Medicaid Benefits: Hearing Aids and Other Hearing Devices
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2018
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limits on Services | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 28 No - 18 NR - 5 | 2018 data limited to CN | Yes - 9 | Yes - 24 | Included in "Limits on Services" for 2018 | Not included in 2018 survey |
| Alabama | No | - | - | |||
| Alaska | Yes | CN | No | Requires prior authorization | - | - |
| Arizona | No | - | - | |||
| Arkansas | No | - | - | |||
| California | Yes | CN | No | Hearing loss must exceed specified decibel criteria, $1,510 annual limit for aids and supplies applicable to nonpregnant and noninstitutionalized adults, can be exceeded for authorization. | - | - |
| Colorado | No | - | - | |||
| Connecticut | Yes | CN | No | Member can either have a hearing aid or listening assisted device but not both. | - | - |
| Delaware | No | - | - | |||
| District of Columbia | Yes | CN | No | Requires a UR review prior to service | - | - |
| Florida | Yes | CN | No | Bone Anchored Hearing Aids. For recipients who have documented profound, severe hearing loss in one or both ears as follows: Implanted device for recipients age five years and older; Non Implantation (softband) device for recipients under the age of five years Cochlear Implants; For recipients age 12 months and older who have documented profound to severe, bilateral sensorineural hearing loss. Hearing Aids For recipients who have moderate hearing loss or greater, including the following services: One new, complete, (not refurbished) hearing aid device per ear, every three years, per recipient; Up to three pairs of ear molds per year, per recipient; One fitting and dispensing service per ear, every three years, per recipient. For recipients age 12 months and older who have documented profound to severe, bilateral sensorineural hearing loss. | - | - |
| Georgia | Yes | CN | $3 copay | Hearing aids not covered | - | - |
| Hawaii | Yes | CN | No | No | - | - |
| Idaho | No | - | - | |||
| Illinois | NR | NR | NR | NR | - | - |
| Indiana | Yes | CN | No | 1 hearing aid/ 5 years | - | - |
| Iowa | NR | NR | NR | NR | - | - |
| Kansas | Yes | CN | $3.00 per service date | Limited to 6 batteries for monaural/12 for binaural aids; boneanchored hearing aid limited to one every 4 years; One dispensing fee allowed for monaural or binaural services | - | - |
| Kentucky | Yes | CN | $3.00 | Not to exceed $800 every 36 months | - | - |
| Louisiana | No | - | - | |||
| Maine | Yes | CN | $.50 to $3/day depending on payment amount, up to $30/month | 1 aid or pair of aids/5 years | - | - |
| Maryland | Yes | CN | No | Medical necessity preauthorization | - | - |
| Massachusetts | Yes | CN | No | No | - | - |
| Michigan | No | - | - | |||
| Minnesota | Yes | CN | No | Will replace lost, stolen or damaged hearing aids no more than two times in a five year period. | - | - |
| Mississippi | No | - | - | |||
| Missouri | No | - | - | |||
| Montana | Yes | CN | Income at or below 100% FPL $4 per visit; above FPL 10% of payment amount | Limited to pure tone hearing loss of at least 40 decibels in the better ear and word recognition or speech discrimination scores at a level to ensure pb max | - | - |
| Nebraska | Yes | CN | $3 per hearing aid | Hearing aides are limited to not more than one aid per ear every four years | - | - |
| Nevada | NR | NR | NR | NR | - | - |
| New Hampshire | Yes | CN | No | NR | - | - |
| New Jersey | Yes | CN | No | Quantity limits, prior authorization | - | - |
| New Mexico | Yes | CN | No | No | - | - |
| New York | NR | NR | NR | NR | - | - |
| North Carolina | No | - | - | |||
| North Dakota | Yes | CN | $3 per hearing aid $2 per visit | Prior approval required for services based on policy requirements. | - | - |
| Ohio | Yes | CN | No | Multiple frequency limits are used | - | - |
| Oklahoma | No | - | - | |||
| Oregon | Yes | CN | No | Quantity limits | - | - |
| Pennsylvania | No | - | - | |||
| Rhode Island | Yes | CN | No | Specific policies and PA process. | - | - |
| South Carolina | NR | NR | NR | NR | - | - |
| South Dakota | Yes | CN | 5% of payment amount | 1 hearing aid/3 years if original no longer serviceable. | - | - |
| Tennessee | No | - | - | |||
| Texas | Yes | CN | No | Requires prior authorization | - | - |
| Utah | No | - | - | |||
| Vermont | Yes | CN | No | 1 hearing aid per ear every 3 years and only for specified degrees of hearing loss; repairs limited to 1 per aid per year; prior authorization required for more frequent requests | - | - |
