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.
VNS Health Medicare H5549-012
2026 Medicare Advantage plan · NYC Metro, Upstate and Western NY
According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, this Medicare Advantage plan from VNS Health Medicare includes hearing aid coverage with a maximum benefit of $750 per ear every three years. Hearing exams are covered under this plan. OTC hearing aids are also covered. This plan is available in the NYC Metro, Upstate and Western NY area.
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
Hearing Exams
Covered
OTC Hearing Aids
Covered
Max Devices
2 per year
Benefit Amount
$750 per ear
Source
CMS public filing
What this likely means
Based on the 2026 CMS public filing, this plan from VNS Health Medicare appears to include hearing aid coverage, hearing exams, and OTC hearing aid benefits. The filing reports up to 2 hearing aids every year. The maximum reported benefit is $750 per ear.
- •Ask who administers the hearing benefit for this plan
- •Confirm whether your provider is in-network for hearing aids
- •Verify whether hearing aid costs count toward your 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.