Plain English Breakdown
The bill text does not specify the exact dollar amounts or percentage limits for deductibles and coinsurance, only that they must be consistent with other benefits.
HB2187: Insurance Coverage for Children's Hearing Aids
This law requires health care services organizations in Arizona to provide full coverage for hearing aids and related services for children under specific age limits.
What This Bill Does
- Requires health plans to cover the cost of hearing aids and fitting services for eligible children, though deductibles or coinsurance may apply if they match rates for other covered items.
- Defines 'hearing aid' to include cochlear implants, bone-conductive devices, and other amplification equipment designed for children.
- Mandates coverage for ear molds and related services provided by licensed doctors, audiologists, or hearing aid dispensers.
- Allows insurance plans to offer optional extra hearing aid coverage beyond the required benefits.
Who It Names or Affects
- Children under age 18 enrolled in health care services organizations.
- High school students up to age 21 who are still attending school.
- Health care services organizations that issue or renew insurance plans.
- Licensed physicians, audiologists, and hearing aid dispensers providing these services.
Terms To Know
- Evidence of coverage
- The document issued by an insurer that lists the benefits and rules for a health plan.
- Cochlear implant
- A surgically implanted electronic device included in this law's definition of hearing aids to help provide sound.
- Coinsurance
- The percentage of a medical cost that the patient must pay, which may apply here if it matches rates for other benefits under the same plan.
Limits and Unknowns
- This law does not apply to short-term travel, accident-only, or limited benefit insurance plans.
- Coverage rules only begin for new policies issued on or after December 31, 2026.
- The text allows deductibles and coinsurance if they are consistent with other benefits in the plan.