Hearing Coverage: New Rules for Implants and Devices in Private Insurance
This act, known as "Ally's Act," mandates that private health insurance plans must cover the costs of hearing devices, such as implants and sound processors, as well as related services. This means individuals needing these devices will have easier access to essential care, potentially significantly reducing their out-of-pocket expenses. The changes will take effect starting January 1, 2022.
Key points
Private insurance plans must cover auditory implant devices and external sound processors.
Coverage includes maintenance, repairs, and upgrades/replacements of devices every 5 years.
Comprehensive hearing assessments, medical evaluations, surgery, and postoperative appointments are also covered.
The act sets limits on cost-sharing requirements that insurers can impose on patients.
These changes apply to group and individual plans, effective January 1, 2022.
Expired
Additional Information
Print number: 117_S_41
Sponsor: Sen. Capito, Shelley Moore [R-WV]
Process start date: 2021-01-25