Hearing & balance exams & hearing aids
How often is it covered?
Medicare Part B (Medical Insurance) covers diagnostic hearing and balance exams if your doctor or other health care provider orders these tests to see if you need medical treatment.
Medicare doesn’t cover hearing exams, hearing aids, or exams for fitting hearing aids.
Your costs in Original Medicare
- You pay 100% for exams and hearing aids.
- You pay 20% of the Medicare-approved amount for the doctor’s services for covered exams, and the Part B deductible applies.
- In a hospital outpatient setting, you also pay the hospital a copayment. Source Publication 10116 Your Medicare Benefits * Medicare.Gov
Medicare Advantage Plans might cover
- Medicare Advantage Plans
A cochlear implant is a small electronic device that can help “make” sound if you have severe or total hearing loss. The implant does the job of the damaged or absent nerve cells that in a normal ear make it possible to hear (auditory nerves). Cochlear implants can be programmed according to your specific needs and degree of hearing loss. Web MD
Will an implant be covered on your Medical Insurance?
Aetna’s Bulletin on Cochlear Implants, includes billing codes.
Is the implant Medically Necessary
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan.
That's why the premium is very low or ZERO!