Hearing Examinations and Hearing Aids. Hearing examinations to determine hearing loss Covered subject to the applicable outpatient services Copayment. • Hearing aids, including hearing aid examinations Not covered. Covered in full. No visit limit. Covered in full. Inpatient respite care is covered for a maximum of five (5) consecutive days per occurrence. Not covered.
Hearing Examinations and Hearing Aids. Hearing examinations to determine hearing loss Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment. Hearing aids, including hearing aid examinations Not covered. Covered in full. No visit limit. Covered in full. Inpatient respite care is covered for a maximum of five (5) consecutive days per occurrence. General diagnostic services Specific diagnostic services, treatment and outpatient prescription drugs Covered at 50% (Member's Cost Share will not exceed GHC's charge). Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment for manipulative therapy of the spine and extremities in accordance with GHC clinical criteria up to a maximum of ten (10) visits per Member per calendar year.
Hearing Examinations and Hearing Aids. Hearing exams are covered if done or approved by the PCP, UnitedHealthcare Community Plan will cover one single hearing aid unit per ear They must be from a licensed hearing aid dealer. This includes hearing aids and delivery. The hearing aid unit must be FDA approved. Hearing aid repairs and adjustments; replacement earmolds; and hearing aid supplies, accessories and batteries are covered.
Hearing Examinations and Hearing Aids. Hearing examinations to determine hearing loss Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment. Annual Deductible and Plan Coinsurance do not apply to office visits, but do apply to office based procedures and surgical services. • Hearing aids, including hearing aid examinations Not covered. Covered in full. No visit limit. Covered in full. Inpatient respite care is covered for a maximum of five (5) consecutive days per occurrence. • General diagnostic services Covered subject to the lesser of GHC’s charge or the applicable outpatient services Cost Share. Annual Deductible and Plan Coinsurance do not apply to office visits, but do apply to office-based procedures and surgical services. • Specific diagnostic services, treatment and outpatient prescription drugs Covered at 50% (Member’s Cost Share will not exceed GHC’s charge). Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment for Self- Referrals to a GHC Provider for manipulative therapy of the spine and extremities in accordance with GHC clinical criteria up to a maximum of ten (10) visits per Member per calendar year. Annual Deductible and Plan Coinsurance do not apply to office visits, but do apply to office-based procedures and surgical services. • Delivery and associated Hospital Care Covered subject to the lesser of GHC’s charge or the applicable inpatient services Copayment and at the Plan Coinsurance after the annual Deductible is satisfied. • Prenatal and postpartum care Routine care covered in full. Non-routine care covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment. Annual Deductible and Plan Coinsurance do not apply to office visits, but do apply to office based procedures and surgical services. • Pregnancy termination Covered subject to the lesser of GHC’s charge or the applicable Copayment for involuntary/voluntary termination of pregnancy. Annual Deductible and Plan Coinsurance do not apply to office visits, but do apply to office based procedures and surgical services. • Inpatient services Covered subject to the lesser of GHC’s charge or the applicable inpatient services Copayment and at the Plan Coinsurance at a GHC-approved mental health care facility after the annual Deductible is satisfied. • Outpatient services Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment. Annual Deductible and Plan Coinsurance do not apply ...
Hearing Examinations and Hearing Aids. Cochlear implants when in accordance with Group Health clinical criteria. Covered services for cochlear implants include implant surgery, pre-implant testing, post-implant follow-up, speech therapy, programming and associated supplies (such as transmitter cable, and batteries). Hearing exams for hearing loss and evaluation and diagnostic testing for cochlear implants are covered only when provided at Group Health-approved facilities. Hospital - Inpatient: No charge; Member pays nothing Hospital - Outpatient: Member pays $10 Copayment Outpatient Services: Member pays $10 Copayment Hearing aids including hearing aid examinations. Not covered; Member pays 100% of all charges Home health care when the following criteria are met: The Member is unable to leave home due to his/her health problem or illness. Unwillingness to travel and/or arrange for transportation does not constitute inability to leave the home. The Member requires intermittent skilled home health care, as described below. Group Health’s medical director determines that such services are Medically Necessary and are most appropriately rendered in the Member’s home. Covered Services for home health care may include the following when rendered pursuant to a Group Health- approved home health care plan of treatment: nursing care; No charge; Member pays nothing
Hearing Examinations and Hearing Aids. Hearing exams for hearing loss and evaluation are covered only when provided at KFHPWA-approved facilities. Cochlear implants or Bone Anchored Hearing Aids (BAHA) when in accordance with KFHPWA clinical criteria. Covered services for cochlear implants and BAHA include diagnostic testing, pre-implant testing, implant surgery, post- implant follow-up, speech therapy, programming and associated supplies (such as transmitter cable, and batteries). Hospital - Inpatient: After Deductible, Member pays $100 Copayment per day up to $300 per admission Hospital - Outpatient: After Deductible, Member pays $100 Copayment Outpatient Services: After Deductible, Member pays $10 Copayment for primary care provider services or $20 Copayment for specialty care provider services Hearing aids including hearing aid examinations. Not covered; Member pays 100% of all charges Home health care when the following criteria are met: • Except for patients receiving palliative care services, the Member must be unable to leave home due to a health problem or illness. Unwillingness to travel and/or arrange for transportation does not constitute inability to leave the home. No charge; Member pays nothing
Hearing Examinations and Hearing Aids. Hearing examinations to determine hearing loss • Hearing aids, including hearing aid examinations MHCN and Community Provider benefit limits are combined and cannot be duplicated.
Hearing Examinations and Hearing Aids. Cochlear implants when in accordance with Group Health clinical criteria. Covered services for cochlear implants include implant surgery, pre-implant testing, post-implant follow-up, speech therapy, programming and associated supplies (such as transmitter cable, and batteries). Hearing exams for hearing loss and evaluation and diagnostic testing for cochlear implants are covered only when provided at Group Health-approved facilities. Hospital - Inpatient: Member pays $200 Copayment per day up to $600 per admission and 10% Plan Coinsurance Hospital - Outpatient: Member pays $20 Copayment and 10% Plan Coinsurance Outpatient Services: Member pays $20 Copayment and 10% Plan Coinsurance Hearing aids including hearing aid examinations. Not covered; Member pays 100% of all charges
Hearing Examinations and Hearing Aids. Hearing examinations to determine hearing loss Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment. • Hearing aids, including hearing aid examinations Covered up to a $1,000 maximum per ear during any consecutive thirty-six (36) month period. Covered in full. No visit limit. Covered in full. Inpatient respite care is covered for a maximum of five (5) consecutive days per occurrence. Not covered.
