Original Medicare does not cover hearing aids or examinations performed only to fit hearing aids. A person with Original Medicare generally pays the full cost of the devices, fitting, routine maintenance, batteries, and other noncovered services.
Diagnostic hearing services
Part B can cover diagnostic hearing and balance examinations when they are needed to diagnose or manage a medical condition. A doctor or other health care provider usually must order the examination. Medicare also permits a person to see an audiologist once every 12 months without an order for certain non-acute hearing conditions and diagnostic services related to hearing loss treated with surgically implanted hearing devices.
Diagnostic coverage is not the same as hearing-aid coverage. A covered examination does not make the hearing aid or fitting service payable by Original Medicare. Surgically implanted hearing devices are subject to different medical coverage rules and should be discussed with the treating provider.
Costs and Medicare Advantage
For a covered Part B diagnostic examination, the Part B deductible generally applies, followed by 20 percent of the Medicare-approved amount when the provider accepts assignment. An outpatient hospital copayment may also apply.
Some Medicare Advantage plans offer hearing examinations, hearing aids, or an allowance as an extra benefit. Plans may limit the brands, suppliers, number of devices, replacement frequency, or maximum allowance. Network and prior authorization rules may apply. A plan may also separate the hearing examination benefit from the hearing-aid benefit.
What to do next
- Ask whether the examination is diagnostic or solely for fitting hearing aids.
- Confirm that the audiologist or other provider accepts Medicare.
- If you have Medicare Advantage, verify covered brands, participating suppliers, frequency limits, and your expected payment.
- Get a written price that separates the device, fitting, follow-up visits, warranty, and supplies.
- Review Medicare’s official pages on hearing aids and hearing and balance exams.
Sources
Coverage and costs can change each calendar year. Check current Medicare rules and current plan documents before receiving care. A provider’s estimate is not a Medicare coverage decision. Final payment depends on the claim and the applicable coverage requirements.
Last reviewed: August 2026. Medicare rules and plan benefits can change.