Hearing impairment cost-effectiveness of therapy

The use of hearing aids and cochlear implants is an expensive intervention for the patients experiencing hearing loss and it is one other major limiting factor for undergoing treatment if patient’s insurance does not cover the cost.

The use of hearing aids and cochlear implants is an expensive intervention for the patients experiencing hearing loss and it is one other major limiting factor for undergoing treatment if patient’s insurance does not cover the cost.

• Most insurance programs, including Medicare, cover cochlear implants for persons who meet the criteria for hearing implants. Individual variation in patient preference, dexterity, cognitive capacity, and cost ultimately determines the best approach for hearing aids.^[1]

• An assistive listening device is currently the least expensive and simplest approach. These handheld devices involve an external microphone and headphones that transmit sound to one or both ears. Cost is generally $100–$200. These devices can be rechargeable, which is another benefit for patients with limited finances.

• Medicare and many private insurance companies do not cover the full out-of-pocket cost, which averages $4700 for bilateral hearing aids.

• Medicaid may offer help with coverage of hearing aids in many states, Medicare Advantage plans may provide some coverage, and many older veterans may also be entitled to hearing aids.

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