In the United States, more than 48 million people suffer from hearing loss, and this number is expected to increase in the coming years.
Medicare is a federal health insurance program that provides coverage for people aged 65 and older, as well as those with certain disabilities. But does Medicare cover hearing aids? This is a question that many people ask, and in this article we will explore the answer.
Unfortunately, the short answer is no for the majority of the US; Medicare does not directly cover the cost of hearing aids. While hearing aids are an essential device for those with hearing loss, they are not considered medically necessary by Medicare.
However, this doesn’t mean that people with Medicare cannot get the help they need, as there are actually several options available to Medicare beneficiaries that will help them cover the cost of hearing aids.
If you’re in Washington state, like us at Inland Hearing, there is actually more available to you.
Adult Hearing Benefit in WA
In January 2019, Washington State Legislation, ESSB 5179, came into effect. This requires Medicaid to cover hearing instruments such as hearing aids when medically necessary. The patient has to meet specific hearing loss criteria, and then they may be eligible for the following:
- One hearing aid every five years
- The repair and replacement of hearing aids
- A second hearing aid if specific medical criteria are met
- Services and supplies related to hearing aids
Now, this isn’t applicable to everyone, but it’s certainly a good thing to have in place. If you don’t meet the criteria or the benefits aren’t what you need, there are other ways to help finance your hearing aids.
Medicare Advantage Plans for Hearing Aids
One option is to enroll in a Medicare Advantage plan, also known as Medicare Part C. These plans are offered by private insurance companies that have been approved by Medicare.
They provide all the benefits of Medicare Part A and Part B, as well as additional benefits such as hearing aids, dental, and vision coverage.
Some Medicare Advantage plans offer coverage for hearing aids, but the amount of coverage and the cost-sharing requirements can vary widely. Some plans may cover the full cost of hearing aids, while others may require a copayment or coinsurance.
Private Insurance for Hearing Aids
Some private insurance plans offer coverage for hearing aids, but again, the amount of coverage and the cost-sharing requirements can vary widely.
It’s important to review the plan’s benefits carefully to understand the coverage options and costs.
If you would like to know more about how insurance can help you with your hearing aids, you can view our wide selection of blog posts related to hearing aid insurance.
Discount Programs for Hearing Aids
There are also discount programs available for hearing aids that can help people with Medicare save money.
Some organizations offer discounts on hearing aids for Medicare beneficiaries, such as the Hearing Loss Association of America and the American Speech-Language-Hearing Association.
Some hearing aid manufacturers also offer discounts to Medicare beneficiaries.
In addition, some states have programs that provide financial assistance for hearing aids. For example, the New York State Department of Health offers a Hearing Aid Dispensing Program that provides financial assistance for hearing aids for eligible individuals.
Medicaid for Hearing Aids
For those who qualify, Medicaid may provide coverage for hearing aids. Medicaid is a joint federal and state program that provides health coverage for low-income individuals and families.
The coverage and eligibility requirements vary by state, but some states do provide coverage for hearing aids.
Payment Options for Hearing Aids
While Medicare does not cover the cost of hearing aids, there are several options available to Medicare beneficiaries to help them cover the cost of hearing aids, such as Medicare Advantage plans, private insurance, discount programs, and Medicaid.
Navigating Medicare coverage for hearing aids can be a complicated process. However, our team of experts is here to help you determine what level of coverage is included in your plan.
Don’t let hearing loss affect your quality of life. Take action and submit our insurance coverage form to learn more about your benefits today.
Alternatively, you can give us a call at your local office:
Moses Lake, WA: (509) 765-4467
Omak, WA: (800) 254-4467
Ellensburg, WA: (509) 962-8488
Let us help you take the first step towards improving your hearing and overall well-being.
