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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

Molina Gold Core 1640

2026 ACA Marketplace plan · TX

According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, this Gold HMO plan from Molina Healthcare includes hearing aid coverage with 25% after deductible. This plan is available in Texas.

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

Gold

In-Network Cost

25% after deductible

Out-of-Network Cost

100.00%

Quantity Limit

No limit reported

Source

CMS public filing

What this likely means

Based on the 2026 CMS public filing, this HMO plan from Molina Healthcare includes hearing aid coverage as part of its Gold tier benefits. In-network hearing aid costs are subject to 25% after deductible. Out-of-network costs are subject to 100.00%. The filing notes: "To restore or correction of impaired speech or hearing loss." 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
  • 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

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 this plan require prior authorization for hearing aids?
Is my hearing aid provider in-network for this HMO plan?
What is my estimated out-of-pocket cost after the deductible?
Does Molina Healthcare have a preferred hearing aid provider network?
Do hearing aid costs count toward my deductible and out-of-pocket maximum?

For audiologists and clinics

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

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Source: CMS public filing·Plan year: 2026·Methodology·Not affiliated with Molina Healthcare·Last updated: April 2026