How are hearing aids reimbursed?

Verified 15 March 2023 - Directorate for Legal and Administrative Information (Prime Minister)

The hearing care professional is required to provide you with a quotation drawn up on the basis of a model made available by the Health Insurance, called standard quotation.

The quote must show:

  • price of the proposed hearing corrector electronic device
  • and prices of accommodation services.

Other key information about the quote is:

  • Make
  • Template
  • Commercial reference and class of the proposed device
  • Warranty Period
  • Price including all accessories essential or optional to its operation
  • Total price payable
  • Arrangements for payment by the Health Insurance
  • Nature of the adaptation services which are inseparable from the proposed apparatus.

The hearing care professional sends the estimate to your CPAM.

Hearing aids are covered by Health Insurance:

The support depends on the class of the appliance: class 1 or class 2.

You can freely choose the equipment of your choice.

Class 1 hearing aids —entry-level hearing solutions. They meet essential hearing needs, with a guarantee of quality. They enter the basket 100% health.

These Class 1 hearing aids allow you to benefit from a no-charge offer.

Class 2 hearing aids —Higher-end custom solutions. They meet all specific needs with more advanced technologies, to treat complex hearing loss. Your health insurance or supplementary health insurance can cover all or part of the costs that are not reimbursed by the health insurance.

It's possible that you have a dependant.

FYI  

The hearing care professional must offer you at least one offer 100% health for each ear to be fitted.

Different criteria make it possible to know the repayment terms.

You're 20 and older

Class 1 hearing aids

Their price is capped at €950 by ear.

You're fully refunded.

The reimbursement rate for Health Insurance is 60% based on €400 by ear.

Your mutual health insurance or your supplementary health insurance takes care of the rest.

Class 2 hearing aids

The refund rate is 60% on the basis of a tariff fixed at €400 (per ear).

Your mutual health insurance or your supplementary health insurance can take care of the rest.

You must check with your mutual to know the rest of the charge.

You're under 20

Class 1 hearing aids

Their price is capped at €1,400 by ear.

You're fully refunded.

The reimbursement rate for Health Insurance is 60%.

Your mutual health insurance or your supplementary health insurance take the user fee.

Class 2 hearing aids

The refund rate is 60% on the basis of a tariff fixed at €1,400 (per ear).

Your mutual health insurance or your supplementary health insurance can take care of the rest.

You must check with your mutual to know the rest of the charge.

You have visual impairment (regardless of age)

Class 1 hearing aids

Their price is capped at €1,400 by ear.

You're fully refunded.

The reimbursement rate for Health Insurance is 60%.

Your mutual health insurance or your supplementary health insurance take the user fee.

Class 2 hearing aids

The refund rate is 60% on the basis of a tariff fixed at €1,400 (per ear).

Your mutual health insurance or your supplementary health insurance can take care of the rest.

You must check with your mutual to know the rest of the charge.

You benefit from the complementary health solidarity

You're 20 and older

Audio prosthetists must offer you a device at a maximum price of €800 by ear.

If you choose a help that is more expensive than €800 per ear, you can receive support up to €800.

You're paying the difference.

You're under 20

If you are under 20 years old, hearing care professionals must offer you a device at a maximum price of €1,400by ear.

The reimbursement rate for Health Insurance is 60%.

You're deaf and blind

If you are both deaf and blind, hearing care professionals should offer you a device at a maximum price of €1,400by ear.

The reimbursement rate for Health Insurance is 60%.

Please note

accessories (batteries, earphones, case...) are also reimbursed to 60% provided that they are entered on the refundable list of products and services (LPP) by Health Insurance.

This list establishes the rates on which reimbursement is based.

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