Hearing aid coverage and laws in Maryland
Maryland Medicaid covers hearing aids for adults who meet its rules. Maryland requires state-regulated health plans to cover hearing aids for adults. Maryland gives buyers a 30-day trial period on hearing aids.
- 14 sources cited
- Updated October 14, 2026
Researched by the DrAuditory editorial team from official state and federal sources. How we research
Maryland at a glance
| Rule | Maryland |
|---|---|
| Medicaid, adults | Covers adults. Preauthorization required; replacement every 5 years. [1] |
| Private insurance mandate | Adults and children. Plans may cap at $1,400 per aid, per ear, every 36 months. Applies only to fully insured large group plans and some individual plans that began before 2011. [2][3] |
| Trial period | 30 days. You can cancel within 30 days of delivery for any reason. The seller can keep 10% of the price (up to 20% for listed costs) plus what you paid for hearing tests. [4] |
| Free phone equipment | Maryland Accessible Telecommunications (MAT) [5] |
| Licensing | Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists [6] |
Does Maryland Medicaid cover hearing aids?
Maryland Medicaid covers hearing aids for adults who meet its rules. Preauthorization required; replacement every 5 years. [1]
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. [7]
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 Maryland require insurance to cover hearing aids?
Maryland requires state-regulated health plans to cover hearing aids for adults. Who's covered: adults (a separate law covers children). Plans may cap at $1,400 per aid, per ear, every 36 months. Applies only to fully insured large group plans and some individual plans that began before 2011. [2][3]
The rule applies to plans issued or renewed from Jan. 1, 2025. Your benefit starts when your plan renews.
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. [9] Ask HR whether your plan is fully insured or self-funded. More in our private insurance guide.
Maryland hearing aid trial period and return rights
You can cancel within 30 days of delivery for any reason. The seller can keep 10% of the price (up to 20% for listed costs) plus what you paid for hearing tests. [4]
Consumer Reports says most states require at least a 30-day trial for prescription hearing aids. [10] NIDCD notes that most makers allow 30 to 60 days and suggests asking which fees aren't refundable. [11] 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. [12]
Free amplified and captioned phones in Maryland
Maryland Accessible Telecommunications (MAT). Free landline phones or tablets for eligible Maryland residents. A doctor, audiologist or other qualified professional must complete a disability certification. [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 Maryland
- Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists: audiologists and hearing aid dispensers [6]
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 Maryland
- Medicare. Original Medicare doesn't pay for hearing aids. [13] 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. [14] 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 Maryland rules with typical prices.
Find hearing care in Maryland
The directory lists 325 hearing care providers in Maryland, with 417 audiologists registered at those addresses. By our count of the federal registry, Maryland has 5.9 audiologists per 100,000 residents, which ranks #7 of 51.
Cities with the most listings: Baltimore, Rockville, Columbia, Silver Spring, Annapolis, Hagerstown, Bethesda, Bel Air, Gaithersburg, Bowie. Or browse every Maryland hearing clinic.
Frequently asked questions
Does Maryland Medicaid pay for hearing aids for adults?
Maryland Medicaid covers hearing aids for adults who meet its rules. Preauthorization required; replacement every 5 years. Children under 21 are covered in every state through Medicaid's EPSDT benefit.
Does health insurance have to cover hearing aids in Maryland?
Maryland requires state-regulated health plans to cover hearing aids for adults. Plans may cap at $1,400 per aid, per ear, every 36 months. Applies only to fully insured large group plans and some individual plans that began before 2011. State mandates apply to fully insured plans, not self-funded employer plans.
Can I return hearing aids in Maryland?
You can cancel within 30 days of delivery for any reason. The seller can keep 10% of the price (up to 20% for listed costs) plus what you paid for hearing tests.
Can I get a free amplified or captioned phone in Maryland?
Maryland's program is Maryland Accessible Telecommunications (MAT). Free landline phones or tablets for eligible Maryland residents. A doctor, audiologist or other qualified professional must complete a disability certification.
Sources
- 1.COMAR 10.09.51.05, Audiology Services limitations Maryland Department of Health, 2021
- 2.Md. Code, Insurance 15-838.1 Maryland General Assembly
- 3.Hearing Aid Coverage for Adults Maryland Insurance Administration
- 4.Md. Code, Commercial Law §14-2503, Hearing Aid Sales Act Maryland General Assembly
- 5.Maryland Accessible Telecommunications (MAT) Maryland Accessible Telecommunications (MAT)
- 6.Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists State of Maryland
- 7.Early and Periodic Screening, Diagnostic, and Treatment Medicaid.gov (Centers for Medicare & Medicaid Services)
- 8.Where can people get help with Medicaid & CHIP? (state agency contacts) Medicaid.gov (Centers for Medicare & Medicaid Services)
- 9.29 U.S. Code 1144 - Other laws Legal Information Institute, Cornell Law School (U.S. Code)
- 10.Best Hearing Aid Buying Guide Consumer Reports, 2026
- 11.Hearing Aids National Institute on Deafness and Other Communication Disorders (NIDCD), 2022
- 12.OTC Hearing Aids: What You Should Know U.S. Food and Drug Administration (FDA)
- 13.Hearing aids Medicare.gov (Centers for Medicare & Medicaid Services)
- 14.Hearing Aids U.S. Department of Veterans Affairs, Prosthetic and Sensory Aids Service



