What is the best course of action for a 64-year-old patient regarding the shingles vaccine?

The best course of action for the patient regarding the shingles vaccine is to receive it now because it must be covered at no cost by commercial insurance. This is significant for several reasons.

First, the shingles vaccine is highly recommended for adults aged 50 and older, as they are at an increased risk for developing shingles and its complications. Since the patient is 64 years old, he falls within this recommended age range. Receiving the vaccine before reaching Medicare age ensures that he can take advantage of insurance coverage that may not be available after he turns 65, especially if he transitions to Medicare.

Moreover, the Affordable Care Act mandates that many preventive services, including vaccines like the shingles vaccine, must be covered at no out-of-pocket cost by commercial insurance plans. Therefore, the patient should take the opportunity to get vaccinated now rather than wait.

The other answers suggest delays that are not justified, either by incorrect assumptions about coverage or indications regarding age. Vaccination at 64 years is appropriate and beneficial for this patient.