Medicare does not cover hearing aids, but it may cover the hearing test that determines you need one

Original Medicare (Part A and Part B) does not pay for hearing aids themselves — not the device, not the fitting, not the follow-up adjustments. This is one of the clearest gaps in Medicare coverage. However, Medicare Part B does cover a diagnostic hearing test if your doctor orders it because you have symptoms like trouble hearing conversation or ringing in your ears.

The distinction matters because you may be able to get the test covered even though the aid is not. If the test shows you need a hearing aid, you then pay out of pocket for the device and the audiologist's services — unless you have a Medicare Advantage plan (Part C) that includes hearing benefits, which some do.

Key Takeaways

  • Original Medicare does not cover the cost of hearing aids or the fitting services an audiologist provides.
  • Medicare Part B covers a diagnostic hearing test ordered by your doctor if you report hearing loss symptoms.
  • Some Medicare Advantage plans include hearing aid coverage or discounts, so check your plan's benefits document.
  • If you have Medicaid in addition to Medicare, your state's Medicaid program may cover hearing aids — coverage varies by state.
  • Veterans and people with disabilities may have separate hearing aid programs outside Medicare.

What the diagnostic hearing test covers

When your primary care doctor or an ear, nose, and throat (ENT) specialist refers you for a hearing test, Medicare Part B covers the cost of that evaluation. The test itself — where you sit in a soundproof booth and respond to tones at different volumes — is considered a diagnostic service. You pay your Part B deductible and coinsurance (usually 20 percent of the approved amount), and Medicare covers the rest.

The test must be ordered by a physician because of a medical symptom or concern. You cannot straightforward request a hearing test on your own and expect Medicare to pay. The doctor documents why the test is medically necessary — for example, "patient reports difficulty hearing conversation in group settings" or "tinnitus affecting quality of life."

This covered test tells you whether you have hearing loss and how severe it is. It does not include the cost of any hearing aid that the results might suggest you need.

Why hearing aids are not covered under Original Medicare

Hearing aids have been excluded from Medicare coverage since the program began in 1965. Congress has not changed this rule, even as hearing aid technology has advanced and costs have risen. The exclusion applies to the device itself, the audiologist's time to fit it, and any adjustments or repairs after purchase.

This means that even if you are 85 years old and on a fixed income, Original Medicare will not help you pay for a hearing aid. The full cost — typically $1,000 to $6,000 per ear for quality devices — falls to you. Some people choose not to get hearing aids because of the expense, which can lead to isolation and cognitive decline over time.

Medicare Advantage plans and hearing benefits

Medicare Advantage (Part C) plans are run by private insurance companies and must cover everything Original Medicare covers, but they can add extra benefits. Some Medicare Advantage plans include hearing aid coverage or discounts with specific providers. The amount covered and the rules vary widely — one plan might cover $500 per ear per year, while another might offer a 50 percent discount at a network audiologist.

To find out whether your Medicare Advantage plan covers hearing aids, check the plan's benefits document (called the Summary of Benefits and Coverage) or call the plan's customer service number. If you are shopping for a plan during open enrollment, you can compare hearing benefits alongside other extras like dental or vision coverage.

If your current plan does not cover hearing aids and you want that benefit, you can switch to a different Medicare Advantage plan during the annual enrollment period (October 15 to December 7 each year) or during a Special Enrollment Period if you have a may have access to life event.

Medicaid coverage for hearing aids

If you have both Medicare and Medicaid (called "dual may be able to access"), your state's Medicaid program may cover hearing aids. Medicaid is run by each state, so coverage rules differ. Some states cover hearing aids for adults; others cover them only for children. Some states require prior approval from the program before you buy the device.

To find out what your state covers, contact your state Medicaid office or call your Medicaid managed care plan if you are enrolled in one. You can also ask your audiologist — they often know which state programs cover hearing aids and can help you navigate the paperwork.

Other programs that may help pay for hearing aids

If you are a veteran, the Department of Veterans Affairs (VA) covers hearing aids and fitting services through the VA health system. You do not need to be on Medicare to use VA benefits; you only need to have served on active duty and received an honorable discharge.

If you are blind or have a severe disability, your state's vocational rehabilitation program may cover hearing aids if the device will help you work or live more independently. Some nonprofit organizations also offer hearing aid information programs, though these often have long waiting lists or serve only people with very low incomes.

Hearing aid manufacturers sometimes offer patient information programs that reduce the cost of devices for people who cannot afford them. Ask your audiologist whether the brand they recommend has such a program.

What to ask your doctor and audiologist

Before you see an audiologist, ask your primary care doctor to order a diagnostic hearing test if you think your hearing is declining. This way, Medicare will cover the test itself. When you meet with the audiologist, ask directly: "Does my Medicare Advantage plan cover any part of the cost of a hearing aid?" and "What is the total out-of-pocket cost, including fitting and follow-up visits?"

Also ask whether the audiologist accepts Medicare for the diagnostic test (most do) and whether they work with any patient information programs or offer payment plans. Some audiologists offer discounts if you pay in full upfront, while others allow you to spread payments over time.

Frequently Asked Questions

Does Medicare cover hearing aid batteries?

No. If you purchase a hearing aid with your own money, Medicare does not cover the batteries, cleaning supplies, or replacement parts. Some Medicare Advantage plans may include battery coverage as part of their hearing benefit, so check your plan documents.

Can I get a hearing aid through the VA if I am also on Medicare?

Yes. VA benefits and Medicare are separate. If you are may be able to access for VA care, you can receive hearing aids and audiologist services through the VA at no cost, regardless of your Medicare coverage. You do not have to choose between them.

What if I cannot afford a hearing aid?

Ask your audiologist about manufacturer information programs, nonprofit organizations in your area, and payment plans. If you have Medicaid, contact your state program to see whether it covers hearing aids. Some community health centers also offer reduced-cost hearing services based on income.

Will my hearing aid cost change if I switch Medicare Advantage plans?

Yes, it may. Different plans cover different amounts and work with different audiologists. If you switch plans, your new plan's hearing benefit may be better or worse. You can change plans during open enrollment if you want a plan with better hearing coverage.

Is there a way to get Medicare to cover hearing aids?

Not currently. Original Medicare does not cover hearing aids, and Congress has not changed this rule. Some Medicare Advantage plans do cover them, so shopping for a plan with hearing benefits is your best option within Medicare.