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Hearing Benefit

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Your plan's hearing benefits help keep you connected.

In addition to the hearing exam covered by Original Medicare, your Martin's Point Generations Advantage plan offers extra hearing aid coverage through Amplifon® that goes beyond Original Medicare.

Check Your Plan
Coverage Using Your Hearing Aid
Benefit Helpful Information
& Resources Frequently Asked
Questions


Understanding Your Coverage

Benefit overview


Your hearing benefit covered under Medicare Part B:
  • Medicare-Covered Hearing Exam: In-network copay varies by plan for outpatient diagnostic hearing and balance evaluation to determine if you need medical treatment when performed by a physician, audiologist or other qualified provider.

Your hearing aid extra benefits through Amplifon® (beyond Part B coverage):
  • Annual allowance towards hearing aid devices from leading manufacturer with average savings of 60% off MSRP (see 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 60-day, risk-free trial period


Benefit maximums by plan

Click on the button with your plan's name to view the maximum hearing aid allowance amount under this benefit.

Prime (HMO-POS)
Hearing Aid Allowance & Batteries
  • $500 per ear per year
  • Two years of free batteries
Hearing Aid Fittings
  • $0 copay for one year
Hearing Services (Medicare Diagnostic)

Maine: Androscoggin, Kennebec, and Sagadahoc Counties

  • $35 copay

Maine: Aroostook, Cumberland, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, Washington, and York
New Hampshire: All Counties

  • $45 copay

Get full details in the Amplifon flyer.

Select (LPPO)
Hearing Aid Allowance & Batteries
  • $500 per ear per year
  • Two years of free batteries
Hearing Aid Fittings
  • $0 copay for one year
Hearing Services (Medicare Diagnostic)

All Counties

  • $25 copay

Get full details in the Amplifon flyer.

Value Plus (HMO-POS)
Hearing Aid Allowance & Batteries
  • $500 per ear per year
  • Two years of free batteries
Hearing Aid Fittings
  • $0 copay for one year
Hearing Services (Medicare Diagnostic)

All Counties

  • $45 copay

Get full details in the Amplifon flyer.

Access (LPPO)
Hearing Aid Allowance & Batteries
  • $500 per ear per year
  • Two years of free batteries
Hearing Aid Fittings
  • $0 copay for one year
Hearing Services (Medicare Diagnostic)

All Counties

  • $45 copay

Get full details in the Amplifon flyer.

Alliance (HMO)
Hearing Aid Allowance & Batteries
  • $700 per ear per year
  • Two years of free batteries
Hearing Aid Fittings
  • $0 copay for one year
Hearing Services (Medicare Diagnostic)

All Counties

  • $5 copay

Get full details in the Amplifon flyer.

Using Your Benefits

Getting started

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


Review your plan information.

Find your plan's benefit amount and coverage information on this page or in your Evidence of Coverage documents.

Have an audiology exam.

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

Audiology exams are covered under the standard Medicare Part B benefit. Please see Medicare-covered hearing services in your Evidence of Coverage documents for more information.

Call Amplifon to find a network provider.

If your audiology exam determines that hearing aids are needed, call Amplifon at 1-888-669-2167. They will work with you to find an Amplifon network provider in your area.

Schedule hearing aid fitting.

Amplifon will help the member schedule an appointment with a participating provider to shop for hearing aids. They will send a referral to the provider that carefully explains what your coverage is. This way, when you arrive for your appointment, the provider will already know the allowance amount and covered models.

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

Claim submission by Amplifon.

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 your plan's annual out-of-pocket maximum.

Helpful Information and Resources

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Find a Provider | Search Tool

Find an Amplifon provider in your local area.

You must receive a referral from Amplifon to schedule your visit:

Find a Provider
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Questions? | Contact Amplifon

Get more information by phone.

Contact Amplifon directly at 1-888-669-2167 or press the button below on your mobile device:

Tap to Call

Frequently Asked Questions

The hearing aids must be purchased through an Amplifon referral to a participating provider, otherwise there is no coverage or reimbursement.
Hearing and audiology exams are a medical benefit covered through Medicare Part B and separate from your hearing aid benefit (copays apply). Hearing aid providers typically require an audiology exam within the past six months before buying a hearing aid.
You will still need to use an Amplifon provider to use your Generations Advantage plan benefit. 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.

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

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Need help? We're here for you.

Whether you’re exploring plan options or already a Generations Advantage member, our team is ready to help.

Prospective Members: Call us at 1-800-961-4572 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)