| Virginia | No | - | - | |||
| Washington | No | - | - | |||
| West Virginia | No | - | - | |||
| Wisconsin | Yes | CN | $0.50 $3.00 per service; no copayment for hearing aid batteries | All hearing instruments require prior approval; the state has volume purchase contracts for hearing aids | - | - |
| Wyoming | Yes | CN | No | 1 hearing aid/5 years | - | - |
2012
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 34 No - 22 | Yes - 9 No - 25 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | 2 earmolds/ear/year, repairs and replacements not covered during warranty period | Digital and digitally programmable aids and other specified items | Fee for service | |
| American Samoa | Yes | See territory-specific FN | Hearing evaluation and hearing aids covered only through LBJ Tropical Medical Center when necessary | |||
| Arizona | No | |||||
| Arkansas | No | |||||
| California | Yes | CN & MN | Hearing loss must exceed specified decibel criteria, $1,510 annual limit for aids and supplies applicable to non-pregnant and non-institutionalized adults | New or replacement hearing aid, repair costing more than $25 | Fee for service | |
| Colorado | No | |||||
| Connecticut | Yes | CN & MN | New or replacement hearing aid | Fee for service for aid plus dispensing fee | ||
| Delaware | No | |||||
| District of Columbia | No | |||||
| Florida | Yes | CN & MN | 1 evaluation/3 years, 1 hearing aid/ear/3 years, no repairs during warranty period and no coverage of batteries or routine cleaning and maintenance | Additional hearing evaluation or replacement aids beyond limits | Fee for service | |
| Georgia | No | |||||
| Guam | Yes | CN | 1 hearing aid/3 years | New or replacement hearing aid | Fee for service | |
| Hawaii | Yes | CN & MN | Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years | Yes | Fee for service | |
| Idaho | Yes | CN | 1 hearing aid/lifetime with 2 year warranty, repair after 2 years and refitting after 4 years | Fee for service | ||
| Illinois | Yes | CN & MN | Other than monaural hearing aids | Acquisition cost plus dispensing fee | ||
| Indiana | Yes | CN | 1 hearing aid/5 years | Yes | Fee for service | |
| Iowa | Yes | CN & MN | $3/day | 1 hearing aid/ear/4 years | Hearing aids costing more than $650 | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service |
| Kansas | Yes | CN & MN | 1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered | Replacement hearing aid, repairs costing more than $75 | Reasonable charge with limits | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | No | |||||
| Maryland | No | |||||
| Massachusetts | Yes | CN & MN | 1 pair hearing aids/5 years | New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35 | Fee for service | |
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | 1 hearing aid or set of binaural aids/5 years | Most products provided by state's volume purchase contractors | ||
| Mississippi | No | |||||
| Missouri | Yes | CN | $.50-$3/service, depending on payment | 1 hearing aid/4 years, adult coverage limited to those who are pregnant, blind or residing in nursing facilities | New or replacement hearing aid | Fee for service |
| Montana | Yes | A & B - See state-specific FN | $2/hearing aid | B - Limited to hearing aids essential for employment | Yes | Fee for service |
| Nebraska | Yes | CN & MN | $3/hearing aid | 1 hearing aid/4 years, hearing loss must exceed specified decibel criteria | New or replacement hearing aids over $500, repairs over $150 | Acquisition cost plus dispensing fee |
| Nevada | Yes | CN | 1 hearing aid/2 years | New or replacement aid costing more than $350 | Acquisition cost plus dispensing fee | |
| New Hampshire | Yes | CN & MN | Coverage and replacement only if hearing loss exceeds specified decibel criteria | Specified hearing aids | Fee for service | |
| New Jersey | Yes | CN & MN | $4,000 limit | Fee for service | ||
| New Mexico | Yes | CN | 1 hearing aid/4 years, A & B - this benefit is not covered | New or replacement hearing aid and repairs costing more than $100 | Cost up to $1400/hearing aid ($2800 for binaural aids) plus dispensing fee | |
| New York | Yes | CN & MN | New or replacement hearing aid | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service | ||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | $3/hearing aid, $2/hearing visit | 1 hearing aid/5 years | Fee for service | |
| Northern Mariana Islands | Yes | CN & MN - See territory-specific FN | New or replacement hearing aid | |||
| Ohio | Yes | CN | 1 hearing aid/4 years, limited to conventional aids | Yes | Fee for service | |
