Objective: To implement anti-pneumococcal vaccination in a wide way in the elderly who are part of the group of beneficiaries of a Health Operator, enrolled in the "Chronic Patient Management" Programs and verify if this measure reduces the severity of Pneumonia cases as a everything in the wallet. METHODS: Care plans are drawn according to severity, and monitored by Clinical Indicators of Process and Outcome, such as blood pressure and blood pressure control, reduction of falls and fractures and others. Indicators of use such as hospitalizations, back to PS or use of exams ... These measures have been taken for 8 years, but we were not able to reduce hospitalizations due to pneumonia. We chose to follow the recommendations of the Brazilian Societies of Geriatrics and Gerontology and of Immunizations by providing free of charge the antipneumococcal vaccines 13 valente, in Brazil not offered in the public network. In 2016 - 699, 2017 - 442 and in 2018 - 61 doses. These represent 4.1% of the total users, 757 with more than 80 years. Results: We monitored the number of elderly patients over 60 who had hospital admissions for pneumonia during the winter months between 2013 and 2017. From 2013 to 2016, the mean was 61.75. In 2017 it was 45 - 27% reduction. The average cost of admissions (2013 to 2016) was R $ 646,410.45. In 2017 R $ 313,392.27 - reduction of 51%. Conclusions: Nursing care for the multiprofessional team, also at home, associated with extensive immunization with P13, can reduce admissions and care costs.