This tool provides research information only and does not guarantee eligibility, coverage, or reimbursement. Benefit details vary by plan year, member status, and administrator rules. Always verify current benefits directly with your insurer or plan administrator before making purchasing decisions.
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
2026 ACA Marketplace plan · NC
According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, this Expanded Bronze PPO plan from Blue Cross and Blue Shield of NC includes hearing aid coverage with 50% after deductible. Coverage is limited to 1 Item(s) per 3 Years. This plan is available in North Carolina.
This information is derived from publicly available CMS data and may not reflect individual plan variations, rider modifications, or mid-year changes. Always verify benefits directly with the plan or its administrator.
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Hearing Aids
Covered
Metal Level
Expanded Bronze
In-Network Cost
50% after deductible
Out-of-Network Cost
80% after deductible
Quantity Limit
1 Item(s) per 3 Years
Source
CMS public filing
What this likely means
Based on the 2026 CMS public filing, this PPO plan from Blue Cross and Blue Shield of NC includes hearing aid coverage as part of its Expanded Bronze tier benefits. In-network hearing aid costs are subject to 50% after deductible. Out-of-network costs are subject to 80% after deductible. The plan limits coverage to 1 Item(s) per 3 Years. The filing notes: "One hearing aid per hearing impaired ear, and replacement hearing aids based on medical necessity. Once every 36 months." No copay is required for hearing aids under this plan.
- •Confirm whether hearing aids require a referral or prior authorization
- •Ask whether your hearing aid provider is in-network for this plan
- •Request an estimate of your out-of-pocket cost after deductible
- •Verify whether hearing aid costs count toward your annual deductible and out-of-pocket maximum
This interpretation is based on publicly available CMS filing data and may not reflect individual eligibility, rider modifications, or mid-year changes. Always verify benefits directly with the plan administrator.
See the full plan report
Includes plan administrator details, network requirements, prior authorization rules, cost worked examples, and direct contact numbers.
Questions to ask before ordering hearing aids
For audiologists and clinics
See which plans route hearing benefits through a third-party payer — before the appointment.
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