Does Medicare Advantage Cover Hearing Aids? Caps and Copays by State

Yes, in most plans. In 2026 CMS plan data, 94.6% of 5,599 Medicare Advantage plan segments include prescription hearing aids as a built-in extra benefit. Each plan caps what it pays, per ear or for both ears, over a set period: in Florida, the median per-ear cap renewed every year is $1,000.

Figure 1

Medicare Advantage hearing aid benefits by state, 2026

Values count plan segments filed with CMS in each state, not people.

75%≤ 87%≤ 93.7%≤ 97.3%≤ 100%
Not in this file

AlabamaAL

Plan segments
98
Include hearing aids (%)
100%
Median lowest copay per aid (USD)
$399
Segments reporting a copay (n)
95
Cap applies to
Per ear
Cap period
Every year
Median cap, main cap type (USD)
$500
Segments with that cap type (n)
12
Cap applies to
Both ears combined
Cap period
Every two years
Median cap, main cap type (USD)
$2,200
Segments with that cap type (n)
7
Medicare Advantage hearing aid benefits by state, 2026
AL 98 100 Per ear Every year 500 12 399 95
AL 98 100 Both ears combined Every two years 2200 7 399 95
AR 91 98.9 Per ear Every year 500 25 199 87
AR 91 98.9 Both ears combined Every two years 1500 5 199 87
AR 91 98.9 Both ears combined Every three years 1000 3 199 87
AZ 133 98.5 Per ear Every year 1000 18 199 117
AZ 133 98.5 Both ears combined Every year 1500 15 199 117
AZ 133 98.5 Both ears combined Every two years 2700 6 199 117
AZ 133 98.5 Both ears combined Other, Describe 1900 3 199 117
CA 402 76.1 Per ear Every year 600 54 199 251
CA 402 76.1 Both ears combined Every year 3000 53 199 251
CA 402 76.1 Both ears combined Every two years 1500 10 199 251
CA 402 76.1 Both ears combined Every three years 4000 5 199 251
CA 402 76.1 Per ear Every three years 1000 5 199 251
CO 107 96.3 Per ear Every year 1250 13 199 79
CO 107 96.3 Per ear Every two years 550 11 199 79
CO 107 96.3 Both ears combined Every year 500 7 199 79
CO 107 96.3 Both ears combined Every two years 2100 6 199 79
CO 107 96.3 Both ears combined Every three years 1500 2 199 79
CT 47 76.6 Both ears combined Every year 2000 8 0 33
CT 47 76.6 Both ears combined Every two years 2200 4 0 33
CT 47 76.6 Per ear Every year 1000 3 0 33
CT 47 76.6 Both ears combined Every three years 3000 1 0 33
DC 20 90 Per ear Every three years 1000 4 299 14
DC 20 90 Per ear Every year 500 3 299 14
DC 20 90 Both ears combined Every two years 1850 2 299 14
DE 37 97.3 Per ear Every year 500 9 199 32
DE 37 97.3 Both ears combined Every year 500 3 199 32
DE 37 97.3 Both ears combined Every three years 1400 2 199 32
DE 37 97.3 Both ears combined Every two years 2200 2 199 32
FL 611 99.2 Per ear Every year 1000 199 0 533
FL 611 99.2 Both ears combined Every year 2000 93 0 533
FL 611 99.2 Both ears combined Every two years 2000 33 0 533
FL 611 99.2 Both ears combined Every three years 1000 20 0 533
FL 611 99.2 Per ear Every two years 1250 5 0 533
FL 611 99.2 Per ear Every three years 1050 4 0 533
GA 166 94 Per ear Every year 500 45 199 145
GA 166 94 Both ears combined Every two years 2200 12 199 145
GA 166 94 Both ears combined Every year 2000 8 199 145
GA 166 94 Per ear Every three years 1000 3 199 145
HI 44 75 Per ear Every year 500 1 299 33
IA 73 86.3 Per ear Every year 1250 14 199 52
IA 73 86.3 Both ears combined Every two years 1500 6 199 52
IA 73 86.3 Both ears combined Every year 2000 6 199 52
ID 48 100 Both ears combined Every two years 1500 3 499 44
ID 48 100 Per ear Every year 500 1 499 44
IL 160 97.5 Per ear Every year 500 42 199 135
