Hearing Services. Repairs, modifications, cords, batteries, and other assistive listening devices. Home Health Care • Homemaking, companion, chronic, or custodial care services. • Services of a personal care attendant.
Hearing Services. Hearing Exams and Tests This plan covers hearing exams and diagnostic hearing tests. Hearing Aids This plan covers hearing aids in accordance with R.I. General Law § 27-20-46, subject to the benefit limit and copayments listed in the Summary of Medical Benefits. We will reimburse the lesser of the provider’s charge or the benefit limit shown in the Summary of Medical Benefits. If the provider’s charge is more than the benefit limit, you are responsible for paying any difference. See Section 6 for additional information.
Hearing Services. Covered Services include: • Routine hearing screenings (see “Preventive Care” later in this section) • Hearing exams to determine the need for hearing correction (see “Preventive Care” later in this section) • Services related to the ear or hearing, such as outpatient care to treat an ear infection and outpatient Prescription Drugs, supplies and supplements (see “Office Visits” later in this section and the section titled WHAT IS COVERED – PRESCRIPTION DRUGS) • Cochlear implants (see “Durable Medical Equipment and Medical Devices, Special Footwear, Orthotics, Prosthetics and Medical and Surgical Supplies” earlier in this section) Home Care Services Precertification is required for Home Care Services (see the section titled GETTING APPROVAL FOR BENEFITS for details). Benefits are available for Covered Services performed by a Home Health Care Agency or other professional Provider in Your home. To be eligible for benefits, You must essentially be confined to the home, as an alternative to a Hospital stay, and be physically unable to get needed medical services on an outpatient basis. Services must be prescribed by a Physician and the services must be so inherently complex that they can be safely and effectively performed only by qualified, technical, or professional health staff. Covered Services include but are not limited to: • A registered nurse • A medical social service worker • Diagnostic services • Nutritional guidance • Training of the patient and/or family/caregiver • A health aide who is employed by, or under arrangement with, a Home Health Agency or Visiting Nurse Association. A health aide is covered only if You are also receiving the services of a registered nurse or licensed therapist employed by the same organization and the registered nurse is supervising the services • A licensed therapist for Physical Therapy, Occupational Therapy, speech or respiratory therapy • Necessary medical supplies provided by the Home Health Agency or Visiting Nurse Association • Private Duty Nursing when Medically Necessary and approved by Xxxxx Limitations: • Up to 100 visits per Calendar Year. • The ordering Physician must be treating the illness or injury necessitating the Home Health Care and renew the order for these services once every thirty (30) days. • Providers in California must be a California licensed Home Health Agency or Visiting Nurse Association. • We will not cover personal comfort items. Hospice Care Precertification is required for Hospice Care ...
Hearing Services. Hearing Exams We cover hearing tests to determine the need for hearing correction. Refer to Preventive Health Care Services for coverage of newborn hearing screenings. See the benefit-specific exclusions immediately below for additional information.
Hearing Services. Hearing aids, hearing devices and related or routine examinations and services. • Home Birth • Homes – Services provided by a rest home, a home for the aged, a nursing home or any similar facility or long-term care facilities.
Hearing Services. Medically necessary hearing evaluations and diagnostic testing for hearing aid candidacy every three (3) years. A hearing aid fitting and dispensing for each ear every three (3) years. Three (3) hearing aid repairs a year outside the warranty period. One cochlear implant for either ear, but not both, if medical criterion is met through prior authorization. Prior authorization may be granted for cochlear implant repairs outside the warranty period. Such services must be provided in accordance with the policy and service provisions specified in the Medicaid Hearing Services Coverage and Limitations Handbook, and must be provided by providers licensed under Chapter 484, Part II, F.S.
Hearing Services. Hearing aids, hearing devices and related or routine examinations and services. • Home Birth • Homes – Services provided by a rest home, a home for the aged, a nursing home or any similar facility or long-term care facilities. • Hormone Pellets – All implantable hormone pellets. • Hypnotherapy • Immunizations for work or travel • Industrial Rehabilitation Therapy • Ineligible Hospital – Any services rendered, or supplies provided while You are confined in an Ineligible Hospital. • Ineligible Provider – Any services rendered, or supplies provided while You are a patient or receive services at or from an Ineligible Provider. • Infant Formula • Infertility – Services related to or performed in conjunction with artificial insemination, in-vitro fertilization (IVF), ZIFT, GIFT ICSI and other related services, reverse sterilization or a combination thereof. Donor egg retrieval. • Injury or Illness – Care, supplies, or equipment not Medically Necessary, as determined by Alliant, for the treatment of an Injury or illness. • Inpatient Mental Health – Inpatient Hospital care for mental health conditions when the stay is: o determined to be court-ordered, custodial, or solely for the purpose of environmental control; o rendered in a home, halfway house, school, or domiciliary institution; o associated with the diagnosis(es) of acute stress reaction, childhood or adolescent adjustment reaction, and/or related marital, social, cultural or work situations.
Hearing Services. At a minimum, include diagnosis and treatment for defects in hearing, including hearing aids. For infants identified as at risk for hearing loss through the New Jersey Newborn Hearing Screening Program, hearing screening should be conducted prior to three months of age using professionally recognized audiological assessment techniques. For all other children, hearing screening means, at a minimum, observation of an infant's response to auditory stimuli and audiogram for a child three (3) years of age and older. Speech and hearing assessment shall be a part of each preventive visit for an older child.
Hearing Services. (See Attachment I) 5. Vision Services (See Attachment I)
Hearing Services. Hearing aids - The benefit limit is $1,500 per hearing aid 20% - After deductible The level of coverage is the same as network provider.
