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.
Contact Health Plan Operations when you have questions about benefit/vendor coverage or general claim issues, with voluntary prescription eyewear, medical, dental, pharmacy or voluntary benefits for all member groups. Email Health Plan Operations.
Contact Membership Services when you have questions about the membership portal, eligibility, new hires, termination, retirees or spending accounts. Email Member Services.