IL 160 97.5 Both ears combined Every two years 1000 14 199 135
IL 160 97.5 Per ear Every three years 750 7 199 135
IN 127 100 Both ears combined Every year 2000 20 199 121
IN 127 100 Per ear Every year 750 19 199 121
IN 127 100 Both ears combined Every two years 2100 8 199 121
IN 127 100 Per ear Every three years 750 8 199 121
KS 87 96.6 Per ear Every year 875 30 199 84
KS 87 96.6 Both ears combined Every two years 2200 5 199 84
KS 87 96.6 Both ears combined Every year 2500 1 199 84
KY 114 100 Per ear Every year 1000 21 199 106
KY 114 100 Both ears combined Every year 2000 12 199 106
KY 114 100 Both ears combined Every two years 2200 7 199 106
LA 111 100 Per ear Every year 500 29 99 95
LA 111 100 Both ears combined Every three years 800 16 99 95
LA 111 100 Both ears combined Every two years 2200 5 99 95
LA 111 100 Both ears combined Every year 2250 4 99 95
MA 103 81.6 250 84
MD 63 93.7 Per ear Every three years 1000 11 399 37
MD 63 93.7 Both ears combined Every two years 1750 8 399 37
MD 63 93.7 Both ears combined Every three years 1350 3 399 37
MD 63 93.7 Both ears combined Every year 1450 2 399 37
MD 63 93.7 Per ear Every year 875 2 399 37
ME 52 100 Per ear Every year 500 18 0 44
ME 52 100 Both ears combined Every two years 2200 5 0 44
ME 52 100 Both ears combined Every year 2000 5 0 44
MI 192 92.2 Per ear Every year 1000 23 295 163
MI 192 92.2 Per ear Every three years 750 8 295 163
MI 192 92.2 Both ears combined Every two years 2200 7 295 163
MI 192 92.2 Both ears combined Every year 1000 3 295 163
MI 192 92.2 Both ears combined Every three years 2500 1 295 163
MN 84 86.9 Per ear Every year 625 10 549 67
MN 84 86.9 Both ears combined Every two years 1375 4 549 67
MN 84 86.9 Both ears combined Every year 750 2 549 67
MO 157 100 Per ear Every year 1250 46 199 142
MO 157 100 Both ears combined Every two years 1500 15 199 142
MO 157 100 Both ears combined Every year 3000 9 199 142
MO 157 100 Per ear Every two years 1150 3 199 142
MS 93 100 Per ear Every year 500 25 0 90
MS 93 100 Both ears combined Every two years 2500 5 0 90
MS 93 100 Per ear Every three years 750 5 0 90
MS 93 100 Both ears combined Every year 1950 1 0 90
MT 32 100 Both ears combined Every two years 1500 3 699 32
NC 175 96.6 Per ear Every year 1250 28 199 154
NC 175 96.6 Both ears combined Every two years 2200 11 199 154
NC 175 96.6 Both ears combined Every year 2000 3 199 154
NC 175 96.6 Both ears combined Every three years 2250 2 199 154
ND 29 96.6 Both ears combined Every year 2000 5 549 20
ND 29 96.6 Per ear Every year 650 5 549 20
ND 29 96.6 Both ears combined Every two years 2500 1 549 20
NE 54 100 Per ear Every year 1250 15 295 50
NE 54 100 Both ears combined Every two years 1500 3 295 50
NE 54 100 Both ears combined Every year 2000 2 295 50
NH 19 94.7 Both ears combined Every two years 1500 3 199 18
NJ 85 85.9 Both ears combined Every two years 2200 3 199 71
NJ 85 85.9 Per ear Every year 750 2 199 71
NJ 85 85.9 Both ears combined Every year 2000 1 199 71
NM 73 97.3 Both ears combined Every two years 2000 7 399 66
NM 73 97.3 Both ears combined Every year 2000 2 399 66
NM 73 97.3 Both ears combined Every three years 2000 1 399 66
NV 105 96.2 Per ear Every year 1000 29 149 94
NV 105 96.2 Both ears combined Every year 3000 11 149 94
NV 105 96.2 Both ears combined Every two years 2200 5 149 94
NY 218 92.2 Per ear Every year 500 26 0 171
NY 218 92.2 Both ears combined Every year 2000 14 0 171
NY 218 92.2 Both ears combined Every three years 2400 10 0 171
NY 218 92.2 Both ears combined Every two years 1850 10 0 171
