| Is the Benefit Covered? |
Copayment Requirement |
Prior Approval Requirement |
Coverage Limitations |
Reimbursement Methodology |
Populations Covered |
|
|
Alabama
|
|
No
|
|
|
|
|
|
|
Alaska
|
|
Yes
|
|
|
2 earmolds/ear/year
|
Fee for service
|
CN
|
|
Arizona
|
|
No
|
|
|
|
|
|
|
Arkansas
|
|
No
|
|
|
|
|
|
|
California
|
|
Yes
|
|
New or replacement hearing aid, repair costing more than $25
|
Hearing loss must exceed specified decibel criteria
|
Fee for service
|
CN & MN
|
|
Colorado
|
|
No
|
|
|
|
|
|
|
Connecticut
|
|
Yes
|
|
New or replacement hearing aid
|
Binaural hearing aids not covered
|
Acquisition cost up to $160
|
CN & MN
|
|
Delaware
|
|
No
|
|
|
|
|
|
|
District of Columbia
|
|
No
|
|
|
|
|
|
|
Florida
|
|
Yes
|
|
|
1 evaluation/3 years, 1 hearing aid/ear/3 years
|
Fee for service
|
CN & MN
|
|
Georgia
|
|
No
|
|
|
|
|
|
|
Hawaii
|
|
Yes
|
|
Yes
|
Hearing aid rented for 30 day trial period before state authorizes purchase, 1 evaluation/year, 1 hearing aid/2 years
|
Fee for service
|
CN & MN
|
|
Idaho
|
|
Yes
|
|
|
1 hearing aid/lifetime with 2 year warranty, repair after 2 years and refitting after 4 years
|
Fee for service
|
CN
|
|
Illinois
|
|
Yes
|
|
Other than monaural hearing aids
|
|
Acquisition cost plus dispensing fee
|
CN & MN
|
|
Indiana
|
|
Yes
|
|
Yes
|
1 hearing aid/5 years
|
Fee for service
|
CN
|
|
Iowa
|
|
Yes
|
$3/day
|
Hearing aids costing more than $650
|
1 hearing aid/4 years, follow up exam by physician required
|
Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service
|
CN & MN
|
|
Kansas
|
|
Yes
|
|
Replacement hearing aid, repairs costing more than $75
|
1 hearing aid/4 years, limits on batteries, hearing aids in eyeglasses and repairs costing less than $15 not covered
|
Reasonable charge with limits
|
CN & MN
|
|
Kentucky
|
|
No
|
|
|
|
|
|
|
Louisiana
|
|
No
|
|
|
|
|
|
|
Maine
|
|
Yes
|
|
Yes
|
Limited to residents in state-licensed nursing facilities
|
Cost based payment with limits
|
CN & MN
|
|
Maryland
|
|
No
|
|
|
|
|
|
|
Massachusetts
|
|
Yes
|
|
New or replacement hearing aid costing more than $500, accessories or supplies costing more than $35
|
1 pair hearing aids/5 years
|
Fee for service
|
CN & MN
|
|
Michigan
|
|
Yes
|
$3/hearing aid
|
Specified services and items including alternative listening devices
|
1 hearing aid/3 years
|
Fee for service or authorized amount
|
CN & MN
|
|
Minnesota
|
|
Yes
|
|
Items from other than state's contractors
|
1 hearing aid/5 years
|
Most products provided by state's volume purchase contractors
|
A & B - See state-specific FN
|
|
Mississippi
|
|
No
|
|
|
|
|
|
|
Missouri
|
|
Yes
|
$.50-$3/service, depending on payment
|
New or replacement hearing aid
|
1 hearing aid/4 years, adult coverage limited to those who are pregnant, blind or residing in nursing facilities
|
Fee for service
|
CN & MN
|
|
Montana
|
|
Yes
|
$2/hearing aid
|
Yes
|
B - Limited to hearing aids essential for employment
|
Fee for service
|
A & B - See state-specific FN
|
|
Nebraska
|
|
Yes
|
$3/single or pair of hearing aids
