Does Aetna Cover Hearing Aids? 652 Medicare Advantage Filings Read

Yes, in Medicare Advantage: 650 of the 652 Aetna/CVS plan segments filed with CMS for 2026 (99.7%) include hearing aids as a built-in benefit. Among the 550 segments with a per-ear yearly cap, the median cap is $1,000. Aetna's clinical policy bulletin, a separate document, says most Aetna benefit plans exclude hearing aids.

Figure 1

Hearing benefits filed nationally, 2026

Counts are plan segments filed with CMS, not members.

652

Plan segments filed

99.7%

Include hearing aids as a built-in benefit (%)

$0

Median lowest copay per hearing aid (USD)

99.7%

Include a routine hearing exam (%)

Hearing benefits filed nationally, 2026
Plan segments 652
Distinct contract-plans 652
Mandatory aid flag count 650 652
Mandatory aid flag (%) 99.7 652
Median of reported minimum per-aid copays (USD) 0 650
Median of reported maximum per-aid copays (USD) 0 650
Routine exam flag (%) 99.7 652
OTC aid flag (%) 0 652
Zero reported minimum routine exam copays 650
How to read these numbers (1)

n is the number of plan segments a share or median is computed on; it is blank for plain counts.

Source:

Figure 2

Coverage caps, by cap type

A cap is the most a plan pays toward hearing aids. It is not the price of a hearing aid.

  • Per ear · Every year$1,000n = 550
Coverage caps, by cap type
Per ear Every year 550 1000
Source:

Figure 3

Hearing benefits by state

Shares count plan segments filed in each state, not people. A median is hidden when fewer than 5 segments report a value.

$500$625$1,000$1,250
Fewer than 5 plansno cap filedNot in this file

AlabamaAL

Plan segments
12
Include hearing aids (%)
100%
Include a routine hearing exam (%)
100%
Median cap, main cap type (USD)
$500
Segments with that cap type (n)
12
Median lowest copay per aid (USD)
$0
Segments reporting a copay (n)
12
Hearing benefits by state
AL 12 100 100 500 12 0 12
AR 13 100 100 500 13 0 13
AZ 10 100 100 1000 9 0 10
CA 32 100 100 1250 32 0 32
CO 11 100 100 1250 11 0 11
CT 9 100 100 fewer than 5 plans 3 0 9
DC 3 100 100 fewer than 5 plans 3 fewer than 5 plans 3
DE 6 100 100 500 6 0 6
FL 66 100 100 1000 45 0 66
GA 26 100 100 500 26 0 26
IA 8 100 100 1250 8 0 8
IL 28 100 100 500 28 0 28
IN 12 100 100 625 12 0 12
KS 22 100 100 1250 22 0 22
KY 12 100 100 1250 12 0 12
LA 15 100 100 500 15 0 15
MA 7 100 100 no cap filed no cap filed 0 7
MD 2 100 100 fewer than 5 plans 2 fewer than 5 plans 2
ME 7 100 100 fewer than 5 plans 2 0 7
MI 15 100 100 1000 15 0 15
MN 10 100 100 625 10 0 10
MO 34 100 100 1250 34 0 34
MS 13 100 100 500 13 0 13
NC 19 100 100 1250 19 0 19
ND 2 100 100 fewer than 5 plans 2 fewer than 5 plans 2
NE 6 100 100 1250 6 0 6
NH 2 100 100 no cap filed no cap filed fewer than 5 plans 2
NJ 18 94.4 94.4 no cap filed no cap filed 0 17
NV 17 100 100 1000 16 0 17
NY 41 100 100 fewer than 5 plans 2 0 41
OH 28 100 100 1250 28 0 28
OK 7 100 100 1000 7 0 7
OR 5 100 100 1250 5 0 5
PA 39 100 100 500 39 0 39
RI 4 100 100 no cap filed no cap filed fewer than 5 plans 4
SC 15 100 100 1250 15 0 15
SD 5 100 100 1250 5 0 5
TN 8 100 100 1250 8 0 8
TX 44 100 100 500 44 0 44
UT 8 100 100 1000 7 0 8
VA 14 92.9 92.9 1000 13 0 13
WA 7 100 100 1000 7 0 7
WI 8 100 100 500 8 0 8
WV 9 100 100 500 9 0 9
Source:
How to read these numbers (11)
fewer than 5 plans
Median hidden because fewer than 5 plan segments report it; the n column still shows how many do.
no cap filed
No plan segment filed a coverage cap (in state rows: in the stratum shown); this does not mean unlimited coverage.
not reported
No plan segment reported this value in its CMS filing.
  • Original Medicare: Hearing aids and fitting exams (Reference): Medicare doesn’t cover hearing aids or exams for fitting hearing aids
  • Medicare Advantage: Supplemental hearing benefit (Reference): Some Medicare Advantage Plans (Part C) offer extra benefits
  • Aetna: Aetna clinical policy does not create a universal aid benefit (Benefit scope): Most Aetna benefit plans exclude coverage of hearing aids
  • Count unit is contract-plan-segment, not unique available choices or people; SNPs included; no enrollment weighting.
  • Missing cap does not mean unlimited or no coverage; copay endpoints are separate distributions, not a synthetic price range.
  • No plan selection, enrollment links, individual bid_id, telephone number or retail device price.
  • State rows: coverage-cap columns use the Per ear, Every year stratum, the most frequent for Aetna/CVS plan segments nationally; other strata are not shown by state. A median based on fewer than 5 plan segments is hidden.
  • State-row shares count mandatory supplemental benefits only; a benefit sold as an optional package is not counted, so a low share does not mean no hearing coverage.

Does Aetna cover hearing aids under Medicare Advantage?

