Many people are unsure if their health insurance covers the HPV vaccine for adults over 26.
The answer depends on your insurance provider and policy. Some insurance plans may cover the HPV vaccine as a preventive service, while others may not.
For example, the Affordable Care Act (ACA) requires most health insurance plans to cover the HPV vaccine for adults under 27, but this coverage may vary for adults over 26.
HPV vaccine coverage for adults over 26 can be a bit more complicated, and it's essential to check your insurance policy to see what's covered.
HPV Vaccine for Adults
The HPV vaccine is recommended for adults over 26 years old, but with some exceptions. For most adults in this age range, vaccination is unlikely to assist in immunity since they've likely already been exposed to the virus.
However, there are certain groups who may still benefit from HPV vaccination after 26. These include previously unvaccinated adults with a low likelihood of prior HPV exposure but a future risk of exposure, and healthcare workers who have repeated exposure to HPV in their line of work.
If you're considering getting vaccinated after 26, be aware that insurance coverage may not be available or may be affected by your age. It's essential to check with your insurance provider to see what's covered and what's not.
Gardasil 9 Vaccine
Gardasil 9 is a vaccine that protects against nine types of HPV, including two types that cause about 90% of cervical cancer cases.
This vaccine is given in two or three doses, depending on the individual's age and health status.
Gardasil 9 is available for both men and women, and is recommended for adults up to age 45.
It's most effective when given before exposure to HPV, but can still offer some protection for those who have already been exposed.
The vaccine is not a substitute for regular cervical cancer screenings, but rather a preventive measure against HPV-related cancers.
Vaccination for Adults Over 26
For most adults over 26, vaccination against HPV is not recommended, as most individuals in this age range have already been exposed to the virus and vaccination is unlikely to provide immunity.
There are some exceptions, however. Previously unvaccinated adults between 27 and 45 years old with a low likelihood of prior HPV exposure but a future risk of exposure may benefit from vaccination.
Healthcare workers who are repeatedly exposed to HPV through vapors generated during surgical procedures may also be considered for vaccination.
It's essential to note that insurance providers may not cover HPV vaccination for adults over 26, which could impact the decision to vaccinate.
Here are some exceptions where vaccination may be recommended for adults over 26:
- Previously unvaccinated adults aged 27 to 45 years who have a low likelihood of prior HPV exposure but have a future risk of exposure.
- Healthcare workers who are repeatedly exposed to HPV through vapors generated during surgical procedures.
Frequently Asked Questions
Can I get HPV vaccine if I am over 26?
Yes, adults up to age 45 can get the HPV vaccine, as the FDA expanded the age range in 2018. Learn more about the vaccine's benefits and eligibility.
Why is 26 the cut-off for HPV vaccine?
The HPV vaccine is generally recommended for people under 26 years old because those in this age range are less likely to have already been exposed to HPV. For adults 27 and older, the vaccine's benefits are less clear.
What is the schedule for HPV vaccine for adults over 26?
For adults over 26, the HPV vaccine is not typically recommended, but if it's given, the standard schedule is a three-dose series, typically administered at 0, 1-2, and 6 months.
Sources
- https://www.premierhealth.com/your-health/articles/women-wisdom-wellness-/hpv-vaccine-now-approved-for-adults-27-to-45
- https://www.kff.org/womens-health-policy/fact-sheet/the-hpv-vaccine-access-and-use-in-the-u-s/
- https://www.health.ny.gov/diseases/communicable/human_papillomavirus/
- https://www.aetna.com/cpb/medical/data/700_799/0726.html
- https://www.verywellhealth.com/how-much-does-the-gardasil-vaccine-cost-582021
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