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Does Insurance Cover Hearing Aids For Adults

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Does Health Insurance Cover Hearing Aids Author: Admin

Does Insurance Cover Hearing Aids? | Hearing Group

Health insurance is a must for every household, and many insurers will offer coverage for a range of healthcare and medical needs. From adults to babies and children, health insurance can help to cover the costs of a range of needs. But what about those people who are experiencing hearing loss and could benefit from the use of hearing aids? Does health insurance cover hearing aids?;

Summary Of Hearing Aid Costs

Hearing aids are FDA-regulated medical devices that are worn in or behind the ear. Whether you can easily afford them or not, hearing aids can be expensive. On average, a set of hearing aids may cost anywhere from $1,000 to $5,000, or more.

Hearing aids vary significantly in cost, but this doesnt always reflect their overall effectiveness. Like most things that we want to fit to our bodies, what works for one person may not work for another.

In some instances, more expensive hearing aids may come with high-end features, such as Bluetooth wireless connectivity or tinnitus masking.

In 2015, a report on hearing technologies was compiled by the Presidents Council of Advisors on Science and Technology. This report identified several factors that escalate the cost of hearing aids. These factors include:

  • lack of health insurance
  • improved innovations in technology, but not reduced consumer costs
  • bundling of costs associated with hearing aids
  • manufacturing and sales practices, plus state regulations that inhibit consumers from cost-comparison shopping

These sales practices pertain, in part, to hearing aid dispensers who work with just a few handpicked manufacturers. When this happens, you may not be offered a complete range of hearing aid brands or models, including those that are budget priced.

Hearing aid manufacturers may also have a very high markup on their base costs, which include parts, manufacturing, and salaries. These costs are built into the price of hearing aids.

Health Insurance And Hearing Care

Hearing aids can be expensive, often costing thousands of dollars. These prices often include the cost of the hearing aids and the professional services involved in hearing tests and device fitting.

Only around 25% of adults in the United States who need hearing aids have them, according to the Kaiser Family Foundation . The foundation adds that while most private insurance plans pay for a hearing test, they usually provide only $500 to $1,000 every 25 years toward the cost of a hearing aid.

The primary health insurance providers offer the following hearing care coverage.

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What Are The Different Types Of Health Plans

There are two main types of health insurance plans available:

  • Private health insurancerefers to any non-governmental health insurance. These are the most common health plans. They are offered to employees by employers, but can also be purchased individually.
  • Public health insurance is state-subsidized insurance in exchange for a premium.;;
  • Medicaid: Medicaid is government-funded health care, usually provided for individuals and families with low income.
  • Medicare: Medicare is government-funded health care, generally provided from age 65.
  • Other examples of public health insurance:;
  • the Veterans Health Administration
  • the Indian Health Service.
  • Children With Hearing Loss

    Does Aetna Insurance Cover Hearing Aids?

    If your child has an Individualized Education Program that specifies they need hearing aid accessories, they can receive the accessories at no cost. This is a right protected by the Individuals with Disabilities Education Act .

    If you are in university you also have a right to the hearing technology that you need. According to the The Americans with Disabilities Act of 1990 Section 504 of Rehabilitation Act of 1973, all students with an impairment that limits one or more major life activities, is applicable for appropriate educational services designed to meet the individual needs of such students to the same extent as the needs of students without disabilities are met.

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    Why Invest In High

    With the average cost of hearing aids ranging from $1,800 to more than $3,000, it might be tempting to go with the lowest-priced option you can find. And while some low-cost hearing aids are appropriate for mild hearing loss, experts generally recommend investing in a high-quality hearing aid for moderate to profound hearing loss.

    Severe to profound hearing loss requires a high-powered hearing aid, which provides the most amplification. This maximizes your ability to hear sound and understand what you are hearing. Many high-quality hearing aids also come with added features that make managing your device easier. Some of the more popular features include:

    • Bluetooth capability
    • Rechargeable batteries
    • Multiple channels to adjust the volume of certain frequencies

    If youre ready to invest in a hearing aid, here are some steps to help you find the right fit.

    Its Advised That You Contact Your Plan Administrator To See If Your Plan Incorporates State

    Colorado, Delaware, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, and Texas all require that insurance health benefits plans pay for hearing aids for children. Wisconsin, on the other hand, necessitates coverage for hearing aids and cochlear implants for children. Arkansas, Connecticut, Illinois, New Hampshire, and Rhode Island require hearing aid coverage for both children and adults.

    Requirements differ from one state to another for ages covered, amount of coverage, benefit timeline, and provider qualifications. More specific details on the laws from the aforementioned states are listed below. As always, please remember that laws, policies, and regulations may change, so check with your state for the most recent information.


