Does Medicare Cover Hearing Aids, Hearing Loss, and ENT Visits?

The last thing on our minds as we get older is our hearing or even future ability to hear. 

For most of us it has always been there and the thought of losing it can cause us to go into a deep depression.

What if I told you that figuring out what Medicare covers when it comes to hearing isn't hard at all. 

Today I will answer the question does medicare cover hearing aids and also discuss things like hearing loss, ENT visits, and hearing tests.

does medicare cover hearing aids

Does Medicare Cover Hearing Aids

Unfortunately, Original Medicare doesn’t cover hearing aids, hearing exams, or fittings for hearing aids.​

So:

If you don’t have coverage through another company, you could end up paying 100% of the cost for your regular hearing exams, fittings, and hearing aids.

If, however, you find yourself in a situation where getting treated for your hearing is medically necessary, then Part B of Original Medicare will cover you.

For instance, if you need to cover a diagnostic test due to a recent hearing loss that was caused by an illness or injury.

If this test is ordered you would pay the 20% co-pay of the amount approved by Medicare.

When it comes to obtaining services, always be sure to check that your doctor accepts Medicare and that they are participating in the program.

No matter the outcome of your hearing test results, Medicare will not cover the cost of the hearing aid.

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Will Medicare Cover Hearing Loss?

The only time your Medicare will cover anything related to your hearing is when it is considered medically necessary.

So, if you look at it that way, it will cover parts of dealing with hearing loss. 

If you will need surgery to correct hearing loss, or if your doctor determines that you need to get a referral to see a specialist.

No matter the outcome, or findings, Medicare will not cover the cost of a Hearing Aid.

Does Medicare Cover ENT Visits?  

If your visit to the ENT is considered medically necessary then you will be covered by Medicare and only be responsible for 20% of the covered costs.

It is important to make sure that you only go to a doctor that accepts Medicare so be sure to make sure they are part of the Medicare Program before you get treatment.

Otherwise, medicare will not cover the cost, regardless if you have a referral or not.

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Do Medicare Supplement plans cover hearing aids?

Commonly known as Medigap plans, Medicare Supplement plans do not cover hearing aids because these products don’t add new services or device options to Original Medicare.

Medicare supplement plans only help supplement the cost of Original Medicare, and since hearing isn’t covered in medicare, it isn’t covered through Medicare Supplement plans.

Cost Of A Hearing Aids

Depending on your specific situation, hearing aids can range from hundreds to thousands of dollars. 

Several sources find hearing aid prices to be inflated for no apparent reason, so it is best to do a bit of research before purchasing one.

Especially if you don’t have any coverage.

Some plans such as Medicare Advantage will cover the costs of a hearing aid.

Some states also have hearing-related benefits like coverage for hearing aids if you are qualified through Medicaid.

You can check out The Hearing Loss Association of America website has state-specific information on hearing aid coverage. 

Does Medicare Cover Hearing Tests

The only way you can get Medicare to cover a hearing test is if you are referred by a doctor, which means it is probably medically necessary.

You won’t be able to go get random hearing tests and have an expectation that Medicare will cover the costs.

Medicare’s guidelines state that they will only cover the diagnostic hearing and balance exams if your doctor orders them to see if you need medical treatment.
You will also be responsible for 20% of the Medicare-approved amount.

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Why Isn't Hearing Covered By Medicare?

Medicare was created in 1965 with the passing of “The Medicare Act of 1965”.

At the time, the cost of hearing aids was much lower, and people tended not to live as long as they do now.

This meant that fewer people had age-related hearing loss and the understanding of the importance of hearing and how people would be affected by losing it wasn’t as strong as it is today.

Take Action!  

If you are having hearing related issues, you will need to talk to your primary care physician before you can get any help from Medicare.

There are also instances where a Medicare Supplement plan can help with covering that additional 20% out of pocket cost.

Senior Benefit Service has been in the Medicare business for over 50 years and understands your concerns.   

To make sure everything is understood correctly, give a Senior Benefit Expert a call today!