Why is the new shingles vaccine (Shingrix) so expensive for Part D of Medicare?

Closed Thread
Thread Tools
  #31  
Old 08-17-2020, 08:24 AM
MandoMan MandoMan is offline
Platinum member
Join Date: Feb 2020
Location: Tierra del Sol
Posts: 1,611
Thanks: 2,270
Thanked 1,863 Times in 786 Posts
Default

Quote:
Originally Posted by Miguel 1952 View Post
We seniors need this new shingles vaccine yet is very expensive with Part D prescription. I have SilverScripts and is $155 per vaccine and we must have two spread apart by several months.
Really disappointed as I really like Medicare with my supplemental and my Part D prescription.
Get the Shingrix two part vaccine, which is thought to be 89% to 95% effective against shingles, rather than the Zostavax, which is only about 50% effective. If you ever get shingles, you will definitely wish you had had the vaccine, whatever the cost.

I’ve had both, and I got them both for free (to me) due to the health insurance I had when employed. However, my health insurance was billed about $360 for the Shingrix vaccine two part combo. That’s a lot of money, but there are drugs used for treating shingles once you get it that cost a lot more than that!

Shingles is a herpes-based Disease, like chicken-pox. If you get the regular herpes people talk about, the antiviral drugs that can keep you from having attacks cost around $1,000 a month, I believe. If you are taking PReP to keep from getting HIV, I think that is also about $1,000 a month. If you have HIV and are taking drugs to stay alive, I believe that cocktail costs about $2,000 a month. I have two dear friends in Hobe Sound, Florida, in adjacent rooms, fighting for their lives right now to survive Covid-19. They have both had convalescent plasma antibodies—the man has had two doses. I have no idea what that costs, but I’d be very surprised if it was less than $5,000 a dose.

This is why the total cost of health care is so high. If my friends, age 91 and 85, with big health problems before catching Covid-19, are in the hospital under continuous, high-quality care for a month, whether or not they live, I’m sure they will have cost we the people a million dollars, even if they don’t have to pay much of it. Their Medicare Advantage plan will pay, and other people with that plan will then have to pay the premiums. This is how it works. And Medicare will pay, and all taxpayers pay for that. I’d rather pay my taxes than have shingles or herpes or HIV or Covid-19. I’m grateful for the excellent and seamless care my friends are receiving and the dedicated people helping them.
  #32  
Old 08-17-2020, 08:31 AM
CWGUY CWGUY is offline
Sage
Join Date: Aug 2012
Posts: 3,879
Thanks: 4,279
Thanked 1,661 Times in 727 Posts
Default

Quote:
Originally Posted by Scorpyo View Post
Yeah, you would think the shots should be covered 100% given that it should, in my opinion, be considered preventative medicine. I have Humana Advantage in GA. My portion was $153.83 at Walmart Pharmacy. I'm not complaining about the cost especially considering the alternative. I wonder how much more than the $153.83 it would have cost Humana had I contracted Shingles?
We have a Humana Advantage Plan and the co-pay was $1 each shot. I guess they have a number of different plans???
  #33  
Old 08-17-2020, 08:32 AM
PugMom's Avatar
PugMom PugMom is offline
Sage
Join Date: May 2019
Location: Village of McClure
Posts: 2,578
Thanks: 13,869
Thanked 2,018 Times in 1,012 Posts
Default

Quote:
Originally Posted by OrangeBlossomBaby View Post
I paid nothing with my Connecticare, in February 2019. But that was in Connecticut. I don't know anything about coverage for Shingrix down here. Different plans offer different coverage. Connecticare was comprehensive.
my friends who had Connecticare RAVED about it-said it was better than BC/BS
  #34  
Old 08-17-2020, 08:37 AM
merrymini merrymini is offline
Veteran member
Join Date: Oct 2014
Posts: 880
Thanks: 428
Thanked 1,204 Times in 465 Posts
Default

I was going to have the Shingrix shot but decided to call my insurance when I found out how much it cost. Then the china flu happened and they did not do any shots at Walgreens. I have very good coverage but it does not cover this shot according to Walgreen’s. It seems impossible to talk to anyone on the phone now but plan to take asap.
  #35  
Old 08-17-2020, 08:56 AM
Spike380 Spike380 is offline
Member
Join Date: Aug 2012
Posts: 68
Thanks: 142
Thanked 19 Times in 13 Posts
Default