    Insurance companies are required to provide hearing aid coverage for children under the age of 18 when medically necessary. Coverage has to include a new hearing aid every five years and when alterations to the existing hearing aid do not meet the needs of the child as well as services and supplies .




    Similar rules apply to those 18 and over. The insured is allowed the option to choose a hearing aid priced higher than the benefit payable, and he or she must cover the difference.


    New Jersey

    New Mexico


    Rhode Island




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    Health Insurance And Hearing Aids

    At present, there are around twenty states that need health insurance companies to be able to cover partial or full hearing aid coverage for children experiencing hearing loss. However, this is not the case for adults at the moment. In some other states, if you have private health insurance, then it may cover adults for hearing consultations and hearing exams with an audiologist, but not necessarily cover the hearing aids. This is true for the majority of states, except for three states; Rhode Island, New Hampshire and Arkansas. If you live in one of those three states, then it is a requirement that insurers provide hearing aid coverage for adults as well as children.;

    So, to put it simply, checking if health insurance covers hearing aids does vary from state to state. Most will cover hearing aids for children, but not all will cover hearing aids for adults. Some will cover hearing exams for adults. There are plenty of solutions to this, though, if you are an adult experiencing hearing loss and who would benefit from wearing hearing aids.

    Va And Hearing Aid Coverage

    Does insurance cover hearing aids?

    The VA provides coverage for hearing aids depending on eligibility. To receive hearing aids, individuals are asked to first register with the health administration or enrollment section at a local VA Medical Center or online. After that process is completed, individuals can schedule an appointment to receive a hearing evaluation. From there, an audiologist will determine whether you need hearing aids or other devices. According to the VA, hearing aids, repairs, as well as batteries, will be at no cost to individuals who maintain VA eligibility.

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    What If I Have Medicaid Or Medicare

    Sadly, most hearing aid providers dont accept Medicaid or Medicare due to the complex paperwork and timely reimbursement process.

    Recently, the U.S. Food and Drug Administration, has started allowing over-the-counter hearing aids to be sold. Although this is a cheaper alternative than going to a hearing clinic, it is not the safer option.

    It is highly recommended to have the help of a licensed audiologist or hearing specialist to tend to your hearing needs. Although hearing aids are expensive, many audiology and hearing professional clinics offer financing options that allow individuals to pay in installments.

    Investing in hearing aids is an investment in YOU. Having better hearing will improve your quality of life.;Find an audiologist near you to improve your quality of life and help you be more engaged in social situation. After you receive your perfect pair of hearing aids, these babies will last you for 10 12 years.

    Which Insurance Covers Hearing Aids

    Perhaps you have asked yourself which insurance covers hearing aids? This article will address that question by looking at different health plans in detail.

    Hearing aids can be expensive, and if the hearing loss affects both ears, the cost of two even more so. You may understandably be wondering if you can afford them, or perhaps youre concerned about how you will afford them. Perhaps you have asked yourself which insurance covers hearing aids? This article will address that question by looking at different health plans in detail.

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    Are There Cheaper Options

    Purchasing hearing aid-specific insurance is one option. If your hearing aid comes with a warranty, chances are it is only 1 year. If you plan to wear your hearing aids daily and for a prolonged period of time, it might be a worthy investment to purchase hearing aid insurance. The cost is anywhere from $100 to 400 a year depending on the insurer and amount of coverage. When you consider the average cost of hearing aids, this insurance can easily pay for itself over time.

    Another option is to go the unconventional route and purchase hearing aids online the Audicus business model. While a visit to the audiologist is still necessary to receive an audiogram, you can cut costs by skipping the traditional model and buying a pair online.

    Medicaid And Hearing Aid Coverage

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    Currently, Medicaid offers certain vision and hearing screening services for children, but its also largely dependent on a state-by-state basis. For adults, Medicaid coverage largely varies on a state basis. For example, certain benefits may cover hearing tests, hearing aids, maintenance for hearing aids, and battery replacements, depending on eligibility.

    For more information about benefits, visit Medicaid.gov.

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    Why Hearing Aids Arent Covered

    Private health insurance companies calculate premiums based on risk. They provide coverage for health issues that only occur in a small percentage of the population. Because most older adults suffer from hearing loss, the risk is too great to make it affordable. This is especially true since hearing aids are costly and require repeated replacement. Private insurance companies that run hearing clinics control the costs by restricting eligibility, providing the least expensive hearing devices and limiting the number of replacements. Medicaid coverage for hearing aids has similar restrictions.

