Shingles Vaccination for Ages 50 - 59

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ChicagoGranny
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Re: Shingles Vaccination for Ages 50 - 59

Post by ChicagoGranny » Tue Apr 30, 2013 1:32 pm

Currently there is no recommendation for a booster shot. But the issue is unsettled. The vaccine is new and the effectiveness in a large population will be studied over the coming years. It could be down the road that a booster shot is recommended. Or the results could show that a booster shot is not effective.

About the effectiveness of the vaccine:
In a clinical trial involving more than 38,000 adults 60 years of age or older, the vaccine reduced the overall incidence of shingles by 51% and the incidence of PHN by 67%. The efficacy of the vaccine in preventing shingles was higher in the younger age group (60-69 years; vaccine efficacy was 64%) than in the older age group (older than 70 years; vaccine efficacy was 38%).

- CDC
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purple
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Re: Shingles Vaccination for Ages 50 - 59

Post by purple » Tue Apr 30, 2013 1:53 pm

Once again, JanKnitz, you are right. They do not know if it is Shingles until there are symptoms.

Just the comment the doctor made about the urgency to start treatment quickly. Treatment should be started when the infection starts, which is usually before the symptoms develop.

I delayed several days, until the pain caught up with me, I did not want to disturb the doc for some kind of skin irritation)

If one has the suspicion of Shingles, then do not like wait from Sunday evening to try to get an appointment Monday morning. Go quickly. It was for the PA to know what was wrong with me, I never suspected Shingles. He had a trainee PA (who was from the Ukraine) who he said he wanted to let her look at me and see if she could diagnose it, Took about 8 seconds to say, looks like Shingles, although she had never seen it in the flesh before.

fredr500
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Re: Shingles Vaccination for Ages 50 - 59

Post by fredr500 » Tue Apr 30, 2013 2:00 pm

purple wrote:"I dropped in, got the shot, and was out in 5 minutes. No charge."

That does not ring true to me, unless they have changed how the Shingles vaccination is compounded. I have not heard of an insurance which pays for a Shingles shot, but they do something to reduce the price.
I just double checked, I did have an appointment, I forgot. Our healthcare center is right next to the gym, I usually schedule my appointments so I go right after I finish my morning workout, so it wasn't really a drop in, it just felt like it. The nurse siad the current recommendation was for a booster in 5 years, but that could change. She said she would call me if and when one was needed.

As for coverage, anything medical done on site is covered 100%. I've never paid anything, doesn't matter if I have a head cold, need blood drawn for my PCP (not on-site since I want to keep him if I ever decide to leave or retire, but if I wanted they could provide me an on-site PCP with no co-pay), need shots for overseas vacations (including hepatitis), or shingles. Come in , get treated, leave. Usually same or next day.

I just returned from an on-site 90 minute message. That does have a $30 co-pay but is not located in the healthcare center, it is in the recreation building. The same building that does haircuts, nails, jewelry repair, tailoring, fitness classes, and more. We used to be able to drop our dry cleaning there, now they pick up in each building. Car detailing, weekly produce box pickup is in the same area. Everything there is paid with payroll deduction just to keep it easier.

The company I work for has been named Forbes #1 and #2 place to work, and the #1 place to work globally. It's great to work for a private multibillion dollar company where the owner cares for his employees.

Purple, you are free to believe what you want.

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purple
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Re: Shingles Vaccination for Ages 50 - 59

Post by purple » Tue Apr 30, 2013 2:10 pm

I am glad you got what you needed. I just wanted to make clear that getting the immunization for me was far different than what you described. I congratulate you on your success in life. I feel sure you have earned it. Since it is properly acquired. More power to you.

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greatunclebill
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Re: Shingles Vaccination for Ages 50 - 59

Post by greatunclebill » Tue Apr 30, 2013 2:53 pm

purple wrote:"I dropped in, got the shot, and was out in 5 minutes. No charge."

That does not ring true to me, unless they have changed how the Shingles vaccination is compounded. I have not heard of an insurance which pays for a Shingles shot, but they do something to reduce the price.

When I got it some 14 months ago; The stuff had to be kept in a freezer. Took several minutes to make sure the prescription was accurately written, get the insurance approval, I paid like 110 , not sure, I also bought some things at the pharmacy that day. I do recall that the CD's, Aspirin and stuff totaled out to be like $180. I had Medicare and a Part D provider. The part D provider did not pay anything, but they did cause it to go down from two hundred. I had to pay for the thing before taking the next steps. The pharmacist, once they start on preparing the Shingles immunization, will not stop for any thing else, no other customer, phone call. The pharmacist takes the stuff out of the freezer, and then goes through the prep, which took like 15 minutes. After another five minutes, they give me the shot, and then I have to hang around for what, another thirty minutes to make sure I do not have some kind of adverse effect.

