What is the official ID of this bill?
The official print number for this legislation is S 1135.
Mandatory Private Insurance Coverage for Auditory Implants and Hearing Devices.
Ally's Act mandates that private health insurance plans must cover auditory implants, external sound processors, and related services like surgery and rehabilitation. This ensures that individuals needing these devices receive coverage, including necessary maintenance and upgrades every five years. Insurers cannot deny coverage based on internal medical necessity reviews, and patient out-of-pocket costs must align with general medical benefits.
Key points
Private health plans (group and individual) must mandatorily cover auditory implant devices (like cochlear implants) and external sound processors.
Coverage must include maintenance, repair, and the upgrade or replacement of devices at least every 5 years.
Patient cost-sharing (e.g., deductibles, copays) for these benefits cannot be more restrictive than those applied to most other medical and surgical benefits.
Insurers are prohibited from denying or limiting coverage based on their own review of the 'medical necessity' of the device or service.
Status:
Expired
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