Figure 1
Who pays for alerting equipment, as each source writes it
| Medicare billing code V5269 | Medicare's record for "Assistive listening device, alerting, any type" | Non-covered by Medicare statute | Any alerting device under this code |
|---|---|---|---|
| Medicaid claims, national, 2018 to 2024 | Claim lines billed under V5269 | No unmasked line, so no paid amount to show; ask your state Medicaid office | Same code |
| iCanConnect (FCC) | Low-income people who are deafblind or have both significant vision loss and significant hearing loss; income not more than 400% of the Federal Poverty Guidelines | Free equipment and training | None named; the list covers telephones, internet-based voice, e-mail and text, video conferencing and internet access |
| Washington TED | Washington residents aged 4 and up who are deaf, hard of hearing, deaf-blind or speech disabled | Sliding fee scale on annual income and family size; many clients receive the equipment at no cost | One signaling device: ring signalers, including a flashing lamp; Deaf-Blind clients can request a pager-style vibrating one |
| Oregon TDAP | Oregon residents age 4 and older with a professionally certified disability in hearing, vision, speech, mobility or cognition | Loan at no cost, no income guidelines; one device per applicant | Examples are phones, tablets and speech devices; check the catalog for signalers |
| OSHA employee alarms | Employees, for emergency alarms installed to meet a particular OSHA standard | This section names no price and no buyer | Tactile devices may be used |
How to read these numbers (1)
- Conditions are reproduced from each source and decide nothing about any person. Washington and Oregon apply only to their own residents; the OSHA row applies only at work.
- FCC,fcc.gov/…/national-deaf-blind-equipment…
- Washington DSHS,dshs.wa.gov/…/telecommunication-equipment…
- Washington DSHS,dshs.wa.gov/…/telecommunication-equipment…
- Oregon PUC,oregon.gov/…/Telecommunication-Devices…
- OSHA,osha.gov/…/1910.165
- CMS, HCPCS Level II file, October 2026
- HHS, Medicaid Provider Spending file
Home alert systems: what each signaler responds to
Minnesota's Deaf and Hard of Hearing State Services sums up the category: these devices use a loud tone, flashing lights or vibrations, and you may also see them called signalers or notification devices. Minnesota says most work by sending a signal to a receiver in your home or office, and the receiver flashes a light or vibrates. Some work with the alarms and doorbells you already have, with no new electrical wiring.
Here is the state's list, by the event each one reports:
- Doorbell signaler: someone is at the door. It works with or without an existing doorbell system.
- Smoke alarm signaler: the smoke alarm has been activated. Some alarms have built-in strobe lights.
- Carbon monoxide detector: carbon monoxide has passed safe levels. Detectors can be hardwired, plug-in or battery powered.
- Baby cry signaler: baby sounds are detected, with adjustable sensitivity.
- Telephone signaler: the phone is ringing.
- Wake-up alarm signaler: the alarm clock has gone off.
- Weather alert: storms or dangerous weather are coming, with loud sirens, text and lights that show severity.
The list describes product types and rates none of them. How well an alarm wakes a given person, and whether a setup meets a fire code, are questions for the seller and your local fire authority, so get those answers in writing. Minnesota's service also schedules demonstrations if you want to see devices working before you spend.
Deaf alarm clock: strobe light or plug-in vibrating alert
Minnesota describes wake-up products as a range. At one end sit portable alarm clocks with built-in strobe lights. At the other sit alarm clocks with a built-in outlet, where a lamp or a vibrating alert plugs in.
So when a listing says "vibrating alarm clock", check what comes in the box. With the outlet type, the clock is one item and the vibrating alert is another, and the lamp may be yours to supply. People also search for a "bed shaker" and a "vibrating wrist alarm". The state pages we read use neither term, so ask the seller where the vibrating part goes and what powers it. The only wearable in our sources is Washington's pager-style ring signaler, and it reports incoming calls, not a wake-up time.
We print no price here because we hold no dated reading for any alerting clock, and Minnesota's page says only that prices vary widely. A few devices, such as doorbells with volume control and visual alert smoke detectors, may be at larger chain stores or online. Many others come only from specialty retailers, and Minnesota's page points to vendor lists for those. Before you buy, get the full total in writing, with the vibrating alert, shipping and return terms counted.
Does Medicare or Medicaid pay for an alerting device?
Federal billing records give a direct answer on Medicare. In CMS's October 2026 HCPCS file, code V5269 reads "Assistive listening device, alerting, any type". Its coverage code is S, which the file's layout defines as "Non-covered by Medicare statute", and the record's statute reference is 1862A7. The code names a category of device, so it applies whichever brand you pick.
A Medicare Advantage plan files its own extra benefits. We did not review plans for this item, so read your plan's documents. For the related question on devices worn in the ear, see does Medicare cover hearing aids.
Medicaid's record says less. In the federal Medicaid Provider Spending file, January 2018 to December 2024, our extract holds no line under V5269. The source masks cells under 12 lines or 12 patients, so this means no line cleared that mask, and we have no paid amount to show. Your state's rule is a separate matter: ask your state Medicaid office whether it pays for a signaler, and see Medicaid hearing aid coverage for how the benefit varies.
iCanConnect National Deaf-Blind Equipment Distribution Program: who it serves
The FCC's program, also known as iCanConnect, is written for one population: low-income people who are deafblind or have both significant vision loss and significant hearing loss. Hearing loss alone is outside what it describes.
