Hearing Services
Based on your D-SNP, your hearing benefits include hearing exams and hearing aids. Learn about what is covered before visiting your doctor.
Your D-SNP Hearing Benefits
Evaluations, like diagnostic hearing and balance tests to help decide if you need medical treatment, are covered as outpatient care when done by your:
- Doctor
- Audiologist
- Other qualified provider
Hearing Exams
Highmark Wholecare D-SNP members will have one routine hearing exam with a TruHearing provider covered each year. To make an appointment, you can call TruHearing at 1-844-763-4240 (for TTY, dial 711).
Hearing Aids
Up to two (one for each ear) TruHearing branded hearing aids are covered with your D-SNP every 3 years.
Hearing Aid Benefits
If you need hearing aids, here are some things to know:
- You may have a $0 copay for hearing aids. Please check your D-SNP Evidence of Coverage (EOC) for details.
- You must see a TruHearing provider to use this benefit. Call 1-844-763-4240 to schedule your appointment (for TTY, dial 711).
- Hearing aid benefits are limited to TruHearing aids which are available in many styles and colors.
- Ear molds and hearing aid accessories are not covered.
2027 WESTERN PENNSYLVANIA DIAMOND EOC - Coming Soon
2027 CENTRAL AND NORTH EASTERN PENNSYLVANIA DIAMOND EOC - Coming Soon
2027 SOUTH EASTERN PENNSYLVANIA DIAMOND EOC - Coming Soon
2027 WESTERN PENNSYLVANIA RUBY EOC - Coming Soon
2027 CENTRAL AND NORTH EASTERN PENNSYLVANIA RUBY EOC - Coming Soon
2027 SOUTH EASTERN PENNSYLVANIA RUBY EOC - Coming Soon
Hearing Aid Purchases
When you buy TruHearing hearing aids, your purchase includes:
- Follow-up provider visits within first year for fitting and adjustment services
- 60-day trial period
- Three-year extended warranty for replacement or repair of lost or damaged hearing aids
- Batteries for non-rechargeable models
Note, if you buy items that aren’t covered by your D-SNP you’ll pay for the cost upfront.
Gateway Health Plan, Inc. d/b/a Highmark Wholecare is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.
Medicare Ombudsman Website
Best Available Evidence
Y0037_1359_M_2027
Last Updated: October 1, 2026
