Bill > S756

This bill expands insurance coverage for hearing aids for state employees, their children, and other insured individuals across various types of health insurance plans in Massachusetts. The legislation mandates that group insurance commissions, accident and sickness insurance policies, hospital service plans, medical service agreements, and health maintenance contracts must provide coverage for one hearing aid per hearing-impaired ear, up to $2,000 per hearing aid, every 36 months. This coverage is contingent upon a written statement from the insured's treating physician confirming the medical necessity of the hearing aid, regardless of the underlying cause. Additionally, the bill requires that related services provided by licensed audiologists or hearing instrument specialists, such as initial evaluations, fittings, adjustments, and supplies, be included in the coverage. Insureds will have the option to choose a more expensive hearing aid by paying the difference above the $2,000 limit without penalties, and the benefits cannot be subject to more restrictive deductibles or copayments than other insurance benefits. The new requirements will apply to health insurance policies delivered, issued, or renewed on or after January 1, 2026, ultimately making hearing aids more accessible and affordable for Massachusetts residents.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/194/S756