.gov/vaccines/events/niam/default.htm#add on the Web.
Thank you for supporting the effort to increase awareness and promote
utilization of vaccines that can prevent infectious disease and save lives.
Visit the Medicare Learning Network
~ it’s free!