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.

PR

Puerto Rico — Hearing Aid Coverage

Medicare Advantage and ACA Marketplace hearing benefit data for Puerto Rico

MA plans available

117

Medicare Advantage plans available to Puerto Rico residents

MA with hearing

37

Plans that appear to include a hearing aid benefit

ACA covered plans

0

ACA plans listing hearing aids as a covered benefit

Avg MA benefit

$953

Average reported hearing benefit across covered MA plans

Coverage Overview

According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, Puerto Rico has 117 Medicare Advantage plans from 4 insurers, with 37 (31.6%) including hearing aid benefits — below the 87.6% of individual-market MA plans nationally that include a hearing aid benefit. Covered plans offer between $200 and $3,000 in benefits, averaging $953, compared to the national average of $1,276. The largest carriers are MCS Classicare (16 plans), Medicare y Mucho Mas (MMM) (11 plans), and Triple S Advantage (9 plans). About 73% of covered plans require prior authorization.

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.

How to verify hearing aid coverage in Puerto Rico

  1. Find your plan ID

    Check your insurance card or call your insurer's member services number for your contract and plan ID.

  2. Look up your plan

    Search for your plan on this page or use our plan lookup tool to see what CMS filings report about your hearing aid benefits.

  3. Call your plan administrator

    Confirm the benefit details directly. Ask about dollar limits, in-network requirements, and whether prior authorization is needed.

  4. Contact the Puerto Rico Department of Insurance

    If you believe your plan should cover hearing aids, the Puerto Rico Department of Insurance can help clarify your rights. You can find your state Department of Insurance via the NAIC directory at naic.org/state-insurance-departments.

Top organizations in Puerto Rico

Medicare Advantage carriers with the most plans that appear to include a hearing aid benefit, available to Puerto Rico residents. Click an insurer to see their full coverage profile.

Top plans in Puerto Rico

Sample plans available in Puerto Rico — click any to see full coverage details.

Medicare Advantage

View all Puerto Rico plans →

Browse Puerto Rico plans

Search every Medicare Advantage and ACA Marketplace plan with hearing benefits filtered to Puerto Rico.

Browse Puerto Rico plans

Related states

Based on 2026 CMS public filings. Verify directly with your insurer or plan administrator before making any purchasing decisions. Last updated: April 2026. See our methodology →