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Published on December 30, 2015
Effective August 1, 2014, the criteria to prior authorize hearing aids has changed. The Hearing Aids medical policy states the specific criteria. The hearing aid benefit for all commercial plans includes hearing aid(s) (microphone, amplifier and receiver), earmold(s), and dispensing fees. Hearing evaluations are required and must be performed by an in-network licensed audiologist to evaluate and determine if correction is needed and amplification is appropriate. Evaluations by in-network audiologists do not require prior authorization. The Hearing Impairment Calculation Worksheet is required and available on the website. The Hearing Aid Benefit FAQ contains important information that will clarify questions regarding the hearing aid benefit.
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Dean Advantage is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Dean Advantage depends on contract renewal.
H9096_WEB16v4 CMS Pending
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