Bill > HB5436

This bill requires health insurers in Michigan to provide coverage for hearing aids and hearing-related services for qualified enrollees, with a maximum coverage of $3,000 per hearing aid every 36 months. A qualified enrollee is defined as someone who has been evaluated by an audiologist for hearing loss and has received a medical referral from an otolaryngologist confirming their need for a hearing aid. The coverage includes various hearing-related services such as audiological examinations, hearing aid evaluations, programming, maintenance, repairs, remote microphones, earmolds, and auditory training. Enrollees can choose to purchase a hearing aid that exceeds the maximum coverage amount, but would be responsible for paying the difference. Insurers can still apply standard cost-sharing provisions like deductibles, co-insurance, or co-pays to this coverage. The bill also includes provisions for annual adjustments to the maximum coverage amount based on the Consumer Price Index, starting January 1, 2026. The legislation aims to improve access to hearing health services by mandating insurance coverage for individuals with hearing loss.

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https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-5436