Insurance coverage for hearing aids

Woman wearing ITE hearing aids
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Does insurance cover hearing aids?

48 million Americans live with some form of hearing loss. However, according to the National Institute on Deafness and Other Communication Disorders (NIDCD), only 1 in 5 people with hearing loss wear hearing aids. What prevents people with hearing loss from getting the help they need? Unfortunately, it typically comes down to price.

This is understandable, considering hearing aid prices range from $1,600 for a pair of basic devices to $6,500 for a pair of premium hearing aids. Because of this, we get asked one question constantly: does health insurance cover hearing aids? This is not an easy question to answer, as coverage varies by an individual’s insurance plan. Nonetheless, this highly important topic deserves careful attention. Therefore, this page covers some of the most relevant topics related to hearing aids and health insurance.

Private health insurance and hearing aids

One issue associated with health insurance and hearing aids is the lack of private insurance coverage for them. Currently, only 22 states require insurance companies to provide full or partial hearing aid coverage for children. And only five states – Arkansas, Connecticut, Illinois, New Hampshire, and Rhode Island – require hearing aid coverage for adults. Insurance may cover the costs of hearing screenings, tests, and hearing aids, but that all depends on your individual plan and your respective state’s healthcare policies. For example, your plan might pay anywhere from $200 to the full amount toward the entire purchase of a pair of hearing aids.

Another option some health insurance providers offer is an allowance, which is a specified amount that is deducted from the total price of the hearing aids. Some plans also offer negotiated discounts with contracted providers. In general, some private health insurance companies might cover some of the costs of hearing aids, but you should always check with your healthcare provider to determine if your plan qualifies you for these benefits.

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usa-hearing-aids-insurance-coverage
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Public health insurance and hearing aids

Government health care programs might provide some coverage for hearing aids. However, government assistance for hearing loss is very limited, and coverage for appointments, hearing tests, and hearing aids varies from state to state. You may be responsible for additional fees or copays under certain plans. The three most relevant insurance programs are Medicaid, Medicare, and the Affordable Care Act (ACA).

Medicaid
Medicaid often provides coverage for a portion of the cost of hearing aids, but this coverage varies from state to state. Medicaid is required to pay for hearing screenings and other hearing related tests for those who are 21 and younger. However, this coverage is no longer applicable for individuals who are over the age of 21.

Medicare
Medicare does not cover the costs of hearing aids, however, if a PCP Referral is provided to the audiologist, Medicare will cover the cost of your hearing tests. Additionally, if you have a Medicare Advantage Plan, other options might be available to you.

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Alternative hearing aid coverage options

There are other hearing aid coverage options available if you do not qualify for these benefits through your private or public insurance provider. Some of these options include:

  • The Department of Veterans Affair
  • Federal Employee Benefit Health Program
  • HMO
  • Nonprofits
  • Workers Unions
  • Family

Does your health insurance cover hearing aids?

For most of us, health insurance is a lifeline, and without it, medical assistance may sometimes be out of the question. However, determining if your plan provides coverage for hearing aids can be confusing. At hear.com, we have our in-house insurance verification specialists determine what benefits you have and how they can be applied to your purchase of hearing aids. Prior to scheduling your appointment with a local audiologist, we will contact your insurance provider to check if you have hearing aid benefits.

It takes no more than 10 minutes for us to check your benefits. Once we speak to your insurance provider, we will discuss your options and next steps. If you do not have insurance coverage for hearing aids – whether private or public – we will walk you through our flexible financing options that can help you pay for your devices.