Have any of you ever been granted coverage for the Shingles vaccine?

[PA, US] I have excellent health insurance through my new employer. However, it's pretty standard for health insurance plans to not cover the shingles vaccine until you're 55. I am currently in my mid 30's. I had my first shingles outbreak when I was 13. I have struggled with these outbreaks on and off ever since.

My PCP gives me Valacyclovir to help when I have an outbreak, but it obviously doesn't prevent them. I always have to wait until they go away on their own.

A representative aty current health insurance company told me it's possible they would cover the cost of the vaccine if I am approved for an exemption. But it's a long process and I work two jobs so I don't want to go through all of that if there's no point. The representative couldn't give me any insight on the approval or denial process.

I would think that I'd be approved for an exemption since it's out of the ordinary for someone to have an outbreak in their teens. But I could be wrong.

Has anyone ever gone through this process and had your insurance cover the cost of the vaccine before you're the required age?

submitted by /u/cabinetsnotnow
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See also  Gap in care with provider going out of network (United HC)