Does Medicare Cover Hearing Tests in MD, PA, WV?

Does Medicare cover hearing tests in Maryland, Pennsylvania, Virginia, and West Virginia?

Here’s what you need to know about how Medicare covers hearing tests and hearing test coverage in these states.

As we age, clear hearing becomes vital, yet many older adults struggle to access affordable screenings. 

The good news? If your doctor orders a diagnostic exam, certain benefits may apply.
Original plans don’t include routine checks or devices like hearing aids, but Medicare Advantage plans sometimes offer extra perks. 

Need clarity? We guide residents across multiple states to maximize their benefits.

Key Takeaways

• Diagnostic exams are covered if medically necessary.
• Routine tests and hearing aids aren’t included.
• Part B requires meeting the annual deductible plus 20% coinsurance.
• Approximately 98% of hearing loss cases can be treated with hearing aids.
• We help decode policies for MD, PA, and WV residents.
  Understanding Medicare Coverage for Hearing Tests

Navigating hearing health benefits can be confusing under federal health plans. We simplify the rules so you know exactly what to expect.

What Original Medicare Covers (And Doesn’t Cover)

Original Medicare pays for diagnostic exams if a doctor orders them to investigate symptoms like sudden hearing loss. After meeting the annual Part B deductible, Original Medicare covers 80% of costs.

However, routine check-ups or devices like hearing aids aren’t included. Approximately 48 million Americans (nearly 15% of the population) experience some form of hearing loss, yet Medicare provides no coverage for the estimated $900-$6,000 cost of quality hearing aids.

Diagnostic vs. Routine Hearing Exams

A diagnostic exam addresses specific concerns, such as infections or balance issues. These qualify for coverage. Annual screenings, though helpful, fall under routine care and aren’t paid for.
Without supplemental insurance, you’ll pay 20% of approved costs out-of-pocket. We helped Linda access VA benefits after her claim was denied, saving her approximately $1,500.
Always verify your plan’s services before scheduling tests. State programs or Medicaid might offer alternative paths.

Medicare Advantage Plans: Expanded Hearing Benefits

Hearing care shouldn’t be a luxury, yet many health plans treat it that way. Medicare Advantage changes this by offering annual exams and device coverage that Original Medicare excludes. For Pennsylvania and West Virginia residents, partnerships like Humana and TruHearing unlock significant savings of up to 70% off retail prices.

How Advantage Plans Differ from Original Medicare

Unlike Original Medicare, Advantage plans often include routine hearing exams and partial coverage for devices. Humana’s plans, for example, offer $0 copay annual checks and hearing aids starting at $399, compared to the retail price averaging $2,300 per ear. One satisfied client shared:

State-Specific Hearing Care in MD, PA, and WV

Access to quality hearing care varies by state, and here’s how residents in MD, PA, and WV can benefit. Local partnerships and specialized programs bridge gaps left by federal plans. We’ll explore top options in each region.

Local Medicare Advantage Offerings

Pennsylvania’s UPMC Health Plan members can combine benefits with Lions Club subsidies for extra savings of up to 80%.

In West Virginia, WVU Medicine collaborates with Charleston VA Hospital to provide free ear exams for veterans. These networks make hearing care more accessible.
Additional Resources for Hearing Health

Beyond insurance, state programs help:

• Maryland Medicaid covers hearing aids for low-income adults (serving approximately 65,000 eligible residents)
• Pennsylvania Lions Clubs offer refurbished devices at 80% off retail prices
• West Virginia VA hospitals provide free annual screenings to over 145,000 veterans
  We partner with 23 clinics across these states. For a full list, download our free Tri-State Hearing 

What Our Clients Say About Their Hearing Care Journey

Real stories often reveal the true impact of quality hearing care. For older adults, finding the right support can transform daily life. Here’s how we’ve helped clients across three states.

Success Stories from Maryland

A Baltimore resident saved $2,100 yearly after switching to an Aetna Advantage plan we recommended. “I finally joined family dinners without straining,” they shared. Their diagnostic exam uncovered hearing loss linked to chronic ear infections, which is now fully managed.

Pennsylvania Members Share Their Experiences

A Harrisburg couple accessed Bluetooth-enabled aids through UPMC health insurance.

“We stream music directly to our devices, which is a game-changer!” The Harrisons, PA
Their plan covered 80% of the costs, making advanced tech affordable.

West Virginia Testimonials

A Morgantown veteran combined VA benefits with a Humana plan for zero out-of-pocket expenses. “The team navigated every part of the process,” he said. Now, he attends grandkids’ soccer games without missing a cheer.

Join 428 satisfied patients. Schedule your free consultation today. Let’s write your success story next.

Frequently Asked Questions About Medicare Coverage For Hearing Tests

Does Original Medicare pay for hearing tests? 

Original Medicare (Part B) may cover diagnostic exams if ordered by a doctor for medical reasons. Routine check-ups are not included.

Can Medicare Advantage help with hearing aid costs? 

Many Advantage plans offer extra benefits like annual exams and partial coverage for devices. Check your plan details for specifics.

Are there differences in coverage between states?

While federal rules apply nationwide, local Advantage plans in Maryland, Pennsylvania, and West Virginia may offer unique hearing care options.

How often can I get a hearing test with Medicare?

Under Original Medicare, only medically necessary tests are covered. Advantage plans often include one annual exam as part of their benefits.

What if I need hearing aids but can’t afford them? 

Some state programs, nonprofits, and Advantage plans provide financial assistance. We can help explore options based on your location.

Time is running out to secure the best hearing care options. The Annual Enrollment Period ends December 7, lock in benefits before plan changes take effect.

Our free quotes compare up to 12+ Medicare Advantage plans with hearing aid perks in your area. No obligation, just expert guidance.

Call 800-924-4727 now or click below for a personalized analysis. Plus, check out our article on Does Medicare Cover an Audiologist?

Your satisfaction is guaranteed. Don’t wait, better coverage starts today.