| Oklahoma | No | |||||
| Oregon | Yes | A - See state-specific FN | A - $3/visit | Services limited to funded conditions on the priority list | Specified items | Fee for service, using a percentage of Medicare rates |
| Pennsylvania | No | |||||
| Puerto Rico | No | |||||
| Rhode Island | Yes | See state-specific FN | New or replacement hearing aid | Reasonable charge | ||
| South Carolina | Yes | CN | $3.40/day | Adult coverage limited to individuals with intellectual disabilities/related disabilities in specified care settings | Most products provided by state's volume purchase contractor | |
| South Dakota | Yes | CN | 5% of payment amount | 1 hearing aid/3 years if original no longer serviceable | Fee for service | |
| Tennessee | No | |||||
| Texas | Yes | CN & MN | 1 hearing aid for binaural hearing loss/5 years, 1 repair/year after warranty ends | Specified services | Fee for service | |
| Utah | Yes | A, B & C - See state-specific FN | Adult coverage limited to pregnant women, hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months | Yes | Fee for service | |
| Vermont | Yes | A - See state-specific FN | 1 hearing aid/3 years; modifications/repairs limited to 1/year | Fee for service | ||
| U.S. Virgin Islands | No | |||||
| Virginia | No | |||||
| Washington | No | |||||
| West Virginia | No | |||||
| Wisconsin | Yes | CN & MN | $.50-$3/service, depending on payment | 1 hearing aid/3 years, 1 repair/6 months | New or replacement hearing aid | Most products provided by state's volume purchase contractor, with dispensing fee, average acquisition cost for other items |
| Wyoming | Yes | CN | Hearing aid replacement once/5 years | Fee for service |
2010
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 35 No - 21 | Yes - 8 No - 27 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | 2 earmolds/ear/year | Fee for service | ||
| American Samoa | Yes | See territory-specific FN | ||||
| Arizona | No | |||||
| Arkansas | No | |||||
| California | Yes | CN & MN | Hearing loss must exceed specified decibel criteria | New or replacement hearing aid, repair costing more than $25 | Fee for service | |
| Colorado | No | |||||
| Connecticut | Yes | CN & MN | New or replacement hearing aid | Fee for service for aid plus dispensing fee | ||
| Delaware | No | |||||
| District of Columbia | No | |||||
| Florida | Yes | CN & MN | 1 evaluation/3 years, 1 hearing aid/ear/3 years | Fee for service | ||
| Georgia | No | |||||
| Guam | Yes | CN | 1 hearing aid/3 years | New or replacement hearing aid | Fee for service | |
| Hawaii | Yes | CN & MN | Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years | Yes | Fee for service | |
| Idaho | Yes | CN | 1 hearing aid/lifetime with 2 year warranty, repair after 2 years and refitting after 4 years | Fee for service | ||
| Illinois | Yes | CN & MN | Other than monaural hearing aids | Acquisition cost plus dispensing fee | ||
| Indiana | Yes | CN | 1 hearing aid/5 years | Yes | Fee for service | |
| Iowa | Yes | CN & MN | $3/day | 1 hearing aid/4 years, follow up exam by physician required | Hearing aids costing more than $650 | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service |
| Kansas | Yes | CN & MN | 1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered | Replacement hearing aid, repairs costing more than $75 | Reasonable charge with limits | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | No | |||||
| Maryland | No | |||||
| Massachusetts | Yes | CN & MN | 1 pair hearing aids/5 years | New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35 | Fee for service | |
| Michigan | No | |||||
| Minnesota | Yes | A & B - See state-specific FN | 1 hearing aid or set of binaural aids/5 years | Most products provided by state's volume purchase contractors | ||
| Mississippi | No | |||||
| Missouri | Yes | CN | $.50-$3/service, depending on payment | 1 hearing aid/4 years, adult coverage limited to those who are pregnant, blind or residing in nursing facilities | New or replacement hearing aid | Fee for service |
| Montana | Yes | A & B - See state-specific FN | $2/hearing aid | B - Limited to hearing aids essential for employment | Yes | Fee for service |
| Nebraska | Yes | CN & MN | $3/single or pair of hearing aids | 1 hearing aid/4 years, hearing loss must exceed specified decibel criteria | New or replacement hearing aids over $500, repairs over $150 | Acquisition cost plus dispensing fee |
| Nevada | Yes | CN | 1 hearing aid/2 years | New or replacement aid costing more than $350 | Acquisition cost plus dispensing fee | |
