Not all hearing insurance is created equal; Aetna might be the best for you.

Does Aetna Insurance Cover You for Hearing Care and Hearing Aids?

by | Feb 13, 2023 | Hearing Aids, Hearing Loss, Hearing Test, Insurance, Patient Resources

In today’s world, having access to proper healthcare is more important than ever. One of the most critical aspects of our health is hearing care, which can affect our physical and mental health.

Aetna is one of the most popular health insurance providers in the United States. Therefore, it’s essential to understand what Aetna covers regarding hearing care and hearing aids.

Statistics show that 1 in 8 Americans experiences hearing loss in both ears. That number increases in patients aged 65 to 74, who have a 25% chance of developing hearing loss.

This article details Aetna’s coverage for hearing care and hearing aids and will provide an overview of what is and isn’t covered.

I’ll discuss the importance of hearing care and how it can benefit your health. With this information, you’ll be able to make an informed decision about your hearing care and coverage.

Popular Hearing Care Plans

Medicare is a federal health insurance program for people over 65, certain people with disabilities, and people with End Stage Renal Disease (ESRD).

It helps cover the cost of healthcare, including hospital care, doctor visits, preventive care, prescription drugs, and hearing aids.

Medicare Advantage (HMO)

In terms of hearing healthcare, Medicare HMO plans may cover some or all of the costs associated with hearing aids and hearing exams.

This coverage may vary by plan, but many Medicare HMO plans cover hearing tests and hearing aid fittings, as well as some of the costs associated with the purchase of hearing aids.

However, most Medicare HMO plans do not cover the full cost of the hearing aid itself, so patients may still have to pay a portion out of pocket. Additionally, some plans may also require prior authorization for certain services.

Medicare HMO plans may also provide coverage for other hearing-related services, such as audiologist visits and hearing aid repairs.

Again, coverage may vary by plan, so it is important to review the specifics of your plan to determine what services are covered and what out-of-pocket costs may apply.

Medicare (PPO)

A Medicare PPO plan stands for “Preferred Provider Organization.” It allows you to receive medical services from any doctor or healthcare provider who is part of the plan’s network.

The plan pays a portion of the cost of services you receive from in-network providers, while you are responsible for the remaining balance.

When it comes to hearing healthcare, Medicare PPO plans provide coverage for various services and products related to hearing health.

For example, they typically cover hearing tests, hearing aids, examinations, and fittings for hearing aids.

Depending on the plan, other services, such as counseling, repairs, and batteries, may also be covered.

In addition, some plans may offer discounts on hearing aids and accessories from certain providers.

It’s important to note that Medicare PPO plans are only available to those who are enrolled in Medicare. If you are not enrolled, you may be able to purchase a separate hearing health insurance plan from a private insurer.

Non-Medicare Plans

Aetna offers non-Medicare plans as well, but these are less popular for hearing healthcare due to the average age of those who suffer from hearing loss.

That’s not to say they don’t have anything available for you. Plenty of policies cover preliminary hearing assessments and partial care.

For programs outside of Medicare, it’s even more critical that we meet with you first to get all the details of your situation.

This way, we can match you perfectly to a non-Medicare plan for you and your family.

We’re More Than Hearing Doctors

Our pledge is to help everyone here in North Houston with their hearing; this means more than just physical care.

We are experts in dealing with insurance companies like Aetna, so we can assist you from start to finish.

Even if you already have a plan with Aetna, you can bring the details on your next visit and we can go over them with you to ensure you’re getting everything that you’re entitled to.

Check your insurance benefits here so you can rest easy knowing your hearing is taken care of on all levels.

Have More Questions?

We don’t blame you; this whole process can be a bit overwhelming if it’s your first time.

You can always contact us over the phone for a quick, no-obligation chat. We are happy to inform you because your questions mean you want to take care of your hearing, and that’s what matters.

Do you know somebody that needs to see this? Why not share it?

Dr. Lacey Brooks, CCC-A, FAAA - Doctor of Audiology

Dr. Lacey Brooks received a bachelor’s degree in Biology and Chemistry in 2003, and earned her Doctorate of Audiology in 2009. She completed her clinical internships and residency at various facilities within Houston Medical Center. Dr. Brooks is a preferred provider for the American Institute of Balance (ABI), a professional member of the American Tinnitus Association (ATA), a fellow of the American Academy of Audiology (AAA), a member of the Texas Academy of Audiology (TAA) and is certified by the American Speech-Language-Hearing Association (ASHA). She is also the vice president of the Louisiana State University Houston Chapter Alumni Association. In addition to her years of experience identifying, diagnosing and treating all types and degrees of hearing loss, and vestibular disorders, Dr. Brooks has spent the last 13 years becoming an expert in Tinnitus management and therapy. Dr. Brooks is also one of the few providers in the country certified for Lyric Implantable Devices. For over seven years, Dr. Brooks successfully ran and operated more than six audiology clinics for one of the largest practices in the state of Texas before joining the North Houston Hearing Solutions team in 2016. Dr. Brooks prides herself on providing her patients with the highest quality of care. She loves her patients dearly and feels so fortunate that she gets to help improve their daily lives. This love, combined with her impressive skill set, business experience and passion for helping people hear has made Dr. Lacey Brooks a wonderful addition to the North Houston Hearing Solutions’ team. When not at the office, Dr. Brooks enjoys spending time with her daughter, husband, family, and friends. Dr. Brooks is also very involved in her church and with mission work in her community and abroad.

    Request a Callback

    Don’t want to wait? Call us
    at: 281-444-9800

    "*" indicates required fields