Insurance and Hearing Aid Coverage

Original Medicare does not cover hearing aids or exams to fit them. Part B can cover qualifying diagnostic exams. Its once-every-twelve-month exception to the order requirement applies to non-acute hearing conditions and certain implant-related diagnostic services. Ask Medicare and your provider which coverage rules apply to your appointment.

Many Medicare Advantage plans include a hearing benefit, but what it is worth varies enormously. Some give a fixed allowance every few years, and some restrict you to a specific device catalog or network. Read the plan’s evidence of coverage, or call the number on your card and ask what the hearing benefit actually pays.

New York Medicaid covers hearing aids when its medical-need and documentation requirements are met. Adult fittings for both ears have additional criteria and prior approval requirements. Confirm provider enrollment, any managed-care network restrictions and authorization rules with your plan before booking; this does not establish ZN Audiology’s participation.

ZN Audiology accepts insurance for hearing aids where eligible benefits apply. Call Forest Hills at (718) 255-1113 or Midwood, Brooklyn at (347) 658-1264 so the office can check your specific plan, network requirements, device benefits and any patient costs before you book.

Four things: whether diagnostic hearing evaluation is covered and how often; whether hearing aids are covered and to what dollar amount; how often you are eligible for a replacement; and whether you must use a specific network or device catalog. Write down the answers and the date, and bring them to your appointment.

No. Concierge audiology visits are not covered by insurance and are offered as self-pay services. In-office appointments are covered by most insurance plans. Please contact our office to verify whether we accept your insurance plan.

New York State law allows cancellation for any reason before midnight of the 45th calendar day. Return the device in the same condition, ordinary wear and tear excepted. The seller may retain up to 10 percent of the total price, including fitting fees, batteries and accessories. Your written purchase agreement must explain the refund terms.

Costs depend on your devices, fitting and follow-up services, and whether you need one or two hearing aids. Insurance benefits also vary. Ask us for a written estimate showing the devices, services and ongoing support included.