Yes, for almost every Aetna Medicare Advantage plan on sale in 2026. Each plan files its benefits with CMS in the Plan Benefit Package. We read the hearing section of every Aetna/CVS filing that is not employer-only or PACE, special needs plans included.

  • 652 plan segments, matching 652 distinct contract-plans.
  • 650 segments (99.7%) list prescription hearing aids as a mandatory supplemental benefit: the benefit comes with the plan, not as an add-on you buy.
  • 99.7% also list a routine hearing exam, and 650 segments report a $0 minimum copay for that exam.
  • 0% list over-the-counter hearing aids as a mandatory benefit.

This benefit exists only on the Medicare Advantage side. Original Medicare does not cover hearing aids or the exams for fitting them, so the hearing aid money comes from the private plan's extra benefits.

What the CMS figures show for Aetna caps and copays

A cap is the most a plan pays toward hearing aids. It is a payment limit, not the price of a device.

Aetna files its caps in one dominant pattern. 550 segments set a cap per ear, renewed every year, and their median cap is $1,000. The other segments with the benefit use another basis or file no stand-alone dollar amount, and we do not convert them into a per-ear yearly figure.

Copays complete the picture. Across the 650 segments that report a minimum per-aid copay, the median is $0, and the median reported maximum is $0 as well. For the median Aetna filing, then, the cap is the figure that decides your bill: the hearing aid benefit pays up to the cap and no further.

Two filings with the same $1,000 cap can still differ on network, device levels and how often you may claim. Those terms sit in the plan's Evidence of Coverage, not in the CMS fields we count.

Three Aetna documents, three different answers

Searchers for this question land on documents that seem to disagree. They answer different questions.

  1. The CMS benefit filing states whether a Medicare Advantage plan includes hearing aids, with its cap and copay. Every number on this page comes from it.
  2. Aetna's clinical policy bulletin on hearing aids sets when Aetna considers aids medically necessary. Its limitations paragraph reads: "Most Aetna benefit plans exclude coverage of hearing aids." The bulletin ranked first when we ran this search in October 2026, yet it is not the Medicare Advantage benefit: 650 of 652 Aetna Advantage segments include aids.
  3. Your Evidence of Coverage is the contract that binds your plan.

Two cautions on the figures. The $0 median minimum copay and the $0 median maximum come from two separate lists, so they are not a price range for one plan. A blank cap does not mean an unlimited benefit; it means the plan filed no stand-alone amount in the cap groups we report.

How Aetna coverage differs by state

A state row counts every segment that serves the state. A plan sold in several states appears in each, so state rows never add up to the national total. Four states show how far the filings spread:

  • California: all 32 segments include aids with a per-ear yearly cap, and the median cap is $1,250.
  • Texas: all 44 segments include aids with a per-ear yearly cap, but the median is $500, less than half of California's.
  • Florida: all 66 segments include aids; 45 of them carry a per-ear yearly cap, median $1,000.
  • New York: all 41 segments include aids, yet only 2 file a per-ear yearly cap, too few for a median. Check the limit in the plan's own documents.

New Jersey and Virginia are the only states where Aetna's mandatory share falls below 100%: 94.4% of 18 segments and 92.9% of 14. In every state with a reported median, the median minimum copay per aid is $0. Pick your state in the table above.

What these numbers leave out

  • Job-based and individual Aetna policies. The CMS file covers Medicare Advantage only. Outside it, your policy's documents decide, and the clinical bulletin warns that most Aetna benefit plans exclude aids. State rules for private insurance are on hearing aid insurance by state.
  • Employer-only Medicare plans and PACE, removed from every count.
  • Members. We count plan segments, not people, so a small plan weighs as much as a large one.
  • Optional packages bought for an added premium sit in a separate part of the filing that these mandatory figures do not read.
  • Device prices. This page lists none; a cap is a payment limit.

For the same CMS fields read across every carrier, see Medicare Advantage hearing aid coverage. For what Original Medicare pays, see Medicare and hearing aids.

Frequently asked questions

What is the coverage for hearing aids with Aetna Medicare in 2026?

In the 2026 CMS filings, 650 of 652 Aetna/CVS Medicare Advantage segments include hearing aids, and the same 99.7% include a routine hearing exam. 550 segments cap the plan's payment per ear each year, with a median cap of $1,000. State medians run from $500 in Texas to $1,250 in California.

How do I find out if my insurance covers hearing aids?

Open your plan's Evidence of Coverage or Summary of Benefits and find the hearing section. For an Aetna Medicare Advantage plan, look for three items: whether hearing aids are listed, the dollar cap and whether it applies per ear, and the copay per aid. For a job-based plan, ask the plan administrator, since Aetna's clinical bulletin says most Aetna benefit plans exclude aids.

Is there a copay with Aetna Medicare?

For hearing aids, the median Aetna Medicare Advantage segment reports a $0 minimum and a $0 maximum copay per aid, across 650 segments. For routine hearing exams, 650 segments report a $0 minimum copay. The cap still limits what the plan pays toward the devices.

Sources

Figures come from the CMS Plan Benefit Package files for contract year 2026, hearing section, read in October 2026. Aetna/CVS means segments whose CMS parent organization is CVS Health Corporation or contains Aetna. A segment counts once nationally and once in each state it serves. Caps are shown as filed, per ear or for both ears and by benefit period, with no conversion.

  1. https://www.cms.gov/files/zip/pbp-benefits-2026.zip
  2. https://www.medicare.gov/coverage/hearing-aids
  3. https://www.aetna.com/cpb/medical/data/600_699/0612.html

Cost and coverage research, not medical advice. This page describes plan filings and does not recommend or sell any plan; confirm benefits in the plan's Evidence of Coverage.