    Charitable And Other Assistance Programs

    Do you need help for hearing aids, or other hearing care assistance? There are many charitable groups that will provide new or used hearing aids at a discount, or even free, if you meet the financial criteria. We have provided a list of national programs below, but this is not an exhaustive list of organizations.;

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    How To Find Out If Your Insurance Covers Hearing Aids

    Hearing aids can be costly, but not all insurance providers cover the cost of hearing aids or exams. To find out if your insurance covers hearing aids, check with your insurance provider; or you can check if your state is mandated to provide hearing aid coverage for adults and children. You can contact your health-care provider and get in touch with member services for more information about insurance coverage for hearing aids.

    You may have a few additional questions about whether your insurance coverage covers partial costs, exams, or hearing aids. As part of your research, be sure to find out if there are providers in your area or if your health plan offers a separate benefit or allowance for hearing aids.

    Its also a good idea to look into the requirements for age-related hearing loss or other criteria to qualify for certain types of coverage. Some benefit periods may also vary. You should also check the hearing aids duration and whether regular checkups are covered. Finally, check with your insurance provider to see what their benefit amounts allocate, since there are specific benefit caps or maximum amounts that the provider may cover.

    Does My Health Insurance Policy Cover A Trip To The Audiologist

    Does Medicare Cover Hearing Aids?

    Once you have decided to schedule an appointment with the audiologist, youll still need to make sure that your visit is paid for. Many people wonder if their health insurance will cover all or some of the costs of their visit. As you know with seemingly every medical clinic, the extent that you are covered will strongly depend on the specific details contained within your policy.

    Fortunately, a basic visit to a hearing center is much more affordable than many people assume. Even at some of thebest audiology centers in the United States, you can expect to pay only about $60 for a standard hearing test and about $80 for a full tinnitus evaluation. Typically, the first visit to one of these clinics will take about 90 minutes. It is also important to note that if you cannot afford the cost of audiology treatment, there may be financing options available.

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    Medicare And Medicaid Coverage Of Hearing Aids

    Medicare does not usually cover hearing aids.;You may have some options depending on the type of hearing loss and if you have a Medicare Advantage Plan. Read more about Medicare and hearing aids.;

    Medicaid coverage for adult hearing aids varies by state and eligibility is subject to change. This page from the Hearing Loss Association of America lets you look up Medicaid coverage for hearing care by state. You can also contact your states Medicaid program or;visit Medicaid’s national website;for more information. In every U.S. state, children’s hearing aids are covered by Medicaid.

    Saving Account For Healthcare

    As you would save money in your bank account, there are special accounts for healthcare savings. A flex spending account is set up by an employer and allows an employee to use the money in the account for certain healthcare costs. You dont pay taxes on the money put into this account and your employer may make a contribution to the account.

    You could also put money into a health savings account . This account allows an individual to save untaxed money that can be used for certain healthcare costs. An employer is not needed to set up this account.

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    Whats Included In The Price

    The price you see listed under a hearing aid device might not be the final amount you pay before walking out the door. In general, the overall cost of a hearing aid can include services like fitting and dispensing fees, aftercare, adjustments, warranties, customization, and ongoing care such as future appointments.

    These fees are in addition to the hearing aid device and are typically associated with a hearing center or audiologist. But if you purchase hearing aids online through a direct-to-consumer site, the price may include only the hearing aid device. Some people choose to add a warranty or accessories that increase the final price.

    Coverage Risk Vs Reward

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    Insurance companies work by spreading the cost of health services over a large group of people so that members can pay a reasonable amount and still receive coverage. The insurer profits when individuals pay for coverage without filing claims. Unfortunately, that makes individuals with hearing loss a serious risk for insurance companies. Individuals with hearing loss are very likely to file insurance claims to help pay for hearing aids, which can cost thousands of dollars. Hearing aids also require replacement every five years, which is an additional expense for the insurance provider.

    Simply put, insurance companies are less likely to make a profit on high-risk individuals like those with hearing loss. Thats a major reason why theyre less likely to offer coverage for hearing aids. Even if insurance companies do eventually provide coverage for hearing devices, they will have a major impact on the pricing of hearing devices and services, setting lower allowed contractual amounts for what can be billed.

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    Hearing Aids And Veteran Affairs

    If you are a veteran in the United States, there are options to receive hearing aids. If you are a veteran with the Veteran Health Administration benefits, then you are eligible to receive hearing health care. According to the Office of Rehabilitation Services, this can include, visiting an audiologist, hearing screenings, diagnostic hearing evaluations, hearing aid fittings, and aural rehabilitation.

