Bill

Bill > A1686


NJ A1686

Requires health insurers to provide coverage for hearing aids.


summary

Introduced
01/11/2022
In Committee
01/11/2022
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

This bill would require hospital, medical and health service corporations, commercial insurers, health maintenance organizations, health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs, and plans provided by the State Health Benefits Commission and the School Employees' Health Benefits Commission to provide coverage for medically necessary expenses incurred in the purchase of a hearing aid. The coverage shall include the purchase of one analog or digital hearing aid for each ear at least every 48 months, as prescribed or recommended by a State licensed audiologist or State licensed hearing aid dispenser. The total cost sharing responsibility of the covered person for the hearing aid, including any copayments or deductibles, shall not exceed 15 percent of the cost of the hearing aid.

AI Summary

This bill requires health insurers, including hospital, medical, and health service corporations, commercial insurers, health maintenance organizations, and state health benefits plans, to provide coverage for medically necessary expenses incurred in the purchase of a hearing aid. The coverage must include the purchase of one analog or digital hearing aid for each ear at least every 48 months, as prescribed or recommended by a licensed audiologist or hearing aid dispenser. The total cost-sharing responsibility of the covered person for the hearing aid, including any copayments or deductibles, cannot exceed 15% of the cost of the hearing aid. This new requirement applies to policies and plans delivered, issued, executed, or renewed in New Jersey on or after the effective date of the bill, which is 30 days after enactment.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/11/2022)

bill text


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