Hearing Medicare-covered hearing exam:  $25 copay  
Routine hearing:  
In-Network: 
HER691 
•$0 copayment for fitting/evaluation, routine hearing exams up to 1  
per year. 
•$399 copayment for each Value Technology hearing aid up to 1per  
ear per year. 
•$899 copayment for each Advanced Technology hearing aid up to 1  
per ear per year. 
•$1299 copayment for each Premium Technology hearing aid up to 1  
per ear per year. 
•Note: Includes 1year warranty and 1month battery supply.