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Hearing Benefit

Through Amplifon®, Martin's Point offers hearing aid coverage to keep you connected.

All Generations Advantage plan members have a hearing aid benefit through Amplifon. This extra benefit provides coverage for hearing aids and batteries, which are not covered by Original Medicare.


Purchase hearing aid(s) through the Martin's Point-Amplifon program and get the following:

  • Annual allowance toward hearing aid devices from leading manufacturers with average savings of 60% off MSRP (see chart below for allowance amounts by plan)
  • Two years of free hearing aid batteries
  • One year of free follow-up care for hearing aid fittings and evaluations
  • A 3-year warranty on hearing devices with a 60-day, risk-free trial period

Plan-specific benefit information and common FAQs about your hearing aid benefit can
be found below. For other questions or information regarding hearing aid benefits or devices, contact Amplifon directly at 1-855-533-7486.


NOTE: Hearings aids must be purchased through an Amplifon provider, otherwise there is no coverage.

Benefit Maximums by Plan

Have questions? We’re here to help.

Talk to a health benefits specialist: Available 8am–8pm, Monday to Friday. From October 1 to March 31, we’re here 7 days a week, & Monday to Friday the rest of the year. 

Current Members:
1-866-544-7504

Explore More Benefits
2025
Prime
Value Plus
Select
Access
Alliance

Hearing Aids—Amplifon

$500 per ear/per year

2 years of free batteries

$500 per ear/per year

2 years of free batteries

$500 per ear/per year

2 years of free batteries

$500 per ear/per year

2 years of free batteries

$700 per ear/per year

2 years of free batteries
Hearing Aid Fittings—Amplifon
(w/ hearing aid)		 $0 copay for
1 year 		  $0 copay for
1 year 		  $0 copay for
1 year 		 $0 copay for
1 year  		 $0 copay for
1 year  
Hearing Services
(Medicare diagnostic)		 $35/$45 copay* $45 copay $25 copay $45 copay $25 copay
  Prime, Value Plus, Select,
Access Program Flyer (PDF)		 Alliance Program Flyer (PDF)

*Prime Plan Copays by County

  • $35 copay—MAINE: Androscoggin, Kennebec, and Sagadahoc Counties
  • $45 copay—MAINE: Aroostook, Cumberland, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, Washington, and York Counties; NEW HAMPSHIRE: All Counties
2024
Prime
Value Plus
Select
Access
Alliance

Hearing Aids—Amplifon

$500 per ear/per year

2 years of free batteries

$500 per ear/per year

2 years of free batteries

$500 per ear/per year

2 years of free batteries

$500 per ear/per year

2 years of free batteries

$700 per ear/per year

2 years of free batteries
Hearing Aid Fittings—Amplifon
(w/ hearing aid)		 $0 copay for
1 year 		  $0 copay for
1 year 		  $0 copay for
1 year 		 $0 copay for
1 year  		 $0 copay for
1 year  
Hearing Services
(Medicare diagnostic)		 $40/$45 copay* $45 copay $40 copay $35/$40 copay** $5 copay

*Prime Plan Copays by County

  • $40 copay—MAINE: Androscoggin, Cumberland, Kennebec, Sagadahoc, and York Counties;
    NEW HAMPSHIRE: Cheshire, Hillsborough, Merrimack, Rockingham, and Strafford Counties
  • $45 copay—MAINE: Aroostook, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, and Washington Counties; NEW HAMPSHIRE: Belknap, Carroll, Coos, and Grafton Counties

**Access Plan Copays by County

  • $35 copay—NEW HAMPSHIRE: Cheshire, Hillsborough, Merrimack, Rockingham, and Strafford Counties
  • $40 copay—NEW HAMPSHIRE: Belknap, Carroll, Coos, and Grafton Counties

hearing aid icon

Using the Hearing Benefit |A Guide

number one icon 
Step One | Have an audiology exam.

The member must have an audiology exam within 6 months prior to purchasing hearing aids. The hearing aid benefit and the audiology benefit are two completely separate benefits.

Audiology exams are covered under the standard Medicare benefit. Please see Medicare-covered hearing services for more information.

 

number two icon Step Two | Call Amplifon.

Once the member has had their exam and determines that they need hearing aids, they should call Amplifon at 1-855-533-7486.

Amplifon will work with you to find an Amplifon network provider in your area.

number three icon Step Three | Schedule a hearing aid fitting.

Amplifon will help the member schedule an appointment to shop for hearing aids. They will send a referral to the provider that carefully demonstrates what their coverage is. This way, when the member arrives for their appointment, the provider will already know the allowance amount and covered models.

It's important to note that the providers in Amplifon's network for selling hearing aids are not the same as the Martin's Point medical network for providing audiology exams.

 

number four icon Step Four | Amplifon will submit your claim.

Claims for hearing aids will be submitted directly by Amplifon to Martin’s Point Generations Advantage. Members will be responsible for balances after their benefit allowance has been credited. Hearing aid costs do not contribute to the members out-of-pocket maximum.


PLEASE NOTE: Hearings aids must be purchased through an Amplifon provider, otherwise there is no coverage.

Hearing Aid Benefit FAQs

Expand All

The hearing aids must be purchased through an Amplifon provider, otherwise there is no coverage or reimbursement.
Hearing and audiology exams are a medical benefit that is separate from hearing aids (copays apply). Hearing aid providers typically require an exam within the past 6 months before buying a hearing aid.
You will still need to use an Amplifon provider. After your other health insurance has paid their portion, the provider will bill Martin's Point with the Explanations of Benefits from the primary payer. We will still contribute the same amount as we would have had we been the primary and only payer.

For more information, please see this mission critical statement regarding state legislation for hearing aid coverage.

You can also find information about this legislation here on Maine.gov.