Financial Assistance for Hearing Aids: Programs & How to Apply | UCSF EARS
Financial Help

Financial Assistance for Hearing Aids and Cochlear Implants

Comprehensive guide to programs that can help make hearing care affordable, from national organizations to state programs—and how to apply.

What This Article Covers

We'll show you the major programs that provide financial help for hearing aids and cochlear implants—including who qualifies, how to apply, and what to expect. You can choose a quick overview of the top 4 programs or explore the complete directory of all available assistance.

You just left the audiologist's office with a quote: $5,000 for a pair of hearing aids. Your heart sank. You knew they'd be expensive, but this feels impossible. You're on a fixed income. You have medical bills. Your insurance doesn't cover hearing aids. The audiologist mentioned "some programs might help," but you left feeling like quality hearing care just isn't for people in your financial situation.

Or maybe you're the adult child who just got that call from your parent: "I can't afford this. I guess I'll just live with it." You're watching someone you love withdraw from conversations, decline invitations, struggle at family gatherings—not because treatment doesn't exist, but because they believe they can't access it.

Here's what you need to know: Financial assistance for hearing aids and cochlear implants exists, and it's more accessible than most people realize. Dozens of national and state programs provide help ranging from completely free devices to substantial subsidies that make care affordable. Many have income requirements, but they're often more generous than you'd expect—some programs serve people making up to 400% of the federal poverty level, which is $60,000/year for an individual or $124,000 for a family of four.

The challenge isn't that help doesn't exist—it's that the landscape feels overwhelming when you're already stressed about costs. Which programs should you apply to? How do you know if you qualify? What documents do you need? This guide will walk you through everything, step by step, so you can find the assistance that works for your situation.

⚡ Quick Start: Top 4 Programs to Apply to Right Now

These four programs cover the majority of situations and offer the best combination of accessibility, funding availability, and application simplicity. If you need help immediately, start here. You can apply to multiple programs simultaneously—they don't conflict with each other.

Why These 4 Programs?

We selected these based on: (1) largest number of people served nationally, (2) most straightforward application processes, (3) reasonable income thresholds, (4) coverage of different situations (working adults, retirees, local communities). Between these four, most people will find at least one option that fits.

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1. Starkey Cares Foundation

Best for: Adults with documented hearing loss who have exhausted other options and need immediate help.

What You Get: Brand-new, high-quality hearing aids (typically Starkey brand)
Who Qualifies: U.S. residents with hearing loss requiring amplification, income ≤200% Federal Poverty Level ($30,660/year individual, $62,400/year family of 4), and no other funding sources available
Application Fee: $125 (cashier's check or money order only)
Required Documents: Current audiogram (within 6 months), medical clearance or signed waiver, tax returns or SSI/SSD statements, bank statements (last 2 months), state-issued ID
Timeline: 2-4 weeks if application is complete
Warranty: 3 years (replacement if device fails, but no coverage for loss/damage)
How to Apply: Download application at starkeycares.org or call 855-686-2202. Mail completed application with all required documents and $125 fee to: Starkey Cares Foundation, 6700 Washington Ave S, Eden Prairie, MN 55344.
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2. Lions Clubs International

Best for: People who want local, personal support and don't mind the relationship-building aspect of working with community organizations.

What You Get: Varies by club—some provide full hearing aid costs, others partial subsidies or refurbished devices
Who Qualifies: Requirements vary by local club, but generally serve low-income individuals in their community. Each club has its own decision-making process
Application Fee: None
Required Documents: Varies by club, but typically: proof of income, audiogram, and personal statement of need
Timeline: Varies widely (2-8 weeks typical). Some clubs have waiting lists, others can help quickly
How to Apply: Find your local Lions Club at lionsclubs.org using the club locator (enter your ZIP code). Call the contact person listed and explain your need. You'll likely be invited to attend a meeting or meet with the club's service chair. Important: Each club operates independently—if one can't help, try another club in a nearby area.
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3. Medicaid (State Programs)

Best for: Low-income individuals, families with children, pregnant women, elderly, and people with disabilities who qualify for Medicaid in their state.

