Hearing coverage is included on all plans. Members can see a hearing specialist (audiologist) for exams to diagnose hearing and balance issues.
CHPW’s MA Dual Complete and Dual Select also feature supplemental coverage, including:
- $0 copay for one routine hearing exam per year and one hearing aid fitting/evaluation per year.
- Up to $2,250 benefit every year for supplemental hearing aids and supplies.
Note: Depending on your plan, you may have a copay or coinsurance. Some restrictions may apply.
Hearing Benefits by Medicare Advantage (MA) Plan
2024 MA Plans
| Dual Complete (HMO DSNP) | Diagnostic Hearing Exams: $0 copay for exams to diagnose conditions and diseases such as balance or hearing loss.
$0 for one routine hearing exam per year and one hearing aid fitting/evaluation per year. $0 for supplemental hearing aids and supplies. Up to $2,250 for hearing aids and supplies once every one year. Limit one per ear per year. You pay for any costs over the plan benefit limit. |
| Dual Select (HMO DSNP) | Diagnostic Hearing Exams: $0 co-pay for Medicare-covered exams to diagnose conditions and diseases such as balance or hearing loss.
$0 for one routine hearing exam per year and one hearing aid fitting/evaluation per year. $0 for supplemental hearing aids and supplies. Up to $2,250 for hearing aids and supplies once every one year. Limit one per ear per year. You pay for any costs over the plan benefit limit |
| MA Plan 1 (HMO) | Diagnostic Hearing Exams: 20% coinsurance for Medicare-covered exams to diagnose conditions and diseases such as balance or hearing loss.
Routine hearing exams and hearing aids are not covered. |
| MA Plan 2 (HMO) |
| MA Plan 3 (HMO) | Diagnostic Hearing Exams: $20 copay for Medicare-covered exams to diagnose conditions and diseases such as balance or hearing loss.
Routine hearing exams and hearing aids are not covered. |
| MA Plan 4 (HMO) | |
| MA Freedom Plan (HMO) |
2023 MA Plans
| MA Dual Plan (HMO SNP) | Diagnostic Hearing Exams: $0 or 20% coinsurance for Medicare-covered exams to diagnose conditions and diseases such as balance or hearing loss.
$0 for one routine hearing exam per year and one hearing aid fitting/evaluation per year. Up to $2,250 benefit limit every year for supplemental hearing aids and supplies. You pay for any costs over the plan benefit limit. |
| MA Plan 1 (HMO) | Diagnostic Hearing Exams: 20% coinsurance for Medicare-covered exams to diagnose conditions and diseases such as balance or hearing loss.
Routine hearing exams and hearing aids are not covered. |
| MA Plan 2 (HMO) |
| MA Plan 3 (HMO) | Diagnostic Hearing Exams: $20 copay for Medicare-covered exams to diagnose conditions and diseases such as balance or hearing loss.
Routine hearing exams and hearing aids are not covered. |
| MA Plan 4 (HMO) | |
| MA Freedom Plan (HMO) |
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Did you know that certain prescription medicines are available as a 90-day supply? Medicine that you take on a long-term basis to manage your health is called a “maintenance drug.” A 90-day supply makes it easier to keep taking the medicine you need to feel your best. You may also be eligible to receive your long-term medications through free home delivery.