| New Hampshire | Yes | CN & MN | Coverage and replacement only if hearing loss exceeds specified decibel criteria | Specified hearing aids | Fee for service | |
| New Jersey | Yes | CN & MN | $4,000 limit | Acquisition cost plus $1.75 dispensing fee/aid | ||
| New Mexico | Yes | CN | 1 hearing aid/4 years, A & B - this benefit is not covered | New or replacement hearing aid and repairs costing more than $100 | Cost up to $1400/hearing aid ($2800 for binaural aids) plus dispensing fee | |
| New York | Yes | CN & MN | New or replacement hearing aid | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service | ||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | $3/hearing aid, $2/hearing visit | 1 hearing aid/5 years | Fee for service | |
| Northern Mariana Islands | Yes | CN & MN - See territory-specific FN | New or replacement hearing aid | |||
| Ohio | Yes | CN | 1 hearing aid/4 years, limited to conventional aids | Yes | Fee for service | |
| Oklahoma | No | |||||
| Oregon | Yes | A - See state-specific FN | A - $3/visit | Services limited to funded conditions on the priority list | Specified items | Fee for service, using a percentage of Medicare rates |
| Pennsylvania | No | |||||
| Puerto Rico | No | |||||
| Rhode Island | Yes | See state-specific FN | New or replacement hearing aid | Reasonable charge | ||
| South Carolina | Yes | CN | $3/day | Specified criteria relative to disability and/or care setting must be met | Most products provided by state's volume purchase contractor | |
| South Dakota | Yes | CN | 1 hearing aid/3 years if original no longer serviceable | Fee for service | ||
| Tennessee | No | |||||
| Texas | Yes | CN & MN | 1 hearing aid/5 years, 1 repair/year after warranty ends | Specified services | Fee for service | |
| Utah | Yes | A, B & C - See state-specific FN | Adult coverage limited to pregnant women, hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months | Yes | Fee for service | |
| Vermont | Yes | A - See state-specific FN | 1 hearing aid/3 years; modifications/repairs limited to 1/year | Fee for service | ||
| U.S. Virgin Islands | No | |||||
| Virginia | No | |||||
| Washington | Yes | CN | 1 hearing aid/5 years | Bone conduction or binaural hearing aid | Fee for service | |
| West Virginia | No | |||||
| Wisconsin | Yes | CN & MN | $.50-$3/service, depending on payment | 1 hearing aid/3 years, 1 repair/6 months | New or replacement hearing aid | Most products provided by state's volume purchase contractor, with dispensing fee, average acquisition cost for other items |
| Wyoming | Yes | CN | Fee for service |
2008
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 37 No - 19 | Yes - 8 No - 29 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | 2 earmolds/ear/year | Fee for service | ||
| American Samoa | Yes | See territory-specific FN | ||||
| Arizona | No | |||||
| Arkansas | No | |||||
| California | Yes | CN & MN | Hearing loss must exceed specified decibel criteria | New or replacement hearing aid, repair costing more than $25 | Fee for service | |
| Colorado | No | |||||
| Connecticut | Yes | CN & MN | New or replacement hearing aid | Fee for service for aid plus dispensing fee | ||
| Delaware | No | |||||
| District of Columbia | No | |||||
| Florida | Yes | CN & MN | 1 evaluation/3 years, 1 hearing aid/ear/3 years | Fee for service | ||
| Georgia | No | |||||
| Guam | Yes | CN | 1 hearing aid/3 years | New or replacement hearing aid | Fee for service | |
| Hawaii | Yes | CN & MN | Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years | Yes | Fee for service | |
| Idaho | Yes | CN | 1 hearing aid/lifetime with 2 year warranty, repair after 2 years and refitting after 4 years | Fee for service | ||
| Illinois | Yes | CN & MN | Other than monaural hearing aids | Acquisition cost plus dispensing fee | ||
| Indiana | Yes | CN | 1 hearing aid/5 years | Yes | Fee for service | |
| Iowa | Yes | CN & MN | $3/day | 1 hearing aid/4 years, follow up exam by physician required | Hearing aids costing more than $650 | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service |
| Kansas | Yes | CN & MN | 1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered | Replacement hearing aid, repairs costing more than $75 | Reasonable charge with limits | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | Limited to residents in state-licensed nursing facilities | Yes | Cost based payment with limits | |
| Maryland | No | |||||
| Massachusetts | Yes | CN & MN | 1 pair hearing aids/5 years | New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35 | Fee for service | |
