The Georgia Academy’s Practice Management Committee is recommending that our members review the new policies related to Medicare Part D enrolled patients and the elimination of vaccine cost-sharing.
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Effective January 1, 2023, the Inflation Reduction Act (IRA) eliminated enrollee costsharing for recommended vaccines covered under Medicare Part D. In 2021, 3.4 million people received vaccines under Part D, and annual out-of-pocket costs were $234 million. This translates to nearly $70 in out-of-pocket spending per Medicare enrollee receiving a Part D vaccine that they would not have had to pay if the IRA had been in effect in 2021.