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Coverage criteria policies

Hearing Aids – Minnesota Health Care Programs

These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.

Administrative Process

Prior authorization is not required for hearing aids.

Prior authorization is not required for bone anchored hearing aids (BAHA), including batteries and replacement parts.

This policy does not address cochlear implants for treatment of hearing loss. Please check your plan documents or contact Member Services for specific information on this service.


Hearing aids are generally covered per the indications below and per your plan documents.

Indications that are covered

Standard hearing aid coverage criteria:
  1. One selected hearing aid or set of selected binaural hearing aids within a period of five years.
  2. Replacement within a period of less than five years if due to changes in hearing loss
  3. Hearing aid accessories such as chest harnesses, tone and ear hooks, carrying cases, telecoils, audio boots, neck loops, etc
  4. Ear molds for behind the ear (BTE) hearing aid and ear impressions needed for the purpose of custom making an in the ear (ITE) hearing aid when not provided with the new hearing aid. Ear mold replacement is covered about every three months.
  5. Batteries
  6. Repairs are covered for hearing aids no longer under warranty, both parts and labor. The usual manufacturer’s warranty is 24 months.
  7. Non-personal hearing aids such as FM systems, vibrotactile devices, or personal communicators (e.g. Pocket Talker)when there is documentation of the following:
    1. Why a member is unable to use a personal hearing aid
    2. Expectation of the member’s ability to use vibrotactile information such as a response to environmental vibratory information or low frequency bone-conducted vibratory information. This is specific to vibrotactile instruments
BAHA coverage criteria

These devices are covered only when the provider determines that standard (non-BAHA) hearing aids are medically inappropriate or cannot be utilized due to congenital malformations, chronic disease, severe sensorineural hearing loss, or previous surgery

Indications that are not covered

The following services or items are not covered for any indication:

  1. Non-covered codes for hearing aids and assistive devices as listed in the Code section below
  2. Non-electronic hearing aids
  3. Loaner hearing aid charges
  4. Disposable hearing aids
  5. Canal-type hearing aids including in-the canal (ITC) and completely in the canal (CIC) except for those specifically listed as covered below by Minnesota Senior Health Options (MSHO) plans
  6. Adapters for telephones, televisions or radio including but not limited to:
    1. Telephone amplifiers
    2. Amplifying phone handsets
    3. Visual telephone ringers
    4. Personal television and radio amplifying systems
  7. Alarm systems including but not limited to:
    1. Vibrating bed alarms
    2. Doorbell transmitters (door announcer)
    3. Baby Monitors
    4. Personal signaling system
  8. Ear care and comfort products including but not limited to:
    1. Swim molds/swim plugs
    2. Ear plugs
    3. Swimmers headband
    4. Moisture guard (i.e. Super Seals®)
    5. Wax fillers
    6. Retention cords and safety clips such as OtoClips and Critter Clips™
    7. Dry-aid kits and dehumidifiers
    8. Ear comfort creams
    9. Ear cleansers/cleaning solutions
    10. Wax removal kits/systems
    11. Hearing aid pads
  9. Replacement batteries provided on a scheduled basis regardless of need
  10. Battery chargers
  11. Replacement of a lost, stolen or damaged/broken hearing aid for an adult 21 years of age or over when Plan has replaced a hearing aid twice within the five year period previous to the date of request


Bone anchored hearing aids (BAHAs) - surgically implanted hearing devices that transmit sound directly to the inner ear through bone, bypassing the external auditory canal and middle ear. BAHAs consist of an external sound processor and a titanium implant that is affixed to the temporal bone of the skull. The sound processor vibrates the implant, which in turn vibrates the temporal bone. That vibration is then transmitted through other bones to the cochlea of the opposite ear, where it creates the sensation of sound

FM System- a wireless system designed to help someone better identify and understand speech in noisy situations and over distances of up to 50 feet. Some FM systems work along with hearing aids, while others are designed for those with normal hearing. The person speaking wears or holds a transmitter microphone (or places this in the middle of a group). The transmitter picks up speech sounds and uses radio waves to send these to one or more FM receivers, which a person can wear behind the ear or connected to a hearing aid

If available, codes are listed below for informational purposes only, and do not guarantee member coverage or provider reimbursement. The list may not be all-inclusive.

The services associated with the following codes are covered only for Minnesota Senior Health Options (MSHO) plans:




Digital, Monaural CIC


Digital, Monaural ITC


Digital, Binaural ITC


Digital, Binaural ITC

The services associated with the following codes are not covered for any Minnesota Health Care Programs (MHCP) or Minnesota Senior Health Options (MSHO) plans. Prior authorization is not applicable:




Analog, Monaural CIC


Analog, Monaural ITC


Digitally Programmable Analog, Monaural CIC


Digitally Programmable Analog, Monaural ITC


Analog, Binaural CIC


Analog, Monaural ITC


Digitally Programmable Analog, Binaural CIC


Digitally Programmable Analog, Binaural ITC


Disposable, Monaural, any type


Disposable, Binaural, any type


Ear mold/insert, disposable, any type


Assistive Listening Device, telephone amplifier, any type


Assistive listening device, alerting type, any type


Assistive listening device, television amplifier, any type


Assistive listening device, television caption decoder


Assistive listening device, TDD

CPT Copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.


This information is for most, but not all, HealthPartners plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage. These coverage criteria may not apply to Medicare Products if Medicare requires different coverage. For more information regarding Medicare coverage criteria or for a copy of a Medicare coverage policy, contact Member Services at 952-883-7979 or 1-800-233-9645.


Item /service must be received from a contracted vendor, Audiology, or ENT provider.


  1. Portions of the contents of these coverage criteria relating to Minnesota Public Programs medical coverage criteria are taken directly from the Minnesota Health Care Programs Provider Manual at
  2. Hayes, Inc. Hayes Medical Technology Directory Report. Bone Anchored Hearing Aids. Lansdale, PA: Hayes, Inc.; June, 2005. Reviewed September, 2009. Archived July, 2010.

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Policy activity

  • 01/01/1994 - Date of origin
  • 11/01/2016 - Effective date
Review date
  • 10/2017
Revision date
  • 02/21/2017

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