| Michigan | Yes | CN & MN | $3/hearing aid | 1 hearing aid/3 years | Specified services and items including alternative listening devices | Fee for service or authorized amount |
| Minnesota | Yes | A & B - See state-specific FN | 1 hearing aid/5 years | Items from other than state's contractors | Most products provided by state's volume purchase contractors | |
| Mississippi | No | |||||
| Missouri | Yes | CN | $.50-$3/service, depending on payment | 1 hearing aid/4 years, adult coverage limited to those who are pregnant, blind or residing in nursing facilities | New or replacement hearing aid | Fee for service |
| Montana | Yes | A & B - See state-specific FN | $2/hearing aid | B - Limited to hearing aids essential for employment | Yes | Fee for service |
| Nebraska | Yes | CN & MN | $3/single or pair of hearing aids | 1 hearing aid/4 years, hearing loss must exceed specified decibel criteria | New or replacement hearing aids, repairs over $150 | Acquisition cost plus dispensing fee |
| Nevada | Yes | CN | 1 hearing aid/2 years | New or replacement aid costing more than $350 | Acquisition cost plus dispensing fee | |
| New Hampshire | Yes | CN & MN | Coverage and replacement only if hearing loss exceeds specified decibel criteria | Specified hearing aids | Fee for service | |
| New Jersey | Yes | CN & MN | $4,000 limit | Acquisition cost plus $1.75 dispensing fee/aid | ||
| New Mexico | Yes | CN | 1 hearing aid/4 years | New or replacement hearing aid | Cost up to $1400/hearing aid plus dispensing fee | |
| New York | Yes | CN & MN | New or replacement hearing aid | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service | ||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | $3/hearing aid | 1 hearing aid/5 years | Fee for service | |
| Northern Mariana Islands | Yes | CN & MN - See territory-specific FN | New or replacement hearing aid | |||
| Ohio | Yes | CN | 1 hearing aid/4 years, limited to conventional aids | Yes | Fee for service | |
| Oklahoma | No | |||||
| Oregon | Yes | A - See state-specific FN | Specified items | Fee for service | ||
| Pennsylvania | No | |||||
| Puerto Rico | No | |||||
| Rhode Island | Yes | CN - see state-specific FN | New or replacement hearing aid | Reasonable charge | ||
| South Carolina | Yes | CN | $3/day | Specified criteria relative to disability and/or care setting must be met | Most products provided by state's volume purchase contractor | |
| South Dakota | Yes | CN | 1 hearing aid/3 years if original no longer serviceable | Fee for service | ||
| Tennessee | No | |||||
| Texas | Yes | CN & MN | 45 degree hearing loss in better ear required, 1 hearing aid/6 years, repairs not covered | Repairs | Fee for service | |
| Utah | Yes | A, B & C - See state-specific FN | Hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months | Yes | Fee for service | |
| Vermont | Yes | A - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | No | |||||
| Washington | Yes | CN | 1 hearing aid/5 years | Bone conduction or binaural hearing aid | Fee for service | |
| West Virginia | No | |||||
| Wisconsin | Yes | CN & MN | $3/hearing aid, $.50-$2/accessory or repair, depending on payment | 1 hearing aid/3 years, 1 repair/6 months | New or replacement hearing aid | Most products provided by state's volume purchase contractor, with dispensing fee, average acquisition cost for other items |
| Wyoming | Yes | CN | Fee for service |
2006
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 37 No - 19 | Yes - 7 No - 30 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | 2 earmolds/ear/year | Fee for service | ||
| American Samoa | Yes | See territory-specific FN | ||||
| Arizona | No | |||||
| Arkansas | No | |||||
| California | Yes | CN & MN | Hearing loss must exceed specified decibel criteria | New or replacement hearing aid, repair costing more than $25 | Fee for service | |
| Colorado | No | |||||
| Connecticut | Yes | CN & MN | New or replacement hearing aid | Fee for service for aid plus dispensing fee | ||
| Delaware | No | |||||
| District of Columbia | No | |||||
| Florida | Yes | CN & MN | 1 evaluation/3 years, 1 hearing aid/ear/3 years | Fee for service | ||
| Georgia | No | |||||
| Guam | Yes | CN | 1 hearing aid/3 years | New or replacement hearing aid | Fee for service | |
| Hawaii | Yes | CN & MN | Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years | Reasonable charge up to $300 | ||
| Idaho | Yes | CN | 1 hearing aid/lifetime with 2 year warranty, repair after 2 years and refitting after 4 years | Fee for service | ||
