Figure 1
Medicare Advantage hearing aid benefits by state, 2026
Values count plan segments filed with CMS in each state, not people.
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
| 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.
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:
- Plans, not people. Each segment counts once, whatever its enrollment.
- 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.
- Optional packages excluded. Hearing coverage sold as a paid add-on is outside the count.
- Employer-only plans and PACE excluded.
- 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.
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.