What You Get: Coverage varies dramatically by state. Children under 21 typically receive full coverage in all states. Adult coverage ranges from none (some states) to comprehensive (others)
Who Qualifies: Income limits vary by state, but expansion states cover individuals up to 138% FPL ($20,783/year). Children, pregnant women, and people with disabilities may qualify at higher income levels
Application Fee: None
Timeline: Medicaid enrollment takes 30-90 days. Once enrolled, hearing aid authorization depends on state processes
How to Apply: Apply for Medicaid at healthcare.gov or contact your state's Medicaid office directly. Once enrolled, ask your assigned case worker about hearing aid coverage, or contact a Medicaid-accepting audiologist who can help navigate the authorization process. Key question to ask: "Does my state's Medicaid program cover hearing aids for adults?" (Don't assume it doesn't—many states do provide coverage.)
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4. Vocational Rehabilitation (VR)

Best for: Working-age adults (typically 18-65) whose hearing loss affects their ability to maintain employment or advance in their career.

What You Get: Hearing aids, cochlear implants, assistive listening devices, and related services when necessary for employment. Many state VR agencies cover the full cost with no copay
Who Qualifies: Must have a documented disability (including hearing loss) that creates a barrier to employment, and must require VR services to maintain or obtain employment. Income requirements vary by state—some programs serve people making up to 400% FPL ($60,000+ for individuals)
Application Fee: None
Required Documents: Medical documentation of hearing loss, employment history, income verification
Timeline: Eligibility determination: 60 days. Device provision after approval: varies by state (2-6 months typical)
How to Apply: Contact your state's Vocational Rehabilitation office (find directory at rsa.ed.gov/about/states). Request an intake appointment. Come prepared to explain how hearing loss affects your work—examples: missing important information in meetings, difficulty with phone communications, safety concerns, inability to collaborate effectively with colleagues. A VR counselor will assess eligibility and develop an Individualized Plan for Employment (IPE) that may include hearing aids.

If None of These Four Fit Your Situation

Don't give up! These are the most accessible programs, but they're not the only options. Explore the Complete Program Directory below for specialized programs serving veterans, children, specific geographic regions, or other situations. You might also qualify for manufacturer financing programs, payment plans through audiology clinics, or state-specific assistance we haven't covered in this Quick Start section.

Ready to explore every available option?
Continue to Complete Program Directory ↓

📚 Complete Program Directory: All Financial Assistance Options

This comprehensive directory covers every major program available nationally, plus examples of state and regional programs. Use this section when you want to explore all possibilities before choosing which programs to pursue.

National Programs (Available in All States)

Programs 1-4 (Detailed Above): Starkey Cares, Lions Clubs, Medicaid, Vocational Rehabilitation. See Quick Start section for full details.

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Hearing Aid Project (SHARP)

What You Get: Reconditioned hearing aids (professionally refurbished with warranties)
Who Qualifies: Adults with hearing loss, income-based qualification (specific thresholds not publicly listed—varies by available funding)
Application Fee: Varies ($50-$200 typical based on income)
Contact: Phone: 816-333-8300 | Email: [email protected] | Website: hearingaidproject.org
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Miracle-Ear Foundation

What You Get: Free Miracle-Ear hearing aids (adults: 3-year warranty, no loss/damage coverage; children: 3-year warranty with one replacement per ear)
Who Qualifies: Hearing loss requiring amplification, no other resources available (insurance, Medicaid, VA, VR, other programs, financing options), U.S. resident/citizen, income ≤200% FPL
Application Fee: None
Timeline: Up to 4 weeks if application complete
How to Apply: Must apply through local Miracle-Ear store. Call 800-234-5422 to find nearest location, then visit store to complete application with required documentation.
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Help America Hear

What You Get: Brand-new, high-quality prescription hearing aids
Who Qualifies: "Last resort" program—must have exhausted ALL other options (savings, family support, credit, 401k, state assistance). Income $36,000/year with moderate hearing loss
Application Fee: Tiered based on household income
Timeline: 2-3 weeks review time
Contact: Phone: 888-580-8886 ext. 3 | Email: [email protected] | Address: PO Box 1245, Smithtown, NY 11787
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AUDIENT (formerly Sertoma)

What You Get: Financial assistance for hearing aids (amount varies)
Who Qualifies: Adults with hearing loss, income ≤250% FPL, must demonstrate financial need
Timeline: Review process takes several weeks
Contact: Visit audientalliance.org for application information

Veterans Programs

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Veterans Affairs (VA) Audiology Services

What You Get: Comprehensive hearing care including hearing aids, cochlear implants, all supplies (batteries, accessories), repairs, replacements, and ongoing audiology services—all at no cost
Who Qualifies: Enrolled VA patients. Eligibility based on service-connected disability, income, or other VA enrollment criteria
Application Fee: None
How to Apply: Enroll in VA healthcare (if not already enrolled) by calling 877-222-8387 or visiting va.gov/health-care/how-to-apply. Once enrolled, request audiology referral from your VA primary care provider. For hearing aid batteries: call 303-273-6200 (Denver Logistics Center).

