2009 Kentucky Revised Statutes
Subtitle 17A. Health Benefit Plans
304.17A.132 Coverage for hearing aids.

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Page 1 of 1 304.17A-132 Coverage for hearing aids. (1) As used in this section: (a) &quot;Hearing aid&quot; means any wearable, nondisposable instrument or device designed to aid or compensate for impaired human hearing and any parts, <br>attachments, or accessories, including earmolds, but excluding batteries and <br>cords; and (b) &quot;Related services&quot; means those services necessary to assess, select, and appropriately adjust or fit the hearing aid to ensure optimal performance. (2) A health benefit plan shall provide coverage, subject to all applicable copayments, coinsurance, deductibles, and out-of-pocket limits, for the full cost of one (1) <br>hearing aid per hearing-impaired ear up to one thousand four hundred dollars <br>(&#36;1,400) every thirty-six (36) months for hearing aids for insured individuals under <br>eighteen (18) years of age and all related services which shall be prescribed by an <br>audiologist licensed under KRS Chapter 334A and dispensed by an audiologist or <br>hearing instrument specialist licensed under KRS Chapter 334. The insured may <br>choose a higher priced hearing aid and may pay the difference in cost above the one <br>thousand four hundred dollar (&#36;1,400) limit as provided in this section without any <br>financial or contractual penalty to the insured or to the provider of the hearing aid. (3) A health benefit plan shall not be required to pay a claim filed by its insured for payment of the cost of a hearing aid under the coverage required by subsection (2) <br>of this section if less than three (3) years prior to the date of the claim its insured <br>filed a claim for payment of the cost of a hearing aid under the required coverage <br>and the claim was paid by any health benefit plan. Effective: July 15, 2002 <br>History: Created 2002 Ky. Acts ch. 106, sec. 1, effective July 15, 2002.

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