Does Medicare cover hearing aids and exams?

Does Medicare Cover Hearing Aids?

Hearing loss is a fairly common occurrence as you get older. Buying a hearing aid can be extremely beneficial if this occurs. The big question beneficiaries want to know is: Does Medicare cover hearing aids? Unfortunately, the answer is no. Medicare is pretty clear about hearing aid coverage on their website. The official Medicare website explains with the following details:

why doesn’t medicare cover hearing aids?

Why are hearing aids not covered by Medicare? The Medicare Act of 1965 excluded hearing aid coverage with the premise that hearing aids are ‘routinely needed and low in cost.’ This implied that the insured would be responsible for buying their hearing aids. 

It should be noted that times were different in 1965. We’ve come a long way with regards to hearing health and detection. Seniors are also living longer today compared to 1965. That means not as many seniors were diagnosed with hearing deficits at that time.

does medicare cover hearing tests?

There are some situations where Medicare will pay for your hearing test. However, this coverage will occur only if it has been recommended by your primary physician or another doctor. This means that can’t show up to any hearing clinic and expect Medicare to pay for it without having a Referral.

Here is how Medicare breaks down their hearing exam coverage:

Medicare Part B (Medical Insurance) covers diagnostic hearing and balance exams if your doctor or other Health care provider orders them to see if you need medical treatment.
Your costs in Original Medicare: You pay 20% of the Medicare-approved amount for your doctor’s services for covered exams, and the Part B Deductible applies. In a hospital outpatient setting , you also pay the hospital a Copayment.

Medicare

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Michael Quinn

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Michael Quinn is a seasoned Medicare insurance expert and licensed agent dedicated to simplifying the complexities of healthcare coverage. With over a decade of experience, he is a trusted advisor known for his compassionate guidance and commitment to empowering individuals. As the Cofounder of REMEDIGAP in 2013, Michael offers unbiased resources and personalized support to assist clients in making informed decisions.
His expertise has been recognized on reputable platforms such as USA Today and Nerdwallet, solidifying his reputation as a reliable and knowledgeable industry leader. With a Master's Degree in Communicative Disorders, Michael combines strong communication skills with a genuine passion for positively impacting lives through tailored insurance solutions.

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