Children & Family Programs

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State Early Intervention Programs (Birth-3 Years)

What You Get: Hearing aids, audiology services, speech therapy, and family support services
Who Qualifies: Infants and toddlers (birth to age 3) with diagnosed hearing loss. Income not considered—services available regardless of family income
How to Find: Contact your state's Early Intervention program (search "[Your State] Early Intervention" or call your pediatrician for referral)
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State Programs for School-Age Children

What You Get: Varies by state—many provide free or subsidized hearing aids for children through age 18 or 21
Who Qualifies: Children with documented hearing loss. Income requirements vary by state
How to Find: Contact your state's Department of Health or Department of Education Special Services, or ask your child's school audiologist about available programs

State & Regional Programs (Examples)

Many states have additional programs beyond Medicaid and VR. Here are examples—check with your state's Department of Health or Aging Services for programs in your area:

State Program Who It Serves
Pennsylvania Pennsylvania Hearing Aid Assistance Program Low-income adults; $800 per aid; 200% FPL; assisted 600+ people annually
Georgia DHR Children's Hearing Aid Loan Fund Children 0-21; income ≤400% FPL; interest-free loans up to $3,000
Oklahoma United Way Hearing Bank Oklahoma counties; $800/pair; income ≤175% FPL
Florida Sertoma CHAP Children under 18; Florida residents; covers $1,000-$1,500/ear
California California Dept of Rehabilitation Working adults with disabilities; hearing aids covered when necessary for employment

Application Process: Step-by-Step Guide

Most programs follow a similar application process. Here's how to maximize your chances of approval:

Before You Apply:

  1. Get Professional Assessment: See an audiologist for comprehensive hearing test. Get documentation within 6 months of application (many programs require recent testing)
  2. Gather Financial Documents: Previous year's complete tax return (1040/1040A), SSI/SSD benefit statements if applicable, bank statements from last 2 months
  3. Understand Income Limits: Calculate your household income and compare to Federal Poverty Level thresholds:
    • 1 person: $15,060/year (100% FPL)
    • 2 people: $20,440/year
    • 3 people: $25,820/year
    • 4 people: $31,200/year
    • Each additional person: +$5,380

    Most programs accept 200% FPL (double these amounts), some accept up to 400% FPL

  4. Exhaust Other Options First: Many "last resort" programs require proof that you've explored insurance, Medicaid, VA benefits (if applicable), and state VR programs

Application Checklist:

Required Documents for Most Programs

  • ☐ Current audiogram (within 6 months)
  • ☐ Medical clearance from physician OR signed waiver
  • ☐ State-issued photo ID
  • ☐ Complete tax return (not just W-2)
  • ☐ Bank statements (last 2 months)
  • ☐ Health insurance card + benefits summary
  • ☐ Application fee (correct amount, cashier's check/money order)
  • ☐ Proof of denial from other programs (if required)

Tips for Complete Applications:

  • Fill out EVERY section—blank fields can delay processing or cause denials
  • Double-check all information for accuracy—errors trigger delays
  • Make copies of everything before mailing
  • Use required payment methods (cashier's check/money order—personal checks often not accepted)
  • Contact program BEFORE applying to confirm current requirements haven't changed
  • Ask questions if anything unclear—program staff want to help you succeed

What to Do If You're Denied

Denial from one program doesn't mean you're out of options. Here's your action plan:

  1. Request Specific Reason in Writing: Ask why you were denied—was it income? Incomplete documentation? Already exhausted other options? Understanding the reason helps you fix the issue
  2. Ask About Formal Appeal Process: Some programs allow appeals with additional documentation
  3. Apply to Different Programs: Denial from one doesn't affect your eligibility for others. Work through your list systematically
  4. Consider Payment Plans: Many audiology clinics offer 0% or low-interest financing over 12-24 months
  5. Explore OTC Options: For mild-to-moderate hearing loss, over-the-counter hearing aids ($800-$1,200/pair) might be more affordable than prescription devices. See our OTC vs Prescription guide
  6. Contact Local Service Organizations: Beyond Lions Clubs, try Kiwanis, Rotary, Elks, or religious organizations—many have discretionary funds for community members in need

Eligibility Comparison Table

Program Income Limit Application Fee Timeline
Starkey Cares ≤200% FPL $125 2-4 weeks
Lions Clubs Varies by club None 2-8 weeks
Medicaid ≤138% FPL (expansion states) None 30-90 days enrollment
Vocational Rehab Up to 400% FPL (varies) None 60 days eligibility + 2-6 months service
Miracle-Ear Foundation ≤200% FPL None Up to 4 weeks
Help America Hear $36,000/year Tiered by income 2-3 weeks
AUDIENT ≤250% FPL Varies Several weeks
VA Benefits VA enrollment criteria None Varies

Frequently Asked Questions

Do I really qualify? I'm not "poor"—I have a job and own my home.