| Illinois | Yes | CN & MN | Other than monaural hearing aids | Acquisition cost plus dispensing fee | ||
| Indiana | Yes | CN | 1 hearing aid/5 years | Yes | Fee for service | |
| Iowa | Yes | CN & MN | $3/day | 1 hearing aid/4 years, follow up exam by physician required | Hearing aids costing more than $650 | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service |
| Kansas | Yes | CN & MN | 1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered | Replacement hearing aid, repairs costing more than $75 | Reasonable charge with limits | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | Limited to residents in state-licensed nursing facilities | Yes | Cost based payment with limits | |
| Maryland | No | |||||
| Massachusetts | Yes | CN & MN | 1 pair hearing aids/5 years | New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35 | Fee for service | |
| Michigan | Yes | CN & MN | $3/hearing aid | 1 hearing aid/3 years | Specified services and items including alternative listening devices | Fee for service or authorized amount |
| Minnesota | Yes | A & B - See state-specific FN | 1 hearing aid/5 years | Items from other than state's contractors | Most products provided by state's volume purchase contractors | |
| Mississippi | No | |||||
| Missouri | Yes | CN | $.50-$3/service, depending on payment | 1 hearing aid/4 years, adult coverage limited to those who are pregnant, blind or residing in nursing facilities | New or replacement hearing aid | Fee for service |
| Montana | Yes | A & B - See state-specific FN | $2/hearing aid | B - Limited to hearing aids essential for employment | Yes | Fee for service |
| Nebraska | Yes | CN & MN | $3/single or pair of hearing aids | Ear canal aids and FM units not covered | New or replacement hearing aids, repairs over $150 | Acquisition cost plus dispensing fee |
| Nevada | Yes | CN | Acquisition cost plus dispensing fee | |||
| New Hampshire | Yes | CN & MN | Specified hearing aids | Fee for service | ||
| New Jersey | Yes | CN & MN | Acquisition cost plus dispensing fee | |||
| New Mexico | Yes | CN | 1 hearing aid/4 years | New or replacement hearing aid | Cost up to $400/hearing aid plus dispensing fee | |
| New York | Yes | CN & MN | New or replacement hearing aid | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service | ||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | $3/hearing aid | Fee for service | ||
| Northern Mariana Islands | Yes | CN & MN - See territory-specific FN | New or replacement hearing aid | |||
| Ohio | Yes | CN | 1 hearing aid/4 years, limited to conventional aids | Yes | Fee for service | |
| Oklahoma | No | |||||
| Oregon | Yes | A - See state-specific FN | Specified items | Fee for service | ||
| Pennsylvania | No | |||||
| Puerto Rico | No | |||||
| Rhode Island | Yes | CN - see state-specific FN | New or replacement hearing aid | Reasonable charge | ||
| South Carolina | Yes | CN | Specified criteria relative to disability and/or care setting must be met | Most products provided by state's volume purchase contractor | ||
| South Dakota | Yes | CN | 1 hearing aid/3 years if original no longer serviceable | Fee for service | ||
| Tennessee | No | |||||
| Texas | Yes | CN & MN | 45 degree hearing loss in better ear required, 1 hearing aid/6 years, repairs not covered | Fee for service | ||
| Utah | Yes | A, B & C - See state-specific FN | Hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months, B & C - hearing aid coverage limited to congenital defect | Yes | Fee for service | |
| Vermont | Yes | A & B - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | No | |||||
| Washington | Yes | CN | 1 hearing aid/5 years | Bone conduction or binaural hearing aid | Fee for service | |
| West Virginia | No | |||||
| Wisconsin | Yes | CN & MN | $3/hearing aid, $.50-$2/accessory or repair, depending on payment | 1 hearing aid/3 years, 1 repair/6 months | New or replacement hearing aid | Most products provided by state's volume purchase contractor, with dispensing fee, average acquisition cost for other items |
| Wyoming | Yes | CN | Fee for service |
2004
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 35 No - 21 | Yes - 7 No - 28 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | 2 earmolds/ear/year | Fee for service | ||
| American Samoa | Yes | See territory-specific FN | ||||
| Arizona | No | |||||
| Arkansas | No | |||||
| California | Yes | CN & MN | Hearing loss must exceed specified decibel criteria | New or replacement hearing aid, repair costing more than $25 | Fee for service | |
| Colorado | No | |||||