I also only paid $45 for the 1st shot. Haven't had the 2nd one yet.
  #36  
Old 08-17-2020, 09:04 AM
kendi kendi is offline
Veteran member
Join Date: Sep 2019
Posts: 882
Thanks: 373
Thanked 662 Times in 377 Posts
Default

We paid nothing with UHC in Cincinnati.
  #37  
Old 08-17-2020, 09:36 AM
Skip's Avatar
Skip Skip is offline
Platinum member
Join Date: Nov 2007
Posts: 1,541
Thanks: 0
Thanked 258 Times in 139 Posts
Default

When you say "I paid $1 or I paid nothing", you need to state which type you received: Shingrix or Zostavax. Both are available. They have different co-pays too.
For Tier 5 drugs you usually have a $395 deductible first then you pay 25% of the total cost after that deductible on an "Advantage Plan".
Skip
  #38  
Old 08-17-2020, 11:11 AM
Sheila Fisher Sheila Fisher is offline
Junior Member
Join Date: Jan 2017
Posts: 9
Thanks: 336
Thanked 1 Time in 1 Post
Default

What phase of your plan are you in?
  #39  
Old 08-17-2020, 11:51 AM
Snorkl46 Snorkl46 is offline
Junior Member
Join Date: Jan 2018
Location: Deaton
Posts: 14
Thanks: 0
Thanked 5 Times in 2 Posts
Default

I got my first in 2019 and second in 2020. They both cost $28.50 at Walgreen's. The difference must be in the type of Part D that you have.
  #40  
Old 08-17-2020, 12:07 PM
dpmers dpmers is offline
Member
Join Date: Dec 2013
Posts: 74
Thanks: 43
Thanked 10 Times in 8 Posts
Default

I got both shots at Publix $40 ea, after my horrible bout with shingles I would have paid much much more to have avoided that experience. It's been 11 years since my bout and I still have occasional light pain
  #41  
Old 08-17-2020, 12:28 PM
Nealg Nealg is offline
Junior Member
Join Date: Dec 2019
Posts: 10
Thanks: 0
Thanked 13 Times in 2 Posts
Default

Quote:
Originally Posted by Miguel 1952 View Post
We seniors need this new shingles vaccine yet is very expensive with Part D prescription. I have SilverScripts and is $155 per vaccine and we must have two spread apart by several months.
Really disappointed as I really like Medicare with my supplemental and my Part D prescription.
Read about the side effects carefully..
  #42  
Old 08-17-2020, 12:29 PM
rstebbins rstebbins is offline
Member
Join Date: Jul 2015
Posts: 41
Thanks: 13
Thanked 20 Times in 12 Posts
Default

it’s more than likely your deductible depending on what other prescriptions you take. I only take tier 1 and 2 generic so none of the small costs get charged to the annual 435 (2020) deductible. So i had to pay the full cost of the shingles shots. On part D you are responsible for the first 435 in 2020
  #43  
Old 08-17-2020, 12:32 PM
YouNeverKnow YouNeverKnow is offline
Senior Member
Join Date: Jul 2009
Location: The Villages
Posts: 449
Thanks: 20
Thanked 115 Times in 38 Posts
Default

Quote:
Originally Posted by riley2011 View Post
If you think that’s bad the doctor I go to is charging $2100 for a prolia shot (for osteoporosis).
My Doctor charges 1800.00 plus 110.00 to give the shot (which takes all of 10 seconds and is given by the blood draw person in a lab.)
You have to get a shot every six months!
__________________
Be happy for the moment. This moment is your life.
  #44  
Old 08-17-2020, 01:16 PM
Miguel 1952's Avatar
Miguel 1952 Miguel 1952 is offline
Member
Join Date: Aug 2012
Location: Columbus, Ohio now living in Miami, FL
Posts: 71
Thanks: 6
Thanked 54 Times in 18 Posts
Default Shingrix vs. Zostavax

Quote:
Originally Posted by Eg_cruz@comcast.net View Post
Why do you need the new one......did you not get the old one
If you got the original one why do you need an other.
I did get the old one in 2013. But Shingrix is 97% effective at preventing shingles. The Zostavax is between 50-64% at preventing shingles.
  #45  
Old 08-17-2020, 06:22 PM
bpascani bpascani is offline
Senior Member
Join Date: Jan 2019
Posts: 212
Thanks: 363
Thanked 51 Times in 43 Posts
Default

I was wondering that as well.
Closed Thread

Tags
part, vaccine, prescription, shingles, expensive


You are viewing a new design of the TOTV site. Click here to revert to the old version.

All times are GMT -5. The time now is 12:58 AM.