NY 218 92.2 Per ear Every three years 750 3 0 171
NY 218 92.2 One single ear Every three years 500 1 0 171
NY 218 92.2 Per ear Every two years 375 1 0 171
OH 212 98.6 Per ear Every year 1250 35 199 201
OH 212 98.6 Both ears combined Every year 3000 17 199 201
OH 212 98.6 Per ear Every three years 750 5 199 201
OH 212 98.6 Both ears combined Every two years 2100 4 199 201
OK 82 100 Per ear Every year 1000 11 199 69
OK 82 100 Both ears combined Every two years 500 8 199 69
OK 82 100 Both ears combined Every year 1000 8 199 69
OR 103 89.3 Per ear Every year 500 19 499 82
OR 103 89.3 Both ears combined Every year 1500 7 499 82
OR 103 89.3 Both ears combined Every two years 2000 6 499 82
PA 332 97.3 Per ear Every year 500 45 499 306
PA 332 97.3 Both ears combined Every year 500 44 499 306
PA 332 97.3 Both ears combined Every two years 2000 8 499 306
PA 332 97.3 Per ear Every three years 1250 7 499 306
PA 332 97.3 Both ears combined Every month 100 2 499 306
PA 332 97.3 Both ears combined Every three years 2000 2 499 306
PR 63 90.5 Both ears combined Every year 500 38 0
PR 63 90.5 Both ears combined Every three years 1250 15 0
PR 63 90.5 Per ear Every year 1000 4 0
RI 23 87 Both ears combined Every two years 2200 4 199 19
RI 23 87 Per ear Every year 1000 1 199 19
SC 95 97.9 Per ear Every year 1250 21 199 87
SC 95 97.9 Both ears combined Every two years 2200 4 199 87
SC 95 97.9 Both ears combined Every year 2000 3 199 87
SC 95 97.9 Both ears combined Every three years 2500 1 199 87
SD 27 88.9 Per ear Every year 1250 5 549 20
SD 27 88.9 Both ears combined Every year 1400 4 549 20
SD 27 88.9 Both ears combined Every two years 1850 2 549 20
TN 132 100 Per ear Every year 1250 15 199 125
TN 132 100 Both ears combined Every year 3000 11 199 125
TN 132 100 Per ear Every three years 750 7 199 125
TN 132 100 Both ears combined Every two years 3200 5 199 125
TX 423 97.2 Per ear Every year 600 93 199 372
TX 423 97.2 Both ears combined Every year 3000 34 199 372
TX 423 97.2 Both ears combined Every two years 2100 16 199 372
TX 423 97.2 Both ears combined Every three years 1000 14 199 372
TX 423 97.2 Per ear Every three years 750 3 199 372
TX 423 97.2 Both ears combined Every three months 150 1 199 372
UT 55 100 Per ear Every year 1000 8 199 52
UT 55 100 Both ears combined Every two years 2200 3 199 52
VA 143 95.8 Both ears combined Every year 2000 19 199 126
VA 143 95.8 Per ear Every year 1000 13 199 126
VA 143 95.8 Both ears combined Every two years 2200 7 199 126
VA 143 95.8 Per ear Every three years 1000 7 199 126
VT 3 100 699 3
WA 126 84.1 Per ear Every year 500 18 199 99
WA 126 84.1 Both ears combined Every two years 2200 12 199 99
WA 126 84.1 Both ears combined Every year 2250 4 199 99
WI 121 93.4 Both ears combined Every two years 1500 19 199 87
WI 121 93.4 Per ear Every year 500 14 199 87
WI 121 93.4 Both ears combined Every year 1375 12 199 87
WI 121 93.4 Both ears combined Every three years 2000 2 199 87
WV 69 98.6 Both ears combined Every year 500 15 399 65
WV 69 98.6 Per ear Every year 500 9 399 65
WV 69 98.6 Both ears combined Every two years 2200 3 399 65
WY 14 100 Both ears combined Every two years 1500 3 199 11
WY 14 100 Per ear Every year 650 3 199 11
How to read these numbers (3)
  • No population or enrollment weighting; a plan's service state is not proof of where its members live.
  • A reported minimum zero copay is not a universal free test or free device promise.
  • Empty cells retain not-reported status; no imputation to zero.
Source:

