<p>Aim/Background: The present study aimed to profile the direct costs incurred by parents of children with hearing loss among those who received cochlear implantation (CI) through the public funded scheme in the Southern State of Tamil Nadu in India. Materials and Method: A cross-sectional study design was used. A total of one hundred parents of children implanted under the Chief Minister Comprehensive Health Insurance Scheme (CMCHS) between the years 2013 and 2016 participated in this study. A data collection form was administered via telephone or in person with 17 questions. The questions pertained to the cost, repair, and replacement of accessories; aural rehabilitation cost; and travel costs towards all post-CI-related services. Additionally, their source of funding to cover these expenses was also obtained. The frequency of accessory replacement and the cost involved were calculated. Results: In all, 100 parents participated in the study. The cost spent on speech processor replacement/repairs was the most, followed by the cost of battery and cable replacements. The cables were replaced most often, followed by the battery and speech processor. When aural rehabilitation services were recommended beyond the insurance coverage of one year, only 10% of the parents reported to have attended these services due to financial constraints. Parents reported having spent nearly 50% of their annual income on maintenance of the CI for the first year post-surgery. Of this expense, 40% was reported to be towards travel and the remaining was towards repair and replacement of accessories. Discussion: The financial burden of post-CI surgery is considerable, and hence children do not receive critical rehabilitation needed for optimal outcomes. In order to reduce the financial burden associated with repair, replacement, and ongoing aural rehabilitation, insurance coverage may be considered by public funders for at least those in the low socioeconomic status.</p>