| Connecticut | Yes | CN & MN | New or replacement hearing aid | Fee for service for aid plus dispensing fee | ||
| Delaware | No | |||||
| District of Columbia | No | |||||
| Florida | No | |||||
| Georgia | No | |||||
| Guam | Yes | CN | 1 hearing aid/3 years | New or replacement hearing aid | Fee for service | |
| Hawaii | Yes | CN & MN | Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years | Reasonable charge up to $300 | ||
| Idaho | Yes | CN | 1 hearing aid/lifetime, repair after 1 year and refitting after 4 years | Fee for service | ||
| Illinois | Yes | CN & MN | Other than monaural hearing aids | Acquisition cost plus dispensing fee | ||
| Indiana | Yes | CN | 1 hearing aid/5 years | Yes | Fee for service | |
| Iowa | Yes | CN & MN | $3/day | 1 hearing aid/4 years, follow up exam by physician required | Hearing aids costing more than $650 | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service |
| Kansas | Yes | CN & MN | 1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered | Replacement hearing aid, repairs costing more than $75 | Reasonable charge with limits | |
| Kentucky | No | |||||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | Limited to residents in state-licensed nursing facilities | Yes | Cost based payment with limits | |
| Maryland | No | |||||
| Massachusetts | Yes | CN & MN | 1 pair hearing aids/5 years | New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35 | Fee for service | |
| Michigan | Yes | CN & MN | $3/hearing aid | 1 hearing aid/3 years | Fee for service or authorized amount | |
| Minnesota | Yes | A & B - See state-specific FN | 1 hearing aid/5 years | Items from other than state's contractors | Most products provided by state's volume purchase contractors | |
| Mississippi | No | |||||
| Missouri | Yes | CN | $.50-$3/service, depending on payment | 1 hearing aid/4 years | New or replacement hearing aid | Fee for service |
| Montana | Yes | A & B - See state-specific FN | $2/hearing aid | B - Limited to hearing aids essential for employment | Yes | Fee for service |
| Nebraska | Yes | CN & MN | $3/single or pair of hearing aids | Ear canal aids and FM units not covered | New or replacement hearing aids, repairs over $150 | Acquisition cost plus dispensing fee |
| Nevada | Yes | CN | Acquisition cost plus dispensing fee | |||
| New Hampshire | Yes | CN & MN | Specified hearing aids | Fee for service | ||
| New Jersey | Yes | CN & MN | Acquisition cost plus dispensing fee | |||
| New Mexico | Yes | CN | 1 hearing aid/4 years | New or replacement hearing aid | Cost up to $400/hearing aid plus dispensing fee | |
| New York | Yes | CN & MN | New or replacement hearing aid | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service | ||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | $3/hearing aid | Fee for service | ||
| Northern Mariana Islands | Yes | CN & MN - See territory-specific FN | New or replacement hearing aid | |||
| Ohio | Yes | CN | 1 hearing aid/4 years | Yes | Fee for service | |
| Oklahoma | No | |||||
| Oregon | Yes | A - See state-specific FN | Specified items | Fee for service | ||
| Pennsylvania | No | |||||
| Puerto Rico | No | |||||
| Rhode Island | Yes | CN - see state-specific FN | New or replacement hearing aid | Reasonable charge | ||
| South Carolina | Yes | CN | Most products provided by state's volume purchase contractor | |||
| South Dakota | Yes | CN | Fee for service | |||
| Tennessee | No | |||||
| Texas | No | |||||
| Utah | Yes | A, B & C - See state-specific FN | Hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months, B & C - hearing aid coverage limited to congenital defect | Yes | Fee for service | |
| Vermont | Yes | A & B - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | No | |||||
| Washington | Yes | CN | 1 hearing aid/5 years | Bone conduction or binaural hearing aid | Fee for service | |
| West Virginia | No | |||||
| Wisconsin | Yes | CN & MN | $3/hearing aid, $.50-$2/accessory or repair, depending on payment | 1 hearing aid/3 years, 1 repair/6 months | New or replacement hearing aid | Most products provided by state's volume purchase contractor, with dispensing fee, average acquisition cost for other items |
| Wyoming | Yes | CN | Fee for service |
2003
| Location | Benefit Covered | Coverage Code | Copayment Required? | Limit on services days | Prior Approval Required | Reimbursement Methodology |
|---|---|---|---|---|---|---|
| United States | Yes - 38 No - 18 | Yes - 7 No - 31 | ||||
| Alabama | No | |||||
| Alaska | Yes | CN | 2 earmolds/ear/year | Fee for service | ||
| American Samoa | Yes | See territory-specific FN | ||||
