Use Your Year End Benefits Before They Expire: A Complete Guide to FSA, HSA, and Hearing Aid Coverage

Hearing Health
November 24, 2025
By
Live Better hearing + Balance

As the year winds down, many people rush to use their remaining health benefits before they expire. If you have been thinking about improving your hearing, upgrading your hearing aids, or finally scheduling a hearing test, now is the ideal time to take advantage of your year end insurance, FSA, or HSA benefits.

At Live Better Hearing + Balance, we meet many patients who are surprised to learn that their hearing care expenses are eligible for FSA or HSA funds, and that certain insurance plans may contribute toward hearing aids or related services. This guide is designed to help you understand how these benefits work, what they can be used for, and how to make the most of them before the calendar resets.

Why Use Your Benefits Before the End of the Year?

Many health benefits operate on a yearly cycle. Some expire on December 31, while others reset in January. When that happens, unused funds are lost or rolled over in limited ways.

Here are the most common scenarios:

  • Flexible Spending Accounts (FSAs) are often use-it-or-lose-it.
  • Health Savings Accounts (HSAs) roll over, but unused funds can still be applied toward hearing care this year to reduce your out-of-pocket costs.
  • Many insurance plans renew annually, and deductible status may reset at the end of the year.
  • Some hearing benefits are issued as annual allowances and do not carry forward.
  • For Federal employees covered by some FEP plans, you may have a full benefit that could cover some or all of your hearing aid costs.

This means year end is a smart time to schedule a hearing test, invest in new hearing aids, or handle repairs, accessories, and follow-up care.

What Are FSA and HSA Accounts?

Before exploring how to use these benefits, here is a quick refresher.

Flexible Spending Accounts (FSAs)

  • Offered through your employer.
  • Funded with pre-tax dollars.
  • Designed to cover qualified medical expenses.
  • Often must be used by December 31.
  • Some plans offer a small rollover or grace period, but not all.

FSAs are one of the most important accounts to use before the year ends because unused funds may be forfeited.

Health Savings Accounts (HSAs)

  • Available if you have a high-deductible health plan.
  • Funded with pre-tax dollars.
  • Funds roll over year to year and accumulate.
  • Can be used at any time for qualified medical expenses.

HSAs do not expire, but using them at year end may help lower taxable income or reduce your immediate medical costs.

Can I Use FSA or HSA Benefits for Hearing Aids?

Yes. Hearing aids are eligible purchases for both FSAs and HSAs.

You can typically use your funds for:

  • Prescription hearing aids
  • Over-the-counter hearing aids
  • Hearing aid repairs
  • Rechargeable batteries and disposable batteries
  • Technology upgrades
  • Assistive listening devices

Most patients use FSA or HSA dollars to cover out-of-pocket costs that insurance does not pay for.

If you need help understanding what your plan covers, Live Better Hearing + Balance offers a free benefits check and consultation at every location.

Other Hearing Expenses That May Qualify

Many patients are surprised by how many hearing-related services and items can be covered by FSA or HSA funds. While we are not tax advisors, the IRS generally allows these funds to be used for medical expenses related to hearing health.

Examples include:

1. Hearing Aid Parts and Accessories

Many hearing aid parts and accessories may be covered by HSA and FSA funds, including:

  • Wax guards
  • Domes
  • Chargers
  • Cleaning kits
  • Dehumidifiers
  • Dry aid jars

2. Hearing Aid Repairs and Maintenance

Hearing aid repair fees or service needs are often eligible medical expenses.

3. Diagnostic Hearing Tests

Your plan may cover hearing tests and evaluations when medically necessary. If not, FSA or HSA funds can often be used.

4. Tinnitus Evaluations and Treatment

Many tinnitus treatment and management services qualify as medical care.

5. Earwax Removal Aids

Over-the-counter items like ear drops or bulb syringes are often eligible.

6. Assistive Listening Devices

Captioned telephones, personal amplifiers, and other adaptive hearing technology may qualify.

7. Travel to a Hearing Appointment

IRS guidelines often allow reimbursement for:

  • Public transit
  • Rideshare
  • Parking
  • Mileage

These expenses can sometimes be paid through FSAs or HSAs when directly tied to medical visits.

Always consult your plan for specific eligibility.

Do Insurance Plans Cover Hearing Aids?

Coverage varies widely. Some insurance plans provide:

  • An annual or biannual allowance
  • A maximum reimbursement amount
  • A network-based discount
  • Full coverage for children
  • Partial coverage for adults
  • No coverage at all

This is why our free insurance benefits check is so valuable. We verify your coverage, explain what your plan provides, and help you understand your out-of-pocket costs before you make any decisions. See what insurance plans we work with.

Why Year End Is the Best Time to Upgrade Hearing Aids

Aside from using expiring benefits, year end is a great time to upgrade because:

  • Many patients have met their deductibles already.
  • You can start the new year with better hearing and updated technology.
  • You may be eligible for new features that improve clarity, noise reduction, and connectivity.
  • It ensures you do not lose access to unused FSA funds.

Even if your current hearing aids still work, upgrading can significantly improve speech understanding, especially in noisy environments. Many new hearing aids, including Starkey's Omega AI and Phonak's Infinio Sphere, have significantly improved performance in noisy situations, and features like long-lasting rechargeable batteries, 360 degree environmental awareness, advanced connectivity, and more.

How Live Better Hearing + Balance Helps You Maximize Your Benefits

We make the process simple and stress-free.

During your free year end consultation, you receive:

  • A benefits check to understand your insurance coverage
  • Guidance on how to use FSA or HSA funds
  • A hearing aid consultation tailored to your needs.
  • Access to advanced hearing technology from major manufacturers
  • Support from licensed audiologists and hearing specialists
  • Help choosing the right devices for your lifestyle and budget

This service is complimentary. Some additional diagnostic services, including hearing exams, may be covered by your insurance plan.

Frequently Asked Questions

Can I use FSA or HSA benefits to buy hearing aids?

Yes. Prescription hearing aids and many related expenses are eligible.

What happens if I do not use my FSA funds before the end of the year?

Most unused FSA funds expire. Some plans allow small rollovers or grace periods.

Do I need a hearing test first?

Most insurance plans require a recent hearing test before covering hearing aids.

Are hearing tests covered by insurance?

Many are. Coverage varies by plan, and our team can check this for you.

Ready to Use Your Year End Benefits? Schedule Your Free Consultation

Year end appointments fill quickly at our clinics throughout Maryland, Virginia, Pennsylvania, and New Jersey. If you want to maximize your benefits and learn more about your coverage, now is the ideal time to schedule.

Click here to book your free consultation and benefits check or call us at (888) 432-7505.

Start the new year with clearer hearing, better communication, and renewed confidence. We hope to hear from you soon!

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