Are you experiencing hearing difficulties and has a doctor suggested a cochlear implant? Are you here to find out about the cost of a cochlear implant and whether it's covered by insurance? Don't worry, we will address all your concerns.
The average cost of a cochlear implant is between $50,000 and $100,000; however, it may change depending on certain factors.
We will share all these factors, financing information and more about this implant below. Continue reading to find out!
What Is A Cochlear Implant?
A cochlear implant device is a treatment for hearing loss and deafness. It converts the sound waves into electrical impulses. It is used when the sensory cells in the inner ear cannot receive and send sound. The OTC hearing aids can make the sound louder but cannot transfer it. A cochlear implant stimulates the nerve, which enables you to listen.
It consists of 2 devices: one you wear behind the ear, and the second is surgically placed in your ear. An expert surgeon performs this surgery. It takes around 2 hours, and the patient needs to be given anesthesia for it. The implant is placed in your cochlea. Then, you need to wear the outer device and start listening.
Types Of Cochlear Implant
Several Cochlear implant production companies provide different types of implants. Although the overall mechanism of all these plants is usually the same, these vary depending on their specification.
The three most popular manufacturers the FDA regulates for producing Cochlear implants are Med-El Corporation, Advanced Bionics Corporation and Cochlear Americas Corporation. Each of these has its own specialty.
- Cochlear Americas Corporation specializes in cochlear implants designed to fit the natural structure of the cochlea, which is suitable for patients with anatomical needs in their cochlea. They have also been producing unique exterior designs.
- Mel-El Corporation focuses more on the comfort of the patient with the implants. They also use more advanced technology as compared to others.
- Advanced Bionics Corporation prefers sound quality over everything. These design their implants in such a way that it maintain a solid signal to meet users' hearing needs.
Cochlear Implant Cost Estimate
A cochlear implant cost is anywhere between $50,000 to $100,000. It includes all costs, including the implant, surgery, hospitalization, etc. However, you don't need to pay yourself because the insurance primarily pays these.
Factors Affecting Cochlear Implant Surgery Cost
Multiple factors play a role in determining the cochlear implant cost. Following are some of the factors that could affect its price;
- Type of Implant: Implants vary from device to device. Choosing an expensive device will increase the overall cost of the implant.
- Surgery and Hospital Fees: The hospital and the surgery prices could also affect the overall cost of the implant. Suppose your hospital and surgeon have an agreement with your insurance provider.
- Location: Cochlear implant cost can also vary depending on your place of living as well as whether it's an urban or rural area. Urbans usually have higher fees as compared to rural ones. If we look broadly, the country or region can also affect this. For example, it would be a lot cheaper in India as compared to the USA.
- Insurance Coverage: The type of insurance plan you have and the fees your provider is covering massively affect your fees. It's for both the government and private networks.
- Rehabilitation Services: The duration and frequency of speech therapy and rehabilitation can also affect the overall cost.
Contact your insurance provider and hospital to evaluate the cochlear implant cost precisely. They will provide precise information about it so you can plan your budget accordingly if you have to pay some amount out of your pocket as well.
Does Medicare Cover Cochlear Implant Cost?
Yes, cochlear implants are usually covered by MedicareMedicare. Original Medicare covers around 80% of the total costs if you are considered an eligible candidate. The Centers for Medicare and Medicaid Services will change their policies in 2022. These expanded the eligibility criteria, and now most people can get their implants done with them for free.
The Medicare beneficiaries cover the remaining 20% of the fees; some people with Original Medicare also get a Medicare Supplement plan, which acts as extra insurance to help cover costs that Medicare doesn't. Others choose Medicare Advantage instead of Original Medicare, an alternative plan with its coverage and benefits. So, your plan has a huge say in your cochlear implant cost.
It is said that medicare eligibility for this plant is even better than the sponsorship provided by the employer for your treatment. Carefully review and understand your plan to know its coverage.
Does Insurance Cover Cochlear Implants?
Yes, most of the companies cover the cochlear implant cost. Federal healthcare plans like Medicare, Veterans Administration and Tricare cover the fees for this implant. All state agencies must also cover the cost, especially for children under 21.
Contact your cochlear implant center or insurance company to find the exact details. They will tell you if you need to spend any money out of your pocket or they will cover the whole fee.
Final Words
Wrapping it up, you don’t need to worry about the cost of cochlear implant, it is usually covered. However we would recommend you not go with the cochlear implant unless there is no other option and hearing aids are not making a difference.
Try using a good quality aid like Smartr Rechargeable OTC hearing aid first. If this makes no difference, consult your doctor and proceed with the implant.