Hearing Care. The Plan provides Benefits for wearable Hearing Aids for covered Members to the end of the month in which they turn age 19. Coverage is limited to one hearing aid for each hearing-impaired ear every 36 months. Related items such as batteries, cords, and other assistive listening devices, including but not limited to, frequency modulation systems, are not covered. Hearing Aids are considered Durable Medical Equipment. Benefits for Hearing Aids are limited to the Maximum Allowed Amount. Benefits will not exceed the Maximum Allowed Amount for the least expensive service that meets your medical needs. If your service is more costly than is Medically Necessary, you will be responsible for paying the difference between the Maximum Allowed Amount for the least expensive service and the charge for the more expensive service. No Benefits are provided for cochlear implants. Benefits are available for Inpatient and Outpatient services to diagnose and treat ear disease and injury. The Plan does not provide Benefits for replacement of lost or stolen Hearing Aids. The Plan does not provide Benefits for replacement of Hearing Aids damaged due to weather or submersion.
Appears in 4 contracts
Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement
