Medicare & Hearing Aids

May is ‘Better Hearing and Speech’ Month. Approximately one in three people between the ages of 65 and 74 has hearing loss, and nearly half of those older than 75 have difficulty hearing. Studies have shown that older adults with hearing loss can become depressed, and have a greater risk of developing dementia or other types of cognitive decline. Because of this, it is important to get checked regularly so you can catch hearing loss early on, treat it with a hearing aid, and hopefully reduce your chances of cognitive decline. Currently, Medicare covers only certain things pertaining to hearing loss and hearing aids, but there are some changes under way.

Medicare Coverage

a caucasian doctor looking at a caucasian man's ear.
Medicare will cover hearing exams, but generally will not cover hearing aids, unless they are BAHAs.

With age comes many health issues, including hearing loss, which is also known as presbycusis. We begin to lose our hearing as we age because of changes in the inner ear and auditory nerve, which eventually make it hard to tolerate certain sounds or hear what others are saying. When it comes to getting checked for hearing loss, Medicare Part B will only cover exams for hearing issues as recommended by a doctor. It does not cover hearing aids or hearing aid fittings. As with most covered medical expenses, Medicare will only cover 80% of the cost of a hearing exam, leaving you to pay the remaining 20% out-of-pocket. 

While Medicare Part B does not cover traditional hearing aids, it does cover bone-anchoring hearing aids (BAHAs), because they are considered durable medical equipment. BAHAs are actually prosthetic devices, which are implanted surgically to help transmit soundwaves through bone conduction, stimulating the cochlea. 

A Proposed Medicare Bill

Medicare Parts A and B unfortunately will not cover hearing aids, but there is currently a bill in the works in Congress that would allow them to be covered. HR 3 was passed by the House in 2019; if signed into law, this bill would allow Medicare to negotiate prescription prices, and would also allow hearing aids to be included in those negotiations.

the top of Congress building
There is a couple of bills in motion that are trying to get hearing aids covered under Medicare.

This bill has not yet passed the Senate, but there is another bill, currently sponsored by 9 Senators, which would allow Medicare to cover more services related to hearing. The Medicare Audiologist Access and Services Act has been endorsed by The American Academy of Audiology (AAA), the Academy of Doctors of Audiology (ADA), the American Speech-Language-Hearing Association (ASHA), and the Hearing Loss Association of America (HLAA), who are all encouraging members to reach out to legislators to support the bill. 

Getting More Coverage

If you need more coverage than you currently have with Original Medicare, a Medicare Supplement Plan can help with coinsurance, copays, and other things not covered by Medicare. Depending on which plan type you have, you could end up saving hundreds of dollars a year. There are 10 different Medicare Supplement Plan types to choose from, each with different coverage options and prices. 

Losing your hearing can be inevitable as you age, and it is important that you seek help and get hearing exams regularly to catch it. Medicare does not currently cover the cost of hearing aids, but don’t lose hope that the bills currently in Congress will pass! In the meantime, if you sign up for a Medicare Supplement Plan, you will be able to purchase a hearing aid on your own with the money that you save. 

If you are interested in finding an affordable Medicare Supplement Plan that will cover your medical bills and will fit in your budget, EZ can help. Our agents are highly trained and work with the top-rated Medicare Supplement Insurance companies in the country. They will be able to compare plans in minutes for free, and help guide you to your best option. 

To get free instant quotes, simply enter your zip code in the bar above, or to speak to a licensed agent, call 888-753-7207.

Can Hearing Aids Reduce Your Risk Of Dementia?

Hearing loss affects one-third of people over the age of 65, and two-thirds of those over 70. Many people who deal with hearing loss refuse a hearing aid, even when their insurance helps pay for it.

A road with the words dementia on it, and the wky in puzzle pieces with pieces missing.
The risk of dementa can be reduced by using a hearing aid.

Hearing aids do more than just help with hearing loss. Most people are unaware that hearing loss increases the likelihood of dementia, depression, balance issues, and anxiety. Therefore, by using hearing aids, you can improve your quality of life and lower your risk of dementia

Understanding the Research

A University of Michigan team used data from nearly 115,000 people over age 66 with hearing loss. From 2008 to 2016, Elham Mahmoudi, MBA, Ph.D and her colleagues looked at the data for each person with hearing loss. They gathered this info one year before their diagnosis and then again three years later. 

The study shows that men were more likely to get hearing aids than women. It also showed almost 37% of people with hearing loss in the north-central part of the US used hearing aids compared to the people in mountain states. 

Those with hearing aids within the three years were 18% less likely to get diagnosed with dementia and Alzheimer’s. Hearing aid users had an 11% lower risk of being diagnosed with depression, and a 13% lower risk of fall-related injuries.

Because of Dr. Mahmoudi and her colleagues, we see that hearing aids can help in other areas.

Reducing Risk Factors

Hand holding a hearing aid.
Because they are able to enjoy life more, people with hearing aids are less likely to develop dementia and depression.

Because they are able to enjoy life more, people with hearing aids are less likely to develop dementia and depression. They are more social, which in turn boosts cognitive health. 

“Older people with hearing loss who wear hearing aids may be better educated or may socialize more, factors which are also associated with a reduced risk of dementia,” said Dr. David Loughrey, a research psychologist specializing in hearing and cognition. 

Social isolation can result in less brain stimulation, and hearing loss promotes cognitive decline because you don’t have as much auditory input. Over time, the brain’s auditory centers degenerate, which in turn makes the brain struggle to compensate. It has to use more sources to process this information. Studies and scans show that your brain shrinks as you lose hearing. 

Payment

When it comes to payment, Medicare Part B will cover a hearing exam if your doctor finds it necessary. Only four states (New Hampshire, Connecticut, Rhode Island, and Arkansas) are required to cover hearing aid expenses, which probably contributes to their lack of popularity. Paying for hearing aids out-of-pocket can cost thousands of dollars. 

However, there’s good news. The FDA has approved over-the-counter hearing aids for sale in 2020. They hope more people will purchase them with mild or moderate hearing loss.

From what Dr. Mahmoudi found, we can safely say that hearing loss affects your mental state. In order to stay on top of your overall well-being, invest in a hearing aid. You will be doing your mental, physical, and emotional health a favor. Just because hearing loss is an issue, does not mean you can not help promote a better life by getting a hearing aid. Hopefully, they will be available over-the-counter soon, or Medicare will offer more assistance in the future.