Bill > H3946

This bill mandates comprehensive hearing aid coverage across various types of health insurance plans in Massachusetts. The legislation requires insurance providers, including group insurance commissions, accident and sickness insurers, hospital service corporations, medical service agreements, and health maintenance organizations, to cover one hearing aid per hearing-impaired ear every 36 months. Importantly, if a person's physician certifies that their current hearing aid is no longer sufficient due to changes in hearing capability, a new hearing aid can be obtained before the 36-month period expires. The coverage includes the hearing aid selected by the patient and audiologist, regardless of brand, and is classified as durable medical equipment. Additionally, the bill ensures that related services such as initial evaluations, fittings, adjustments, and supplies like ear molds, batteries, and accessories are covered. The legislation also mandates coverage for repair or replacement of hearing aids that stop functioning properly through no fault of the user, and limits copayments to $200. The bill applies to both group and non-group insurance policies, ensuring broad access to hearing aid coverage for Massachusetts residents, with the flexibility for insurers to provide even more comprehensive coverage if they choose.

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https://malegislature.gov/Bills/194/H3946