Navigating the intricacies of Medicare can often feel like trying to find your way through a labyrinth. One common question that arises is whether Medicare covers hearing aids and hearing services. While Medicare does not cover routine hearing services, there are other hearing related services it does cover.  This article aims to shed light on this subject, providing clarity and guidance for those looking to understand their Medicare benefits better.

Understanding Medicare Coverage

Medicare is divided into several parts, each designed to cover specific health-related services. However, when it comes to hearing aids and most hearing services, the coverage is limited.

Medicare Part A and Part B

Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) do not typically cover hearing aids or routine hearing exams. These parts are primarily focused on hospital and medical coverage and do not extend to what Medicare considers “routine” hearing services.

Specific Hearing Services Covered by Medicare

While standard hearing aids and routine hearing tests are not covered, there are exceptions where Medicare Part B may cover hearing-related services:

1. Diagnostic Hearing and Balance Exams: If your doctor or health care provider orders these exams to determine if you need medical treatment (for example, to diagnose the cause of vertigo or hearing loss), Medicare may cover them. It’s essential to note that these are diagnostic services, not routine screenings.
2. Cochlear Implants: For those with severe hearing impairment or deafness, Medicare may cover cochlear implants. These are considered durable medical equipment (DME), which falls under the purview of Medicare coverage.
3. Medicare Advantage Plans (Part C): Some Medicare Advantage Plans may offer additional benefits, including coverage for hearing aids and hearing exams. These plans are offered by private companies approved by Medicare and can provide more comprehensive hearing coverage than Original Medicare.

Where to Find Hearing Coverage

For individuals seeking coverage for hearing aids and hearing exams, the following options may be worth exploring:

• Medicare Advantage Plans (Part C): As mentioned, these plans often offer additional benefits not covered by Original Medicare, including hearing aid coverage. It’s advisable to compare plans in your area to find one that fits your hearing health needs.
• Stand-alone Hearing Plans: Much like vision and dental policies, you may be able to purchase a separate hearing policy that will help pay towards the cost of routine exams and hearing aids.

Navigating Your Options

Understanding what Medicare does and does not cover regarding hearing aids and services can save time, reduce frustration, and help you find the coverage you need. Exploring Medicare Advantage plans or Stand-alone plans can be a fruitful first step towards managing hearing health. By thoroughly researching and understanding the available options, individuals can make informed decisions about their hearing health care.

Did you know that AMAC offers both Stand-alone hearing policies AND Medicare Advantage plans? Give us a call today at 855-611-4856 or request a call below to see which option is right for you! As always, our services are complimentary and there is never any obligation to purchase.