Does Aetna Insurance Cover Hearing Aids?

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"To qualify, your hearing loss and speech recognition must be at a certain threshold – determined by a hearing evaluation."

Sadly, treating a hearing loss can be neglected or delayed for up to ten years, and studies have shown that one of the main reasons why is because of financial restraints.

We understand this, but we want to help inform those seeking treatment about the options available when it comes to investing in hearing aids. Fortunately, there are a few ways to help financial concerns, and the biggest one is insurance.

Does Aetna Insurance cover hearing aids? Sometimes, but most Aetna benefit plans do not include coverage of hearing aids.

For those plans that do, coverage depends on which plan you signed up for and if you pass the selection criteria. If you qualify, they cover some or all of the cost of regular hearing aids or cochlear implants.

To qualify, your hearing loss and speech recognition must be at a certain threshold – determined by a hearing evaluation.

I lay out more of Aetna’s coverage plans below.


Aetna Medicare

Medicare doesn’t cover hearing aids or exams for fitting hearing aids. You pay 100% of the cost for hearing aids and exams.

But Aetna works with Medicare to provide additional plans that make your hearing care cheaper:

  • Medicare Advantage: This is an alternative to Original Medicare – commonly HMO, HMO-POS, or PPO plans. Most also cover hearing care.
  • Dual Eligible Special Needs Plans: You qualify for this if you are eligible for both Medicare and Medicaid. Available in 27 states, your plan might also cover hearing aids.
  • Medicare Supplemental Insurance: Help pay some costs that Original Medicare doesn’t cover, such as copayments, coinsurance, and deductibles.

Other Aetna Insurance Plans

Aetna Health Insurance Through Work Coverage for hearing care will depend on what your employer has included in the list of plans offered. Most do not cover hearing care.
Aetna Individual Health Insurance Most individual plans do not cover hearing care expenses.
Aetna and Medicaid Aetna manages differently named plans in each state for people on Medicaid. Coverage of hearing care expenses depends on the plan.
Aetna Discounts Discount offers are available on certain services that are not part of an insured plan or policy. They are not insurance and can be discontinued at any time.

Let South Shore Hearing Center Help You with Your Insurance

We can help you determine exactly what your Aetna Health Insurance Plan covers and does not cover when it comes to hearing care expenses.

We’ll find out if your plan covers the cost of a hearing evaluation, hearing treatment, and a hearing package.

We’ll also let you know what your deductible, copayment, or coinsurance amounts might be and what restrictions there might be on your plan with regards to your network of audiologists – HMO, HMO-POS, or PPO.

Fill out the insurance coverage form at the end of this page to have South Shore’s insurance specialist check your insurance coverage. We will contact your insurance company on your behalf and let you know about your level of coverage in your Aetna policy.

Whatever you need when it comes to your hearing care in East Massachusetts, South Shore Hearing Center is here for you. Feel free to contact us with all of your hearing questions, not just those about insurance.

All insurance plans are different and benefits will be verified, if you have any questions then please contact our friendly team who are more than happy to answer any questions you may have.

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Jennifer G. Mayer, Au.D., CCC-A

Dr. Jennifer G. Mayer purchased South Shore Hearing Center in January 2016. She was born and raised in Swampscott, MA. She earned her Bachelor’s degree in speech and hearing in 1996 from the University of Massachusetts-Amherst and her Master’s degree in audiology from the Northeastern University in 1998. Dr. Mayer fulfilled her Clinical Fellowship Year (CFY) in 1999 at Hear USA and Cape Cod Ear, Nose and Throat. Following her CFY, Dr. Mayer was a staff audiologist in various clinical settings, including Brigham and Women’s Hospital in Boston. She joined the South Shore Hearing Center staff in 2006. Dr. Mayer obtained her Doctor of Audiology (Au.D.) degree from the A.T. Still University, Arizona School of Health Sciences in 2008. Dr. Mayer’s specialties are diagnostic audiology, pediatric and adult amplification and educational audiology. Dr. Mayer is a fellow of the American Academy of Audiology. She is licensed by the Commonwealth of Massachusetts in Audiology and certified by the American Speech-Language-Hearing Association.

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