How many Medicare Advantage plans include hearing aids

Original Medicare does not pay for hearing aids. Medicare Advantage plans can add them as a supplemental benefit, and in 2026 almost all do. We counted the CMS 2026 Plan Benefit Package files by contract-plan segment, leaving out employer-only plans, PACE and optional supplemental packages:

  • 5,599 plan segments in the national count.
  • 94.6% of them list prescription hearing aids as a mandatory supplemental benefit, meaning the benefit comes with the plan for every member rather than as a paid add-on.

The share moves by service state. It reaches 100.0% in several states, including Alabama, Idaho and Montana. It is lowest in Hawaii at 75.0% of 44 segments, California at 76.1% of 402 and Connecticut at 76.6% of 47. A plan without the mandatory benefit may still sell hearing coverage as an optional package, which this count does not include.

What the plan pays: a cap tied to ears and to a period

A hearing aid benefit is a ceiling on what the plan pays, not the price of a device. CMS records three parts for each cap: the amount, whether it applies per ear or to both ears combined, and how often it renews. Our state table keeps those parts together and shows how many plan segments sit behind each median.

Florida, with 611 segments, shows how far the same state can spread:

  • Per ear, every year: median cap $1,000, from 199 segments.
  • Both ears combined, every year: median $2,000, from 93 segments.
  • Both ears combined, every two years: median $2,000, from 33 segments.
  • Both ears combined, every three years: median $1,000, from 20 segments.

The first and last lines carry the same median and very different value: one pays toward each ear every year, the other pays once for both ears over three years. Texas shows the same pattern with other amounts: a $600 median per ear every year from 93 segments, and a $3,000 median for both ears every year from 34 segments.

Per ear or both ears: read the basis before the amount

Most caps in the table fall into two bases. A per-ear cap applies to each hearing aid; a both-ears cap is one amount for the pair. A few plans use a third basis: in New York, one plan segment caps a single ear at $500 every three years.

The basis changes what a dollar figure means. Pennsylvania lists a $500 median for per-ear caps every year (45 segments) and the same $500 median for both-ears caps every year (44 segments). Same amount, but the first applies to each aid and the second must cover the pair.

Compare two plans only on the same basis and the same period. Moving a per-ear cap into a both-ears figure, or spreading a three-year cap over single years, produces a number neither plan publishes.

Short and unusual periods

Some caps renew on cycles far shorter than a year, and a few use a period CMS does not standardize:

  • Pennsylvania: a $100 median cap for both ears renewed every month, from 2 segments.
  • Texas: a $150 cap for both ears renewed every three months, from 1 segment.
  • Arizona: a $1,900 median for both ears with the period coded "Other, Describe", from 3 segments.

