Does Medicare cover allergy shots?

Medicare cover allergy shots

Medicare Part B may cover allergy shots if your doctor deems them medically necessary. Furthermore, Part B covers medical conditions associated with allergies, such as asthma. Allergic conditions are the most common health issues affecting children in the U.S. However, moving to a new place can expose you to environmental allergens. Thus, Medicare beneficiaries can develop allergies at any age.

In this article, you will learn how many millions of Americans are affected by allergies and what asthma is and how Medicare covers asthma treatment. Furthermore, you will discover how Medicare-covered durable medical equipment can treat your asthma. Finally, watch a MedicareBob video on allergy shots with Robert Bache.

Allergies Affect Millions of Americans

Hay fever affects 6.1 million children and 20 million adults. Immunotherapy (allergy shots) helps reduce hay fever symptoms in about 85% of people with allergic rhinitis. Medicare may not cover allergy shots. However, Medicare does provide treatments for allergy-related asthma.

What is Asthma?

Asthma is a constriction of your airways, making it difficult for you to breathe. This medical condition can trigger coughing and wheezing. Allergic reactions can cause asthmatic attacks, which can become life-threatening. For example, you can have an allergic reaction to certain airborne substances, such as pollen, mold spores, and pet dander. Fortunately, Medicare does cover nebulizers and nebulizer medications to treat asthma.

What is a Nebulizer?

A nebulizer is durable medical equipment (DME) covered by Medicare. It changes medication from a liquid to a mist so you can inhale it into your lungs. Moreover, Medicare Part D covers nebulizer medications.

Allergy Medications and Inhalers

In the MedicareBob video below, Robert Bache explains two things: 

  • “In most cases, Medicare does not cover allergy shots.”
  • How Medicare Part D plans cover inhalers and certain medications for asthma 

You can call Senior Healthcare Direct at 1-855-368-4717 for help with your Medicare Part D plan. We can check the plan’s formulary to make sure your allergy medications are covered. Find out what other services Medicare may not cover.

YM05042104

Last Updated on May 4, 2021 by Brian Kondas