    Read more: Phonak Hearing aids for Veterans;

    Check With Your Insurance Provider

    Those who arent sure if their insurance provider covers hearing aids should call them and ask a representative. They may also check with their primary care doctor about whether their insurance would cover a referral to a hearing-loss specialist, such as otolaryngologists and audiologists. Some insurance companies cover the office visit with a specialist but not the hearing test or the hearing aids. Some companies cover the hearing test but not the devices, and some wont cover any hearing-loss related expenses.

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    Many Seniors Need Hearing Aids Why Doesnt Medicare Cover Them

    Under H.R. 3 as passed by the last Congress, hearing treatment services provided by audiologists to help older adults effectively use their hearing aids would be routinely covered by Medicare. Individuals with mild to moderate hearing loss could buy an OTC hearing aid on their own possible soon in a revamped hearing aid marketplace where these devices are widely expected to cost on par with now-ubiquitous wireless earbuds for under $200 but could then still receive essential support services from an audiologist to learn how to best use them. Individuals with greater levels of hearing loss who would not be helped by over-the-counter devices would be eligible for more customizable prescription hearing aids covered by Medicare.

    Distinguishing between Medicare coverage for hearing aids versus Medicare coverage for the hearing care services of an audiologist, as in the framework of last Congress H.R. 3, is essential to ensuring that Medicare can best leverage the competitive over-the-counter hearing aid marketplace while also ensuring that older adults have access to audiologists to provide the support services needed to get the most from these technologies.

    The Business Of Health Insurance

    Does Insurance Cover Hearing Aids

    What it comes down to is that insurance companies were created and are in the business to make money. Though the lines have become blurred, insurance companies were not originally conceived as healthcare. Their bottom line concern is primarily about finance, even when they dip their toe into the healthcare waters as one insurance company has done recently with their foray into hearing aid clinics.

    United Healthcare, for example, has recently begun to offer lower cost hearing aids through audiology clinics located in some of their urgent care facilities. But although the cost of the hearing aids is lower, there may be an unexpected downside.

    The upside of that is the insurance companies provide coverage, but the downside is that when insurance companies start to get involved in any aspect of healthcare, they start to impact how that healthcare is delivered, said Steve Murphy, executive director of Sertoma, a volunteer organization which provides service and philanthropy for hearing health issues. If theyre going to play, so to speak, they are going to want to have a larger voice in how services are decided. They are going to want to determine pricing and costs on hearing instruments, so its going to have an impact.

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    Does Homeowners Insurance Cover Hearing Aids

    The question of whether your housing insurance covers hearing aids has become a regularly occurring question amongst homeowners that require hearing aids. Some aid specialists advise that you put your hearing aids under your house and content insurance. But is that enough? What if the damage occurs outside your home? Does it still count? Well, let us find out!

    Hearing aids are a tiny device that can be lost or damaged easily. This being a relatively expensive device makes it a target for theft. If you buy a hearing aid, it often comes with at least a 3-year warranty, which covers only manufacturing defects. It should also have a 12-month loss or damage provision exercised at the full discretion of the manufacturer.

    There are many ways you can lose or damage your hearing aids, and unlike mobile phones, they cannot be tracked. Even the small size makes it impossible to find when dropped. Although getting your hearing aids into your insurance policy can be confusing, it is somewhat necessary.

    What Types Of Insurance Cover Hearing Aids

    If youre enrolled in Medicare Advantage Plans , you may receive some coverage for hearing aids. These plans might offer benefits that Original Medicare might not cover.

    Additionally, if you qualify for VA health benefits, all exams and hearing aids are usually covered.

    Insurers like Medicaid cover hearing aids for adults with disabilities, and a few private health insurance companies might pay for hearing aid exams or pick up part of the cost of hearing devices.

    Also, some federal employees and family members might qualify for hearing aid coverage through Federal Employees Health Benefits. These benefits might offer up to $2,500 worth of allowance towards hearing aids through a qualifying health insurance plan. Several local civic organizations such as The Lions Club provide refurbished hearing aids or financial assistance.

    For a list of resources, visit Hearing Loss Association of America or the Hearing Aid Project, which provides a list of national and local resources for hearing aid assistance.

    Pro Tip: Do you or a loved one have tinnitus? Weve compiled a list of hearing aids for tinnitus that can help mitigate ringing and whirring in the ears.

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    Find A Hearing Care Provider Near You

    The information you find online about hearing aid insurance and funding can get you pointed in the right direction for finding hearing aid payment assistance. However, the best help for navigating your particular financial situation and your best resource for hearing aid funding sources will come from a local hearing care professional. Contact a hearing health professional in your area;for help.

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