Those over-75s and the clinically vulnerable will be invited to have the additional Covid vaccine.
The roll out of additional Covid booster jabs to vulnerable people on the Isle of Man will begin next week.
Manx Care chief executive Teresa Cope said it would ensure they had the "most protection" from the virus.A Manx Care spokeswoman said data suggested vaccine immunity declines over time and as many older adults had their most recent dose in Autumn last year they were "at much higher risk" of severe Covid.
Ms Cope said the use of letters marked a shift in how vaccinations will be offered Manx Care in the future.
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