Does Medicare Cover Cochlear Implants?

The American Cochlear Implant (ACI) Alliance explains that “a cochlear implant is an electronic medical device designed to restore the ability to perceive sounds and understand speech by individuals with moderate to profound hearing loss.”

Medicare Benefits Solutions

Dec 15, 2021

 3 minutes read

Medicare recipients thinking about getting cochlear implants may be interested in these statistics captured by the National Institute on Deafness and Other Communication Disorders (NIDCD):

  • As of December 2019, about 736,900 cochlear implants have been embedded globally. About 183,100 implant procedures have been performed in the U.S., which includes approximately 118,100 adults.
  • For adults between the ages of 20 and 69, age is the strongest predictor of hearing deficiency, with the most prominent group for hearing loss in the 60-to-65 age bracket.

Cochlear implants versus hearing aids

The cochlea is the spiral-shaped area of the inner ear. The cochlear nerve transmits impulses to the brain’s hearing center. A damaged cochlea often leads to permanent hearing loss. 

  • Hearing aids reside outside the ear and amplify sounds acoustically through the outer ear, middle ear and inner ear.
  • A cochlear implant receives sound from an external transmitter behind your ear and sends electrical signals to the nerve fibers that are not damaged. The signals stimulate the auditory nerve, which in turn transmits these signals to the brain.

Cochlear implant procedures

Cochlear implant procedures are usually outpatient surgeries, which do not require an overnight stay. After about one month of healing, an audiologist programs the device and turns on the sound. 

Expect regular follow-up visits within the first year of the implant procedure. These visits ensure the device is updated so you can reap the optimum benefits. 

Find a new plan

Get recommendations based on what's important to you, and compare them to your existing plan.

Medicare benefits for prosthetic devices

Part B Medicare benefits include prosthetic devices, which are artificial substitutes to replace damaged or missing body parts. Covered prosthetic devices include cochlear implants. Part B Medicare benefits also include outpatient surgeries and outpatient hospital services. 

Original Medicare will only cover prosthetic devices if you use suppliers enrolled in Medicare, regardless of which party files the claim. It does not cover hearing aids or any exams for hearing aid fittings. Medicare recipients enrolled in Medicare Advantage may have expanded benefits, depending on the policy. 

Cost of cochlear implants

With outpatient surgery and prosthetic items, you have the following cost-sharing responsibility:

  • Part B deductible ($203 in 2021)
  • 20% of the Medicare-approved amount
  • Copayment to the facility where you go for outpatient surgery

The following are the national average amounts Medicare recipients pay for cochlear device implantation in 2021. These amounts include facility and physician fees:

  • Ambulatory surgical center: $6,600
  • Hospital outpatient department: $1,735

Resources

You may want to include these resources in your research about hearing loss and cochlear implants:

  • NIDCD Information Clearinghouse: 800-241-1044
  • Journal of the American Academy of Audiology
  • ACI Alliance: 703-534-6146

Got questions?

Call a licensed sales agent at

866-576-2956 or TTY 711

Mon to Sun 5am - 8pm PT

Send us a message

We aim to reply within 24 hours.



    By submitting information on this website, you authorize Medicare Benefits Solutions, herein after referred to as “Medicare Benefits”, which is a brand operated by HealthCompare Insurance Services Inc., its agents, or affiliates to contact you (even if you’re on a state or national do not call registry) at the phone number or email address you provide to discuss your Medicare Advantage, Medicare Part D (Drug) and Medicare Supplement plan options. The company may contact you through the use of an automated dialer or a prerecorded message. You understand that you are not required to authorize such marketing calls as a condition of purchasing a policy or receiving service and that you can change your permission preferences at any time.

    Find a plan

    Get plan recommendations

    Compare your current Medicare plan to our recommendations – then choose the plan that gives you more of the things you want.