| Arizona | No | |||||
| Arkansas | No | |||||
| California | Yes | CN & MN | Hearing loss must exceed specified decibel criteria | New or replacement hearing aid, repair costing more than $25 | Fee for service | |
| Colorado | No | |||||
| Connecticut | Yes | CN & MN | New or replacement hearing aid | Fee for service for aid plus dispensing fee | ||
| Delaware | No | |||||
| District of Columbia | No | |||||
| Florida | Yes | CN & MN | 5% of payment for hearing aid and related services | 1 hearing aid/3 years | Negotiated price | |
| Georgia | No | |||||
| Guam | Yes | CN | 1 hearing aid/3 years | New or replacement hearing aid | Fee for service | |
| Hawaii | Yes | CN & MN | Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years | Reasonable charge up to $300 | ||
| Idaho | Yes | CN | 1 hearing aid/lifetime, repair after 1 year and refitting after 4 years | Fee for service | ||
| Illinois | Yes | CN & MN | Other than monaural hearing aids | Acquisition cost plus dispensing fee | ||
| Indiana | Yes | CN | 1 hearing aid/5 years | Yes | Fee for service | |
| Iowa | Yes | CN & MN | $3/day | 1 hearing aid/4 years, follow up exam by physician required | Hearing aids costing more than $650 | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service |
| Kansas | Yes | CN & MN | 1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered | Replacement hearing aid, repairs costing more than $75 | Reasonable charge with limits | |
| Kentucky | Yes | CN & MN | Acquisition cost plus dispensing fee | |||
| Louisiana | No | |||||
| Maine | Yes | CN & MN | Limited to residents in state-licensed nursing facilities | Yes | Cost based payment with limits | |
| Maryland | No | |||||
| Massachusetts | Yes | CN & MN | 1 pair hearing aids/5 years | New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35 | Fee for service | |
| Michigan | Yes | CN & MN | $3/hearing aid | 1 hearing aid/3 years | Fee for service or authorized amount | |
| Minnesota | Yes | A & B - See state-specific FN | 1 hearing aid/5 years | Items from other than state's contractors | Most products provided by state's volume purchase contractors | |
| Mississippi | No | |||||
| Missouri | Yes | CN | $.50-$3/service, depending on payment | 1 hearing aid/4 years | New or replacement hearing aid | Fee for service |
| Montana | Yes | CN & MN | $2/hearing aid | Hearing aid rented for 30 day trial period before state authorizes purchase | Yes | Fee for service |
| Nebraska | Yes | CN & MN | $3/single or pair of hearing aids | Ear canal aids and FM units not covered | New or replacement hearing aids, repairs over $150 | Acquisition cost plus dispensing fee |
| Nevada | Yes | CN | Acquisition cost plus dispensing fee | |||
| New Hampshire | Yes | CN & MN | Specified hearing aids | Fee for service | ||
| New Jersey | Yes | CN & MN | Acquisition cost plus dispensing fee | |||
| New Mexico | Yes | CN | New or replacement hearing aid | Acquisition cost plus percentage of cost as dispensing fee | ||
| New York | Yes | CN & MN | New or replacement hearing aid | Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service | ||
| North Carolina | No | |||||
| North Dakota | Yes | CN & MN | Fee for service | |||
| Northern Mariana Islands | Yes | CN & MN - See territory-specific FN | New or replacement hearing aid | |||
| Ohio | Yes | CN | 1 hearing aid/4 years | Yes | Fee for service | |
| Oklahoma | No | |||||
| Oregon | Yes | CN & MN | Specified items | Fee for service | ||
| Pennsylvania | No | |||||
| Puerto Rico | No | |||||
| Rhode Island | Yes | CN - see state-specific FN | New or replacement hearing aid | Reasonable charge | ||
| South Carolina | Yes | CN | Most products provided by state's volume purchase contractor | |||
| South Dakota | Yes | CN | Fee for service | |||
| Tennessee | No | |||||
| Texas | Yes | CN & MN | 1 hearing aid/6 years, repairs not covered | New or replacement hearing aid | Fee for service | |
| Utah | Yes | A, B & C - See state specific FN | Hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months | Yes | Fee for service | |
| Vermont | Yes | A & B - See state-specific FN | Fee for service | |||
| U.S. Virgin Islands | No | |||||
| Virginia | No | |||||
| Washington | Yes | CN | 1 hearing aid/5 years | Bone conduction or binaural hearing aid | Fee for service | |
| West Virginia | No | |||||
| Wisconsin | Yes | CN & MN | $3/hearing aid, $.50-$2/accessory or repair, depending on payment | 1 hearing aid/3 years, 1 repair/6 months | New or replacement hearing aid | Acquisition cost plus dispensing fee |
| Wyoming | Yes | CN | Fee for service |