Hearing & balance exams
Part B (Medical Insurance)
Covers certain doctors’ services, outpatient care, medical supplies, and preventive services.
You can also see an audiologist once every 12 months without an order from your health care provider, but only for:
- Non-acute hearing conditions (like hearing loss that occurs over many years)
- Diagnostic services related to hearing loss that’s treated with surgically implanted hearing devices
Your costs in Original Medicare
- After you meet the Part B deductible, you pay 20% of the
Deductible
The amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage Plan, your Medicare drug plan, or your other insurance begins to pay.Medicare-approved amount.Medicare-approved amount
The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount. - In a hospital outpatient setting, you also pay the hospital a
Hospital outpatient setting
A part of a hospital where you get outpatient services, like an emergency department, observation unit, surgery center, or pain clinic.copayment.Copayment
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Find out cost
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:
- Other insurance you may have
- How much your doctor charges
- If your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service
Frequency of services
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.
Things to know
Medicare doesn’t cover hearing aids or exams for fitting hearing aids.