The National Institute on Deafness and Other Communication Disorders (NIDCD) reports that of the 27 million people in the United States who could benefit from wearing a hearing aid, only 6 million actually have one. Presumably, a large percentage of these people do not have a hearing aid because they imagine they are too expensive, and many have never even had hearing tests for fear that audiometric evaluations are too expensive. For this reason, it’s important to know how your insurance can help you get the most out of your treatment. Your insurance coverage could include the cost of your hearing tests and even cover the cost of the hearing aids themselves.
If you’ve decided to invest in a hearing aid, it’s important to talk about finances. Insurance can be a game-changing factor in your purchase of the hearing aid you need. Some insurance plans cover audiometric evaluations and testing, and even discounts on hearing aids. Most Medicare Part C plans offer coverage related to hearing aids and testing.
Original Medicare Parts A and B do not cover everything. Routine dental care, hearing aids and eyeglasses are excluded by law from Medicare coverage. It would take an act of Congress to include routine dental services, hearing aids and eyeglasses in Medicare program coverage.
Eye exams (routine) Medicare does not cover eye exams (sometimes called “eye refraction”) for eyeglasses or contact lenses. It pays 100% for eye exams for eyeglasses or contact lenses.
Medicare does not cover routine hearing exams, hearing aids, or hearing aid fitting exams. Medicare Part B (medical insurance) covers diagnostic hearing and balance tests if your doctor or other health care professional orders these tests to see if medical treatment is needed. All people with Part B are covered.
At launch, Walmart Insurance Services will provide Medicare plans (Part D, Medicare Advantage and Medicare Supplement plans) offered by Humana, UnitedHealthcare, Anthem Blue Cross Blue Shield, Amerigroup, Simply Health, Wellcare (Centene), Clover Health and Arkansas Blue Cross and Blue Shield.
Many Medicare Advantage plans include prescription drug coverage in addition to all the benefits offered by Original Medicare Parts A and B. Many have affordable or even $0 monthly premiums, but require you to continue paying your Medicare Part B premium. Many have affordable or even $0 monthly premiums, but require you to continue paying your Medicare Part B premium.
An important clarification: If you want prescription drug coverage, you must enroll as soon as you are eligible, unless you have what is called “creditable” prescription drug coverage elsewhere. For example, if you are still working and have coverage from your employer or your spouse’s employer-sponsored health coverage, you can wait.
Original Medicare generally does not cover the cost of nursing home, assisted living or long-term care facilities. Medicare Part A covers patient care in skilled nursing facilities, but has certain requirements and time limitations.
Medicare Part B may cover diagnostic hearing and balance exams that your doctor orders because he or she believes treatment is necessary. However, Medicare does not cover routine hearing exams, hearing aids or testing sessions.
Why are hearing aids not covered by medicare? 2021
If you’re not sure what Medicare covers, or you’re confused, you’re not alone. This is one of the most common questions we hear from our patients. That’s why we want to provide more information about what services Medicare generally covers, as well as what services it doesn’t cover.
Medicare coverage is not always straightforward – it varies depending on whether you choose Original Medicare or a Medicare Advantage plan. Below is some information that we hope will limit the guesswork and help you determine which plans are best for you.
Original Medicare has two parts – Part A and Part B. In some cases, covered services may depend on where you live. But, in general, Medicare will cover most essential health care.
Please note that all Medicare Advantage plans (also called Medicare Part C) cover all services currently offered as part of the Original Medicare plan. This includes coverage for hospice care, some clinical research studies, emergency care, and urgent care.