Many people assume financial assistance is only for those living in poverty, but that's not true. Programs like Vocational Rehabilitation serve people making up to $60,000/year individually (400% FPL). Starkey Cares and similar programs set the threshold at 200% FPL—$30,660/year for an individual, $62,400 for a family of four. You can be working full-time, own your home, and still qualify. The programs recognize that hearing aids costing $5,000 are genuinely unaffordable for most middle-income Americans, especially those managing other medical expenses or supporting families.

Is it shameful to apply for assistance? I feel like I should be able to afford this myself.

Let's reframe this: These programs exist specifically because our healthcare system doesn't adequately cover hearing care, and because hearing aids cost as much as used cars despite being medical necessities. Using available assistance doesn't reflect personal failure—it reflects a broken coverage system. Would you feel shame about using insurance if you had it? These programs ARE your insurance substitute. They exist to serve people exactly like you. The only shame would be letting untreated hearing loss isolate you from loved ones and limit your quality of life when help is available.

Will these programs give me low-quality or outdated hearing aids?

This depends on the program. Starkey Cares and Miracle-Ear Foundation provide brand-new, current-generation hearing aids from reputable manufacturers. Programs offering "reconditioned" or "refurbished" devices use professionally serviced hearing aids that meet quality standards and include warranties. These aren't broken or obsolete devices—they're used hearing aids that have been cleaned, tested, and certified to work properly. Many people use refurbished hearing aids successfully for years. If you receive a device that doesn't work well, communicate with the program—they want you to have functional hearing care, not just any device.

Can I apply to multiple programs at the same time?

Yes! Most programs don't restrict you from applying elsewhere simultaneously. In fact, it's strategically smart to apply to 2-3 programs at once to maximize your chances of getting help quickly. The exception: some "last resort" programs require proof that you've been denied by other specific programs first, but that just means you apply to those other programs before applying to the last-resort option. Keep copies of all applications and any denial letters you receive—you may need them for subsequent applications.

What if I was denied by one program? Should I give up?

Absolutely not. Each program has different eligibility criteria, funding availability, and decision-making processes. Denial from Starkey Cares doesn't mean Lions Clubs will deny you. Denial from one state VR office doesn't affect your Medicaid eligibility. Work through your options systematically. If you're denied across the board, consider: (1) payment plans through audiology clinics (often 0% interest for 12-24 months), (2) OTC hearing aids if you have mild-moderate loss ($800-$1,200 instead of $5,000), (3) asking family members to contribute collectively as a gift, (4) using HSA/FSA pre-tax funds if available through your employer.

The application seems really complicated. Do I need help filling it out?

Most applications are straightforward if you have your documents organized, but it's completely fine to ask for help. Your audiologist's office may assist with medical documentation. Local Lions Clubs or Area Agencies on Aging often help community members complete applications. If you're applying to Vocational Rehabilitation, your assigned VR counselor will help you through the process. Don't let paperwork anxiety prevent you from trying—organizations want to help you succeed, not create barriers.

The Bottom Line

Financial assistance for hearing aids and cochlear implants is more accessible than most people realize—you just need to know where to look.

Dozens of programs exist nationally and within states to help people afford hearing care. The most important insights:

  • Income thresholds are often generous: Many programs serve people making $30,000-$60,000/year or more—you don't have to be living in poverty to qualify
  • Start with the Quick Start programs: Starkey Cares, Lions Clubs, Medicaid, and Vocational Rehabilitation cover the majority of situations
  • Apply to multiple programs simultaneously: Don't wait for one denial before trying another—maximize your chances by applying to 2-3 appropriate programs at once
  • Complete applications carefully: Most denials result from incomplete documentation or missing information, not true ineligibility
  • Denial isn't the end: Each program operates independently—keep trying until you find the right fit
  • Don't let shame stop you: These programs exist precisely because hearing aids are unaffordable for most Americans despite being medical necessities

The most important action you can take today: pick one program from the Quick Start section and start your application. Gather your documents, make the phone call, fill out the forms. Help exists—claiming it requires taking that first step.

Ready to Take Action?

Download Our Application Checklist

Get our printable checklist that walks you through exactly what documents you need and which programs to apply to first.

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