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✦ The Dispatch

Hearing Aid Coverage Expands for Children but Declines Among Older Adults, Study Finds

A dispatch from Hearing Health Matters — filed

Smiling clinician in a white coat holding a behind-the-ear hearing aid toward an older bearded male patient in a clinic office.
✦ PlateSmiling clinician in a white coat holding a behind-the-ear hearing aid toward an older bearded male patient in a clinic office.

Despite gradual improvements in hearing aid insurance coverage across the United States, millions of Americans continue to lack guaranteed benefits, with older adults facing some of the most persistent gaps, according to new research published in JAMA Otolaryngology–Head & Neck Surgery ....

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✦ The floor

Discussion

Signed responses from readers of the wire.

✦ Clinical Takeaway ✦

No immediate change to clinical protocols is warranted, but audiologists should be prepared to counsel older adult patients on out-of-pocket costs and alternative funding pathways, as insurance coverage for this group is trending downward.

✦ Why It Matters ✦

Declining hearing aid coverage for older adults — the population with the highest prevalence of hearing loss — widens an already critical access gap and has downstream implications for untreated hearing loss, cognitive health, and clinic utilization.

✦ Key Points ✦
  1. 01U.S. hearing aid insurance coverage has improved for children but declined among older adults, per a JAMA Otolaryngology–Head & Neck Surgery study.
  2. 02Millions of older adults remain without guaranteed hearing aid insurance benefits.
  3. 03The divergence in coverage trends across age groups highlights systemic inequities in hearing healthcare access.
  4. 04Findings may inform advocacy efforts for federal or state-level hearing aid coverage mandates.
  5. 05Clinics serving older adults should anticipate continued financial barriers affecting patient uptake.
✦ Claims & Evidence ✦

U.S. hearing aid insurance coverage has improved for children.

studysupported

Hearing aid insurance coverage has declined among older adults in the U.S.

studysupported

Millions of older adults are left without guaranteed hearing aid insurance benefits.

studysupported
✦ Research metadata ✦
Journal
JAMA Otolaryngology–Head & Neck Surgery
Publication type
research_article
Evidence level
2b
Population
U.S. population across age groups, with focus on children and older adults with hearing loss
Intervention
Hearing aid insurance coverage policies across age groups over time
Comparator
Coverage rates in children vs. older adults across study period

Primary outcomes

Prevalence of hearing aid insurance coverage among children; Prevalence of hearing aid insurance coverage among older adults

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