AudiCoverage

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.

ACA Marketplace2026

Gold Elite Saver Plus | with AdventHealth

2026 ACA Marketplace plan · FL

According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, this Gold HMO plan from Oscar Health Maintenance Organization of Florida does not include hearing aid coverage. This plan is available in Florida.

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

Not Covered

Metal Level

Gold

In-Network Cost

Not applicable — benefit not covered.

Out-of-Network Cost

Not covered OON

Quantity Limit

No limit reported

Source

CMS public filing

What this likely means

Based on the 2026 CMS public filing, this HMO plan from Oscar Health Maintenance Organization of Florida does not include hearing aid coverage.

  • Confirm whether hearing aids require a referral or prior authorization
  • Ask whether your hearing aid provider is in-network for this plan
  • Ask about any quantity or frequency limits on hearing aids
  • Verify whether hearing aid costs count toward your annual deductible and out-of-pocket maximum
  • Ask whether a different plan tier from Oscar Health Maintenance Organization of Florida includes hearing aid coverage

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.

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Questions to ask before ordering hearing aids

Does Oscar Health Maintenance Organization of Florida offer a plan tier that covers hearing aids?
Are diagnostic hearing exams covered even without hearing aid coverage?
Are there any supplemental riders available for hearing aid coverage?

For audiologists and clinics

See which plans route hearing benefits through a third-party payer — before the appointment.

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Related plans

Source: CMS public filing·Plan year: 2026·Methodology·Not affiliated with Oscar Health Maintenance Organization of Florida·Last updated: April 2026