I have not heard any recommendation of a booster. One can get shingles again, it is disease of a weakened immune system. Just the immunization can help. Likewise, some docs say that if you developed Shingles, then that has the same benefit as the shot. Some docs say that even after having Shingles, then the shot can help. I think because the occurrence of Shingles is when the immune system is weak, the shot should be given when the immune system is strong, and that immune system will build better antibodies.

Sounds like a shot given less than five minutes, paid for one hundred percent by insurance, with a booster in five years; Sounds more like a tetanus, diphtheria, pneumonia shot which is often given to older adults.

My medical doctors office would not give the shot, because each dose must be kept frozen, individually prepared, (which takes a pharmacist who does compounding in sterile conditions), and given in less than thirty minutes after taking the dose out of the freezer.
.
i got the prescription for shingles vaccine from my doctor. the doctor said to go to a pharmacy to get it. at rite aid it took a few minutes to clear it thru insurance, then a few minutes to prepare it. after the shot i was told to stay in the store for 15 minutes as a precaution. i'm thinking we spent close to an hour there. tricare prime did cover it 100%, no co-pay. so, now you know of at least one insurance that covers it 100%.

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Kitatonic
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Re: Shingles Vaccination for Ages 50 - 59

Post by Kitatonic » Tue Apr 30, 2013 3:41 pm

Janknitz wrote:How would they know unless and until the skin lesion appears? I sure don't want to take heavy anti-viral drugs unless I'm certain???
Usually you have pain for a few days before the blisters. You're right, then the anti-virals like Acylovir, don't interrupt the virus as well with delayed treatment. If you have strange pain that follows a nerve root like from your neck to your shoulder (more commonly a band around the ribs), this might be shingles, so I would get an opinion. Acylovir (now more expensive same class of drugs that you don't have to take so frequently) is given to pregnant women to prevent herpes transmission to their babies, is actually a safe and effective drug.

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OhHelpMe
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Re: Shingles Vaccination for Ages 50 - 59

Post by OhHelpMe » Tue Apr 30, 2013 7:00 pm

fredr500 wrote:
purple wrote:"I dropped in, got the shot, and was out in 5 minutes. No charge."

That does not ring true to me, unless they have changed how the Shingles vaccination is compounded. I have not heard of an insurance which pays for a Shingles shot, but they do something to reduce the price.
I just double checked, I did have an appointment, I forgot. Our healthcare center is right next to the gym, I usually schedule my appointments so I go right after I finish my morning workout, so it wasn't really a drop in, it just felt like it. The nurse siad the current recommendation was for a booster in 5 years, but that could change. She said she would call me if and when one was needed.

As for coverage, anything medical done on site is covered 100%. I've never paid anything, doesn't matter if I have a head cold, need blood drawn for my PCP (not on-site since I want to keep him if I ever decide to leave or retire, but if I wanted they could provide me an on-site PCP with no co-pay), need shots for overseas vacations (including hepatitis), or shingles. Come in , get treated, leave. Usually same or next day.

I just returned from an on-site 90 minute message. That does have a $30 co-pay but is not located in the healthcare center, it is in the recreation building. The same building that does haircuts, nails, jewelry repair, tailoring, fitness classes, and more. We used to be able to drop our dry cleaning there, now they pick up in each building. Car detailing, weekly produce box pickup is in the same area. Everything there is paid with payroll deduction just to keep it easier.

The company I work for has been named Forbes #1 and #2 place to work, and the #1 place to work globally. It's great to work for a private multibillion dollar company where the owner cares for his employees.

Purple, you are free to believe what you want.
SAS RTP

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midnight_skulker
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Re: Shingles Vaccination for Ages 50 - 59

Post by midnight_skulker » Tue Apr 30, 2013 8:14 pm

My wife and I recently had got our shingles shots at the nearest Walgreens. We are on Medicare but don't have part D coverage. We have a Medigap plan through the Megacorp that I retired from. At our age we don't need a doctor's prescription for shingles shots. Our Medigap plan requires that we get our prescriptions at CVS, but CVS does not do shingles shots around here. So, I called my Medigap and they said they would cover 100% of the "reasonable and customary fee". However, since my Medigap doesn't normally deal with Walgreens, we had to pay in advance and be reinmbursed. Walgreens charged $219 each, which I paid with my Chase Freedom card which was giving 5% cashback for charges from drug stores. I submitted claims to my Medigap and in a couple of weeks they sent two checks for $185. They said that was 100% of the "reasonable and customary fee". But, I did get $21.90 cashback from Chase. :