We show these rows as filed. A monthly or quarterly cap is not converted into a yearly amount: the filing states the cap per period, not what a member can draw in a year. The "Other, Describe" code carries a free-text period that the summary files do not resolve, so the Arizona median is not comparable with the yearly or multi-year caps until that text is read plan by plan.

What you pay per hearing aid: reported copays

Plans also file a copay per hearing aid, often by technology tier. Our table shows the median of each plan's lowest reported per-aid copay, and the number of segments that report one.

  • $199 is the most common state median.
  • $0 in Florida, from 533 reporting segments, and in New York, from 171.
  • $499 in Pennsylvania, from 306 segments.
  • $699 in Montana and Vermont, the highest state medians.
  • Puerto Rico: 63 segments and no reported minimum copay value, so no median is shown.

A minimum is the entry tier. A plan with a $0 minimum can charge more for a higher tier, and a plan can file a copay, a cap or both: read both lines in its Evidence of Coverage. A blank copay cell means the filing reports no value; we do not read it as $0.

What these CMS statistics leave out

The table describes plan filings, and five limits come with that:

  1. Plans, not people. Each segment counts once, whatever its enrollment.
  2. Service state, not your county. A multi-state plan appears in every state it serves, so state rows cannot be added together, and a state row does not mean every plan is offered where you live.
  3. Optional packages excluded. Hearing coverage sold as a paid add-on is outside the count.
  4. Employer-only plans and PACE excluded.
  5. No network or vendor detail. The filings used here do not show which hearing aid brands, clinics or administrators a plan uses.

Searching for Nations hearing aids? Your plan's own documents decide whether you must use NationsHearing and what you pay there; the CMS filings above do not name it. One written example comes from outside Medicare. In the Michigan courts' 2026 comparison of employee health plans, one HMO option covers hearing aids "through a NationsHearing provider only," with a copay "based on type of Hearing Aid" and a limit of 1 aid per ear per plan year. That is an employer plan, not Medicare Advantage, so its terms do not carry over to yours.

For a plan you already have, its Evidence of Coverage lists the cap, the ear basis, the period, the copay tiers and the providers you must use. This page gives information only and does not recommend or compare named plans for enrollment.

Frequently asked questions

How much will Medicare Advantage pay for hearing aids?

Up to the plan's cap, which depends on the ear basis and the period. In Florida's 2026 filings, the median cap is $1,000 per ear every year (199 segments) and $2,000 for both ears every year (93 segments). In Texas, the median is $600 per ear every year. You pay any copay the plan files and any amount above the cap.

Does Medicare pay for hearing aids in 2026?

Original Medicare does not. Medicare Advantage plans can: in 2026 CMS plan data, 94.6% of 5,599 plan segments include prescription hearing aids as a mandatory supplemental benefit. Each plan sets its own cap, period and copay, listed in its Evidence of Coverage.

How much does Medicare pay for hearing aids in 2026?

Original Medicare pays nothing toward hearing aids. A Medicare Advantage plan pays up to its own cap: in California's 2026 filings, the median is $600 per ear every year (54 segments) and $3,000 for both ears every year (53 segments). The cap is the plan's maximum payment, not the price of the device.

Sources

Counts and medians come from the CMS 2026 Plan Benefit Package files, by contract-plan segment and service state, excluding employer-only plans, PACE and optional supplemental packages, and not weighted by enrollment. Caps keep their ear basis and period as filed; periods coded "Other, Describe" are shown but not compared. A blank cell means no reported value, not $0.

  1. https://www.cms.gov/files/zip/pbp-benefits-2026.zip
  2. https://www.courts.michigan.gov/499a00/siteassets/court-administration/organizational-information/medical-comparison-sheet.pdf

Cost and coverage research, not medical advice. This page gives information only and does not recommend a Medicare Advantage plan; confirm benefits in your plan's Evidence of Coverage.