
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.
2026 ACA Marketplace plan · WI
According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, this Silver PPO plan from HealthPartners includes hearing aid coverage with 20% after deductible. Coverage is limited to 1 Item(s) per 3 Years. This plan is available in Wisconsin.
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
Silver
In-Network Cost
20% after deductible
Out-of-Network Cost
50% after deductible
Quantity Limit
1 Item(s) per 3 Years
Source
CMS public filing
Based on the 2026 CMS public filing, this PPO plan from HealthPartners includes hearing aid coverage as part of its Silver tier benefits. In-network hearing aid costs are subject to 20% after deductible. Out-of-network costs are subject to 50% after deductible. The plan limits coverage to 1 Item(s) per 3 Years. No copay is required for hearing aids under this plan.
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.
Includes plan administrator details, network requirements, prior authorization rules, cost worked examples, and direct contact numbers.
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