Hearing loss creeps up slowly, so the person experiencing it is often the last to notice. Here are the signs families should watch for.
Everyday signs families notice first
Age-related hearing loss (presbycusis) develops so gradually that the affected senior often doesn't realize it. Telltale signs include turning the TV or radio up louder than others prefer, frequently asking people to repeat themselves, struggling to follow conversations in restaurants or groups, complaining that others mumble, difficulty hearing on the phone, trouble with higher-pitched voices (often women's and children's), and ringing in the ears (tinnitus). Many seniors also start withdrawing from social gatherings because conversation has become tiring — a change that can be mistaken for mood issues. If you notice several of these, encourage a hearing test; untreated hearing loss is linked to higher risks of isolation, falls, and cognitive decline.
What to do — and what Medicare covers
The first step is a hearing test from an audiologist or hearing clinic; many offer free screenings. Treatment ranges from OTC hearing aids for mild-to-moderate loss to prescription devices for severe loss. Original Medicare doesn't cover hearing aids or routine hearing exams in 2026, though it covers a diagnostic test ordered for a medical reason (80% after the $283 deductible). Most Medicare Advantage plans include a $500–$3,000 hearing allowance toward devices. Acting early protects not just hearing but overall well-being. To learn which Medicare option best covers hearing care, call 1-800-MEDIGAP (1-800-633-4427) for a free review.