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Hearing aid coverage and laws in South Dakota

South Dakota Medicaid covers hearing aids for adults who meet its rules. South Dakota has no law requiring private health plans to cover hearing aids. South Dakota gives buyers a 30-day trial period on hearing aids.

  • 15 sources cited
  • Updated October 14, 2026

Researched by the DrAuditory editorial team from official state and federal sources. How we research

South Dakota at a glance

RuleSouth Dakota
Medicaid, adultsCovers adults. Loss of 30 dB or more; state frequency limits apply. [1]
Private insurance mandateNo mandate. No state law found that requires state-regulated health plans to cover hearing aids. [2][3]
Trial period30 days. You get 30 days from delivery to return hearing aids for a refund. The seller can keep up to 10% of the price and must pay you back within 30 days. [4]
Free phone equipmentTelecommunication Equipment Distribution (TED) program [5]
LicensingSouth Dakota Board of Hearing Aid Dispensers and Audiologists [6]

Does South Dakota Medicaid cover hearing aids?

South Dakota Medicaid covers hearing aids for adults who meet its rules. Loss of 30 dB or more; state frequency limits apply. [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 South Dakota require insurance to cover hearing aids?

South Dakota 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.

South Dakota hearing aid trial period and return rights

You get 30 days from delivery to return hearing aids for a refund. The seller can keep up to 10% of the price and must pay you back within 30 days. [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 South Dakota

Telecommunication Equipment Distribution (TED) program. Free or low-cost amplified phones, signalers, TTYs and mobile devices for South Dakota residents whose hearing loss or speech or physical disability limits phone use. [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 South Dakota

Use the board to check that a provider's license is current, or to file a complaint about a sale or a refund.

South Dakota hearing aid programs

Other ways to pay for hearing aids in South Dakota

Find hearing care in South Dakota

The directory lists 65 hearing care providers in South Dakota, with 64 audiologists registered at those addresses. By our count of the federal registry, South Dakota has 6.7 audiologists per 100,000 residents, which ranks #3 of 51.

Cities with the most listings: Sioux Falls, Rapid City, Aberdeen, Pierre, Winner. Or browse every South Dakota hearing clinic.

Frequently asked questions

Does South Dakota Medicaid pay for hearing aids for adults?

South Dakota Medicaid covers hearing aids for adults who meet its rules. Loss of 30 dB or more; state frequency limits apply. Children under 21 are covered in every state through Medicaid's EPSDT benefit.

Does health insurance have to cover hearing aids in South Dakota?

South Dakota 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 South Dakota?

You get 30 days from delivery to return hearing aids for a refund. The seller can keep up to 10% of the price and must pay you back within 30 days.

Can I get a free amplified or captioned phone in South Dakota?

South Dakota's program is Telecommunication Equipment Distribution (TED) program. Free or low-cost amplified phones, signalers, TTYs and mobile devices for South Dakota residents whose hearing loss or speech or physical disability limits phone use.

Sources

  1. 1.Billing and Policy Manual: Durable Medical Equipment (DMEPOS) South Dakota Department of Social Services, 2026
  2. 2.State Hearing Aid Coverage Mandates for Private Insurance American Academy of Audiology, 2026
  3. 3.State Insurance Mandates for Hearing Aids (archived May 6, 2025) American Speech-Language-Hearing Association (ASHA), via Internet Archive, 2025
  4. 4.SDCL 36-24-33: Receipt for sale of hearing aid, contents, refund South Dakota Legislature
  5. 5.Telecommunication Equipment Distribution (TED) program Telecommunication Equipment Distribution (TED) program
  6. 6.South Dakota Board of Hearing Aid Dispensers and Audiologists State of South Dakota
  7. 7.South Dakota Hearing Aid Assistance Program State of South Dakota
  8. 8.Early and Periodic Screening, Diagnostic, and Treatment Medicaid.gov (Centers for Medicare & Medicaid Services)
  9. 9.Where can people get help with Medicaid & CHIP? (state agency contacts) Medicaid.gov (Centers for Medicare & Medicaid Services)
  10. 10.29 U.S. Code 1144 - Other laws Legal Information Institute, Cornell Law School (U.S. Code)
  11. 11.Best Hearing Aid Buying Guide Consumer Reports, 2026
  12. 12.Hearing Aids National Institute on Deafness and Other Communication Disorders (NIDCD), 2022
  13. 13.OTC Hearing Aids: What You Should Know U.S. Food and Drug Administration (FDA)
  14. 14.Hearing aids Medicare.gov (Centers for Medicare & Medicaid Services)
  15. 15.Hearing Aids U.S. Department of Veterans Affairs, Prosthetic and Sensory Aids Service