The FCC page sets income at not more than 400% of the Federal Poverty Guidelines. Applicants must provide verification of low-income and deaf-blind status, and a professional must attest to the hearing and vision loss in writing. You reach it through the certified program in your state.
What it supplies is communications access. The FCC calls it free equipment and training, for telephone calls, internet-based voice, e-mail and text, video conferencing and internet access. That list names no doorbell signaler, smoke alarm or wake-up clock. The equipment may be mainstream or specialized, and it must meet the person's needs to achieve access, so if you are in this population, ask your state program about the specific item.
Free alerting devices for the deaf: Washington and Oregon, as written
State programs write their own conditions, and these two show how far apart those can sit. Each serves only its own residents, and only the program can say whether you qualify.
Washington's Telecommunication Equipment Distribution program names signalers outright. Choices include one with adjustable volume, tone and ring patterns, or a device that flashes a lamp when a call comes in, and Deaf-Blind clients can request a vibrating ring signaler worn like a pager. Its FAQ lets you select one telecommunication device with accessories plus one signaling device. All of these report incoming calls; the pages name no wake-up clock or smoke alarm.
People aged 4 and up who are deaf, hard of hearing, deaf-blind or speech disabled and live in Washington may apply. Cost follows a sliding fee scale based on annual income and family size, and many clients receive the equipment at no cost. The application needs your income and a professional's signature or certification.
Oregon's Telecommunication Devices Access Program, run by its Public Utility Commission, lends rather than sells. It loans specialized communications equipment at no cost and with no income guidelines to eligible residents age 4 and older with a disability in hearing, vision, speech, mobility or cognition. A listed professional certifies the disability on the application, and state law limits each applicant to one device, though two may be provided if a household has more than one eligible person. The examples on that page are phones, tablets and speech devices, so ask for the catalog to see whether it carries a signaler.
If captions on calls are what you need, see captioned telephone service. For sound in theaters and classrooms, and more state equipment programs, see assistive listening devices.
Alarms at work: what the OSHA rule reaches
One federal rule speaks to this at work. OSHA's employee alarm standard, 29 CFR 1910.165, applies to emergency employee alarms installed to meet a particular OSHA standard. It says the alarm must be capable of being perceived above ambient noise or light levels by all employees in the affected portions of the workplace, and then adds: "Tactile devices may be used to alert those employees who would not otherwise be able to recognize the audible or visual alarm."
The word is "may", and that sentence names no model and no buyer. It reaches the employee alarm systems the section covers, so it has no bearing on the alarm in your home. If this applies to your job, ask your employer how an emergency is signaled in your work area and how you would be alerted.
Frequently asked questions
Does Medicare pay for an alert device?
For alerting devices used with hearing loss, CMS's October 2026 code file marks V5269 as non-covered by Medicare statute. A medical alert pendant is a different product that this record leaves unaddressed. If you have a Medicare Advantage plan, check its coverage in your plan's documents.
How can I get a medical alert device for free?
The programs we read describe communications and signaling equipment, and their pages name no medical alert pendant. Oregon lends its equipment at no cost to residents who qualify, Washington uses a sliding fee scale, and iCanConnect serves low-income people who are deafblind. For other aids, see free hearing aids.
What are two assistive devices for deaf people?
Two from Minnesota's state list: a doorbell signaler, which alerts you that someone is at the door, and a wake-up alarm signaler, which alerts you when the alarm clock goes off. For phones, see hearing aid compatible phones.
What do deaf people use instead of alarms?
Alarms paired with a light or a vibration. Minnesota's state service lists smoke alarm signalers and alarms with built-in strobe lights. For waking up, it lists clocks with a strobe, or with an outlet for a lamp or vibrating alert.
Sources
Product types come from the alerting devices page of Minnesota's Deaf and Hard of Hearing State Services. Program conditions come from each program's own page, read in October 2026: FCC, Washington DSHS and Oregon PUC. The workplace rule is OSHA's text of 29 CFR 1910.165. The code label, coverage code and statute reference for V5269 come from CMS's October 2026 HCPCS file. The Medicaid result is a count of rows under V5269 in our extract of the federal Medicaid Provider Spending file, January 2018 to December 2024, where the source masks small cells. We hold no dated price for an alerting device, and no eligibility is calculated here.
- https://mn.gov/deaf-hard-of-hearing/assistive-technology/alerting-devices/
- https://www.fcc.gov/consumers/guides/national-deaf-blind-equipment-distribution-program
- https://www.dshs.wa.gov/administrations-and-offices/office-deaf-and-hard-hearing/telecommunication/telecommunication-equipment-distribution
- https://www.dshs.wa.gov/telecommunication-equipment-distribution-ted-frequently-asked-questions
- https://www.oregon.gov/puc/Pages/Telecommunication-Devices-Access-Program-%28TDAP%29.aspx
- https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.165
- https://www.cms.gov/files/zip/october-2026-alpha-numeric-hcpcs-file.zip
- https://opendata.hhs.gov/datasets/medicaid-provider-spending/
Cost and coverage research, not medical advice. Programs set their own rules and product details change: confirm with the program or seller, ask your local fire authority about home alarm requirements, and talk to a hearing care professional about your hearing.