For eligible children and young adults 21 and under, Medicaid will pay for the diagnosis and treatment of hearing loss, including hearing aids, under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service. Also, children may be covered by their state’s early intervention program or State Children’s Health Insurance Program (SCHIP).
For adults, coverage is quite a bit more limited. While some insurance companies cover hearing aids, generally they do not. The reason is most health insurance companies mimic the Medicare fee schedule, which is why so few patients have a hearing aid benefit available. Medicare does not cover hearing aids for adults; however, diagnostic evaluations are covered if they are ordered by a physician for the purpose of assisting the physician in developing a treatment plan.
For insurance information and other questions, please contact our office: (720) 344-7600