Requires health insurers to provide coverage for hearing aids.
Impact
This legislation significantly alters the accessibility of hearing aids for residents of New Jersey. By mandating insurance coverage, it reduces the financial burden on individuals who need these devices, as the total cost-sharing responsibility for covered individuals cannot exceed 15 percent of the cost of the hearing aid. This provision aims to make hearing aids more affordable and accessible, particularly benefiting older adults and those with significant hearing loss.
Summary
Senate Bill 845 requires health insurers in New Jersey to provide coverage for the purchase of hearing aids. Specifically, the bill stipulates that all hospital service corporations, medical service corporations, and health maintenance organizations must include this coverage in their health benefits plans. It ensures that individuals can receive medically necessary hearing aids to address their hearing impairments. The coverage includes at least one analog or digital hearing aid for each ear every 48 months, prescribed or recommended by a licensed audiologist or hearing aid dispenser.
Contention
As of now, there may be debates surrounding the financial implications of this mandate on health insurers and potential cost increases for insurance premiums. Moreover, discussions may arise about whether the frequency of coverage provided (one hearing aid every 48 months) is sufficient for individuals with progressive hearing loss. Critics may argue that, while the intent is to improve access, the actual implementation could strain insurance resources or lead to unintended consequences in premium structures.