HEARING AID BENEFITS. Your Hearing Aid benefit period begins on the date you first receive a Hearing Aid after the date that your coverage began and continues through the benefit period. Later benefit periods will begin on the first day that you receive a Hearing Aid after expiration of your prior established Hearing Aid benefit period.
HEARING AID BENEFITS. This benefit will provide reimbursement for hearing aids as follows: The acquisition cost of the hearing aid. The dispensing fees as established by agreement between Green Shield and the participating provider,
HEARING AID BENEFITS. The CCBDD shall provide to full time employees a hearing plan subject to the provisions of the Ohio AFSMCE Care plan.
HEARING AID BENEFITS. Hearing Aid instrument and ancillary equipment (up to a maxi- mum of $2,000 per member every 24 months for the hearing aid and ancillary equipment) You pay nothing You pay nothing Home health care agency services (Including home visits by a nurse, home health aide, medical so- cial worker, physical therapist, speech therapist or occupational therapist) Up to a maximum of 100 visits per Member, per Calendar Year, by home health care agency providers. If your benefit Plan has a Calendar Year Deductible, the number of visits starts counting toward the maximum when services are first provided even if the Calendar Year Deductible has not been met. 20% Not covered 8 Medical supplies 20% Not covered 8 Hemophilia home infusion services Services provided by hemophilia infusion providers and prior authorized by Blue Shield. Includes blood factor product. 20% Not covered 8
HEARING AID BENEFITS. Benefits are provided for a hearing aid instrument, monaural or binaural including ear mold(s), the initial battery, cords and other ancillary equip- ment. The Benefit also includes visits for fitting, counseling and adjustments. The following services and supplies are not cov- ered:
HEARING AID BENEFITS. When used in this provision the following words have the following meaning:
HEARING AID BENEFITS. Hearing Aid benefits for individuals under 18 - Benefit Period 24 months - Benefit maximum None - Benefit payment level 100% of Provider’s Charge - Number of Hearing Aids, per ear, each Benefit Period One — Hearing Aid benefits for individuals 18 or over - Benefit Period 24 months - Benefit maximum $2,500 per ear, per Benefit Period - Benefit payment level 100% of Provider’s Charge Changes in state or federal law or regulations or interpretations thereof may change the terms and conditions of coverage. Subject to the other terms and conditions of the Group Policy, the benefits described in this Certificate will be provided to persons who:
HEARING AID BENEFITS. For Covered Dependents age 15 years and younger, Covered Benefits include the cost of a Medically Necessary hearing aid for each ear as prescribed or recommended by a Member’s Participating Physician or Participating audiologist, up to the Hearing Aid Benefit Maximum, subject to any applicable Copayment. Covered Benefits also include Medically Necessary services and supplies related to the hearing aid. Coverage is provided under the same terms and conditions as for any other condition. • Inherited Metabolic Diseases Benefit. Coverage is provided for expenses incurred in the therapeutic treatment of inherited metabolic diseases, including the purchase of medical foods and low protein modified food products, when diagnosed and determined to be Medically Necessary by the Member’s Physician. The benefits shall be provided to the same extent as for any medical condition under the Certificate.
HEARING AID BENEFITS. This plan provides for the following benefits to eligible employees, retired employees, surviving spouses (subscribers) and eligible dependents once in any period of 24 calendar months, provided that:
(a) A medical doctor, who specializes in performing medical examinations of the ear, i.e. an otologist; or a medical doctor who specializes in the treatment of the ear, nose and throat, i.e. an otolaryngologist, has determined the patient has a loss of hearing acuity which can be compensated for by a hearing aid. And
(b) A person qualified in the rehabilitation of those with impaired hearing i.e. an audiologist, subsequent to hearing aid evaluation tests prescribes the type of hearing aid that would best improve the loss of hearing acuity. And
(c) A dealer that sells hearing aids prescribed by an audiologist to improve hearing acuity supplies to the subscriber or eligible dependent for his personal use hearing aids of the following: In-the-ear, Behind-the ear (including air conduction and bone conduction types), On-the-body hearing aids.
(d) Coverage for ear moulds for dependent children aged fourteen (14) years and under, up to a maximum of $400 per year. The acquisition cost of the hearing aid and the dispensing fee will be eligible benefits.
HEARING AID BENEFITS. Hearing Aid instrument and ancillary equipment (every 24 months for the hearing aid and ancillary equipment) 50% Home health care agency Services (including home visits by a nurse, home health aide, medical social worker, physical therapist, speech therapist, or occupational therapist) Up to a maximum of 100 visits per Calendar Year per Member by home health care agency providers. $5 per visit Medical supplies and laboratory Services You pay nothing Hemophilia home infusion Services provided by a Hemophilia Infusion Provider and prior authorized by the Plan. You pay nothing Hemophilia therapy home infusion nursing visit provided by a Hemophilia Infu- sion Provider and prior authorized by the Plan (Nursing visits are not subject to the Home Health Care Calendar Year visit limitation.) $5 per visit
