Hearing coverage is included on all plans. Members can see a hearing specialist (audiologist) for exams to diagnose hearing and balance issues.
CHPW’s Dual Complete (HMO D-SNP) and Dual Select (HMO D-SNP) 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. Limit one per ear per year.
Note: Depending on your plan, you may have a copay or coinsurance. Some restrictions may apply.
Hearing Benefits by Medicare Advantage (MA) Plan
2025 MA Plans Hearing Benefits
| Dual Complete (HMO D-SNP) | Diagnostic Hearing Exams: $0 copay 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. $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 D-SNP) | Diagnostic Hearing Exams: $0 copay 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. $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 2 (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 4 (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 Freedom Plan (HMO) |
*For most services, Dual Complete and Dual Select members pay a $0 copay or 20%. The amount you pay depends on the level of state Medicaid (Apple Health) assistance you receive. Our local Medicare specialists can tell you what your share (if any) of the service costs will be: 1-800-944-1247 (TTY: 711).
We’re here to help.
To ask questions, request print copies of materials, and more, contact Customer Service at 1-800-942-0247 (TTY: 711), 8:00 a.m. to 8:00 p.m., 7 days a week.
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.