|
New or replacement hearing aids, repairs over $150
|
1 hearing aid/4 years, hearing loss must exceed specified decibel criteria
|
Acquisition cost plus dispensing fee
|
CN & MN
|
|
Nevada
|
|
Yes
|
|
New or replacement aid costing more than $350
|
1 hearing aid/2 years
|
Acquisition cost plus dispensing fee
|
CN
|
|
New Hampshire
|
|
Yes
|
|
Specified hearing aids
|
Coverage and replacement only if hearing loss exceeds specified decibel criteria
|
Fee for service
|
CN & MN
|
|
New Jersey
|
|
Yes
|
|
|
|
Acquisition cost plus dispensing fee
|
CN & MN
|
|
New Mexico
|
|
Yes
|
|
New or replacement hearing aid
|
1 hearing aid/4 years
|
Cost up to $1400/hearing aid plus dispensing fee
|
CN
|
|
New York
|
|
Yes
|
|
New or replacement hearing aid
|
|
Acquisition cost plus dispensing fee for hearing aid, other services/items paid fee for service
|
CN & MN
|
|
North Carolina
|
|
No
|
|
|
|
|
|
|
North Dakota
|
|
Yes
|
$3/hearing aid
|
|
1 hearing aid/5 years
|
Fee for service
|
CN & MN
|
|
Ohio
|
|
Yes
|
|
Yes
|
1 hearing aid/4 years, limited to conventional aids
|
Fee for service
|
CN
|
|
Oklahoma
|
|
No
|
|
|
|
|
|
|
Oregon
|
|
Yes
|
|
Specified items
|
|
Fee for service
|
A - See state-specific FN
|
|
Pennsylvania
|
|
No
|
|
|
|
|
|
|
Rhode Island
|
|
Yes
|
|
New or replacement hearing aid
|
|
Reasonable charge
|
CN - see state-specific FN
|
|
South Carolina
|
|
Yes
|
$3/day
|
|
Specified criteria relative to disability and/or care setting must be met
|
Most products provided by state's volume purchase contractor
|
CN
|
|
South Dakota
|
|
Yes
|
|
|
1 hearing aid/3 years if original no longer serviceable
|
Fee for service
|
CN
|
|
Tennessee
|
|
No
|
|
|
|
|
|
|
Texas
|
|
Yes
|
|
Repairs
|
45 degree hearing loss in better ear required, 1 hearing aid/6 years, repairs not covered
|
Fee for service
|
CN & MN
|
|
Utah
|
|
Yes
|
|
Yes
|
Hearing loss must exceed specified decibel criteria for binaural aid, rental limited to 3 months, B & C - hearing aid coverage limited to congenital defect
|
Fee for service
|
A, B & C - See state-specific FN
|
|
Vermont
|
|
Yes
|
|
|
|
Fee for service
|
A - See state-specific FN
|
|
Virginia
|
|
No
|
|
|
|
|
|
|
Washington
|
|
Yes
|
|
Bone conduction or binaural hearing aid
|
1 hearing aid/5 years
|
Fee for service
|
CN
|
|
West Virginia
|
|
No
|
|
|
|
|
|
|
Wisconsin
|
|
Yes
|
$3/hearing aid, $.50-$2/accessory or repair, depending on payment
|
New or replacement hearing aid
|
1 hearing aid/3 years, 1 repair/6 months
|
Most products provided by state's volume purchase contractor, with dispensing fee, average acquisition cost for other items
|
CN & MN
|
|
Wyoming
|
|
Yes
|
|
|
|
Fee for service
|
CN
|
|
American Samoa
|
|
Yes
|
|
|
|
|
See territory-specific FN
|
|
Guam
|
|
Yes
|
|
New or replacement hearing aid
|
1 hearing aid/3 years
|
Fee for service
|
CN
|
|
Northern Mariana Islands
|
|
Yes
|
|
New or replacement hearing aid
|
|
|
CN & MN - See territory-specific FN
|
|
Puerto Rico
|
|
No
|
|
|
|
|
|
|
Virgin Islands
|
|
No
|
|
|
|
|
|
