Hearing Aid
Does my plan have a benefit for hearing aids?
Yes, the State Employee Health Plan (SEHP) provides coverage for one (1) hearing aid device per ear during a three (3) year period. All covered hearing aid services include hearing devices, and covered services from both Network and Non Network apply toward a maximum benefit for all services of $5,000 per a three (3) year period.
How are supplies covered?
When purchased through an eligible provider, hearing aids and their approved supplies, such as replacement batteries, have a maximum benefit of $5,000 every three years. Please see your benefit description.
Can I choose the hearing aids I like best?
Great news! When you purchase from an eligible provider, you are welcome to purchase the brand that best suits your needs.
Where can I get hearing aid supplies?
You must use an eligible provider with your medical plan vendor, Aetna or BCBSKS, for your hearing aids. Over-the-counter hearing aids are not covered.
Do these services apply towards a deductible and out-of-pocket maximum?
Yes. Any amounts spent on the hearing aids and supplies (up to the benefit maximum) would apply to your deductible and out-of-pocket maximum.
How often does my plan cover the cost of new hearing aids?
The benefit will pay up to $5,000 every three years. The three-year benefit period measures the time period based on the year it was purchased and starts over on Jan. 1 in three years.
Does my benefit allow me to see the audiologist of my choice, or am I restricted to specific practices/providers?
No, you do not have to use a set provider for benefits to be available; however, for the highest level of benefits selecting a contracting provider would help limit your cost share.
