Hearing aid coverage and laws in Hawaii
Hawaii Medicaid covers hearing aids for adults who meet its rules. Hawaii has no law requiring private health plans to cover hearing aids. We found no Hawaii law requiring a hearing aid trial period, so get the return terms in writing.
- 15 sources cited
- Updated October 14, 2026
Researched by the DrAuditory editorial team from official state and federal sources. How we research
Hawaii at a glance
| Rule | Hawaii |
|---|---|
| Medicaid, adults | Covers adults. Medical consultant authorization required. [1] |
| Private insurance mandate | No mandate. No state law found that requires state-regulated health plans to cover hearing aids. [2][3] |
| Trial period | No state rule found. Hawaii law does not require a trial period for hearing aids. The seller's receipt must list the terms of sale, so get the return policy in writing before you buy. [4] |
| Free phone equipment | Relay Hawaii Equipment Program (RHEP) [5] |
| Licensing | Hawaii Board of Speech Pathology and Audiology; Hawaii Hearing Aid Dealer and Fitter Program (DCCA Professional and Vocational Licensing) [6][7] |
Does Hawaii Medicaid cover hearing aids?
Hawaii Medicaid covers hearing aids for adults who meet its rules. Medical consultant authorization required. [1]
The official source sets hearing aid rules without an age limit rather than naming adults outright.
Children and young adults under 21 are a different case. Medicaid's EPSDT benefit requires states to cover the care they need, which includes hearing aids. [8]
If you get Medicaid through a managed care plan, ask the plan how hearing aid approvals work and which providers it uses. Our state-by-state Medicaid guide explains how the benefit usually works.
Does Hawaii require insurance to cover hearing aids?
Hawaii has no law requiring private health plans to cover hearing aids. [2][3]
State mandates only reach fully insured plans, the kind bought from an insurance company. Self-funded employer plans follow federal ERISA law instead, so a state mandate may not apply to your job's plan. [10] Ask HR whether your plan is fully insured or self-funded. More in our private insurance guide.
Hawaii hearing aid trial period and return rights
We found no Hawaii law requiring a hearing aid trial period, so get the return terms in writing. [4]
Consumer Reports says most states require at least a 30-day trial for prescription hearing aids. [11] NIDCD notes that most makers allow 30 to 60 days and suggests asking which fees aren't refundable. [12] Whatever the law, put the trial length, fees and warranty on the purchase agreement.
Over-the-counter hearing aids follow federal rules: the maker must print its return policy on the package, or say it has none. [13]
Free amplified and captioned phones in Hawaii
Relay Hawaii Equipment Program (RHEP). Free landline relay phones, such as TTYs and voice carry-over phones, for Hawaii residents with a certified hearing loss of 40 dB or more or a speech disability. [5]
These programs are separate from hearing aid coverage. They can help even if you already wear hearing aids.
Who licenses hearing care providers in Hawaii
- Hawaii Board of Speech Pathology and Audiology: audiologists [6]
- Hawaii Hearing Aid Dealer and Fitter Program (DCCA Professional and Vocational Licensing): hearing aid dispensers [7]
Use the board to check that a provider's license is current, or to file a complaint about a sale or a refund.
Other ways to pay for hearing aids in Hawaii
- Medicare. Original Medicare doesn't pay for hearing aids. [14] Some Medicare Advantage plans add a hearing benefit, usually through a network. See Medicare and hearing aids and how Medicare Advantage hearing networks work.
- VA. Eligible veterans can get hearing aids through VA health care. [15] See hearing aids through the VA.
- Lower-cost options. OTC hearing aids, warehouse clubs, nonprofit programs and university clinics. See free and low-cost hearing aids and what hearing aids cost.
- Estimate your cost. The hearing aid cost estimator combines these Hawaii rules with typical prices.
Find hearing care in Hawaii
The directory lists 53 hearing care providers in Hawaii, with 48 audiologists registered at those addresses. By our count of the federal registry, Hawaii has 4.6 audiologists per 100,000 residents, which ranks #24 of 51.
Cities with the most listings: Honolulu, Aiea, Hilo, Kahului, Lihue, Pearl City. Or browse every Hawaii hearing clinic.
Frequently asked questions
Does Hawaii Medicaid pay for hearing aids for adults?
Hawaii Medicaid covers hearing aids for adults who meet its rules. Medical consultant authorization required. Children under 21 are covered in every state through Medicaid's EPSDT benefit.
Does health insurance have to cover hearing aids in Hawaii?
Hawaii has no law requiring private health plans to cover hearing aids. State mandates apply to fully insured plans, not self-funded employer plans.
Can I return hearing aids in Hawaii?
We found no Hawaii law requiring a hearing aid trial period, so get the return terms in writing. Most hearing aid makers allow a 30 to 60 day trial, and you should ask which fees aren't refundable.
Can I get a free amplified or captioned phone in Hawaii?
Hawaii's program is Relay Hawaii Equipment Program (RHEP). Free landline relay phones, such as TTYs and voice carry-over phones, for Hawaii residents with a certified hearing loss of 40 dB or more or a speech disability.
Sources
- 1.Hawaii Medicaid State Plan, Supplement to Attachment 3.1-A and 3.1-B Hawaii Department of Human Services, Med-QUEST Division, 2021
- 2.State Hearing Aid Coverage Mandates for Private Insurance American Academy of Audiology, 2026
- 3.State Insurance Mandates for Hearing Aids (archived May 6, 2025) American Speech-Language-Hearing Association (ASHA), via Internet Archive, 2025
- 4.Hawaii Revised Statutes Chapter 451A: Hearing Aid Dealers and Fitters Hawaii State Legislature
- 5.Relay Hawaii Equipment Program (RHEP) Relay Hawaii Equipment Program (RHEP)
- 6.Hawaii Board of Speech Pathology and Audiology State of Hawaii
- 7.Hawaii Hearing Aid Dealer and Fitter Program (DCCA Professional and Vocational Licensing) State of Hawaii
- 8.Early and Periodic Screening, Diagnostic, and Treatment Medicaid.gov (Centers for Medicare & Medicaid Services)
- 9.Where can people get help with Medicaid & CHIP? (state agency contacts) Medicaid.gov (Centers for Medicare & Medicaid Services)
- 10.29 U.S. Code 1144 - Other laws Legal Information Institute, Cornell Law School (U.S. Code)
- 11.Best Hearing Aid Buying Guide Consumer Reports, 2026
- 12.Hearing Aids National Institute on Deafness and Other Communication Disorders (NIDCD), 2022
- 13.OTC Hearing Aids: What You Should Know U.S. Food and Drug Administration (FDA)
- 14.Hearing aids Medicare.gov (Centers for Medicare & Medicaid Services)
- 15.Hearing Aids U.S. Department of Veterans Affairs, Prosthetic and Sensory Aids Service



