Access to Hearing Aids through Medicaid

If you have hearing loss and are in need of hearing aids, you know they’re not exactly optional. Without hearing aids, you’re cut off from communications, making it hard to maintain relationships and manage day-to-day tasks (like completing in-person transactions or making phone calls). That’s more than an inconvenience: hearing aids have other benefits—like possibly delaying dementia and reducing falls—beyond helping you hear. And yet, the sticker price for hearing aids can be shocking: On average, they cost between $2,000 and $4,000 a pair.

Sustainable Development Goals (SDGs)

1. Good Health and Well-being
2. Reduced Inequalities

Introduction

Hearing exams are covered by Medicare for older adults. However, hearing aids are not covered, despite age-related hearing loss being quite common.

But, depending on where you live, if you’re eligible for Medicaid, coverage for hearing aids may be available.

What is Medicaid?

Medicaid is a health care option for people who have a low income level or have certain disabilities, providing coverage to millions of people in America. Here’s what is unique about this program: While the federal government sets the requirements, it’s administered by states. That means that Medicaid coverage if you live in Alabama is not the same as if you live in Illinois.

Benefits depend largely on what state you live in

That’s true for the hearing coverage available through Medicaid, too.

“The coverage for hearing aids under Medicaid can vary depending on the state’s specific program,” says insurance professional Evan Tunis, president at Florida Healthcare Insurance. In some states, you’ll have comprehensive benefits that include hearing coverage, while in others it’s more restrictive, he says.

What Medicaid may cover when it comes to hearing

Many hearing-related services may be covered by Medicaid, Tunis says, including:

• Diagnostic evaluations of your hearing
• Fitting, dispensing, purchasing, and repairs of hearing aids
• For children, from birth through age 21, there is coverage of hearing services, including hearing aids, through the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program, according to the Hearing Loss Association of America (HLAA).

But again: This coverage varies by state. (Except for children, who are covered throughout the country with EPSDT.)

“It is important to check with your state’s Medicaid program to determine what services are covered and if you qualify for them,” Tunis says.

To find out coverage in your state, you can visit your state’s Medicaid website. Or, for an at-a-glance look, the HLAA offers a summary of state Medicaid hearing-related benefits.

Even with states that do offer hearing aid coverage through Medicaid, the requirements and parameters may feel perplexing. For instance, in Florida, there’s coverage for cochlear implants in one ear, not both. Several states specify the amount of hearing loss required for hearing aid coverage. Nebraska’s Medicaid program offers coverage for standard in-the-ear, behind the ear, or body hearing aids, but not for in-the-canal (ITC) or completely in the canal (CIC) hearing aids. (Learn more about the various types of hearing aids available.)

“In some cases, Medicaid may even provide coverage for digital hearing aids that can help enhance sound quality and reduce background noise,” Tunis says. But, there may be limitations on the brands or types of hearing aids covered, he says. “Some states have a list of approved devices that are eligible for coverage, while others may allow for more flexibility in choosing a hearing aid.”

How to find a hearing provider who takes Medicaid

You’ll also need to make sure to visit a hearing specialist—whether that’s an audiologist, hearing instrument specialist, or ENT—who accepts Medicaid. There are a few ways to find someone:

• Do a search online with your city/town and keywords like “hearing aids” and “Medicaid”
• Search on your state’s Medicaid website
• Search for hearing clinics near you on Healthy Hearing, and call and ask if they accept Medicaid

Options if you aren’t covered

“If you are not covered by Medicaid and cannot afford the cost of hearing aids, there may be other options available to help with the financial burden,” Tunis says. Consider asking about payment plans or financing options that may be available from the hearing aid manufacturer, Tunis says. Sometimes clinics have payment plans available too.

“There are organizations and programs that provide assistance for individuals who need hearing aids but cannot afford them,” Tunis says. And, if you’re in certain demographics — a government employee, military veteran, or member of an American Indian or Alaska Native community, there may be free or reduced cost options available, per the National Council on Aging.

In depth: Insurance coverage and financial assistance plans for hearing aids

SDGs, Targets, and Indicators

1. Which SDGs are addressed or connected to the issues highlighted in the article?

• SDG 3: Good Health and Well-being
• SDG 10: Reduced Inequalities
• SDG 17: Partnerships for the Goals

2. What specific targets under those SDGs can be identified based on the article’s content?

• Target 3.4: By 2030, reduce by one-third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
• Target 10.2: By 2030, empower and promote the social, economic, and political inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin, religion or economic or other status
• Target 17.17: Encourage and promote effective public, public-private, and civil society partnerships, building on the experience and resourcing strategies of partnerships

3. Are there any indicators mentioned or implied in the article that can be used to measure progress towards the identified targets?

• Indicator 3.4.1: Mortality rate attributed to cardiovascular disease, cancer, diabetes, or chronic respiratory disease
• Indicator 10.2.1: Proportion of people living below 50 percent of median income, by age, sex, and disability status
• Indicator 17.17.1: Amount of United States dollars committed to public-private and civil society partnerships

4. SDGs, Targets, and Indicators

Behold! This splendid article springs forth from the wellspring of knowledge, shaped by a wondrous proprietary AI technology that delved into a vast ocean of data, illuminating the path towards the Sustainable Development Goals. Remember that all rights are reserved by SDG Investors LLC, empowering us to champion progress together.

Source: healthyhearing.com

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