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Coverage criteria policies

Hearing Aids - Iowa

These services may or may not be covered by all HealthPartners plans. Please see your plan documents for your own 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.

Coverage

Hearing aids are generally not covered per your plan documents.

Cochlear implants are outside the scope of this policy. Please refer to the Cochlear Implants and Auditory Brainstem Implants policy for coverage information.

Indications that are not covered

  1. Hearing aids, implantable and external, including osteointegrated or bone anchored (BAHA)
  2. Replacement hearing aid batteries and replacement ear molds.
  3. FM systems or other augmentative devices.

Definitions

Osteointegrated or 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.

Products

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.

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Policy activity

  • 01/01/2014 - Date of origin
  • 05/31/2017 - Effective date
Review date
  • 05/2017

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