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Frequently Asked Questions - Audiology Benefits (Hearing Exam)

  1. I think I have hearing loss; can I get tested for hearing loss after June 30, 2009?
  2. I need a hearing aid(s); can I still get a hearing aid(s) after June 30, 2009?
  3. I have hearing aids and they need to be tested to make sure they are working; can I get my hearing aids serviced after June 30, 2009?
  4. I have a bone anchor hearing aid (BAHA) and it needs to be tested to make sure it is working; can I get my BAHA checked and tested after June 30, 2009?
  5. I had a cochlear implant. My hearing needs to be examined at regular intervals; can I still get a hearing exam to test my cochlear implant after June 30, 2009?
  6. My hearing aids need replacement batteries. Can I still get hearing aid replacement batteries after June 30, 2009?
  7. My hearing aids need to be repaired. Can I still have my hearing aids repaired after June 30, 2009?
  8. My hearing aids need new parts. Can I still have my hearing aids parts replaced after June 30, 2009?
  9. I lost my hearing aids. Can I still get new hearing aids after June 30, 2009?

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1.    I think I have hearing loss; can I get tested for hearing loss after June 30, 2009?

Answer: No. Medi-Cal will no longer pay for a hearing exam. Only the following persons may continue to receive hearing exam services that will be paid for by Medi-Cal:

a. Pregnant women will receive the optional benefit if it is part of their pregnancy-related care or for services to treat a condition that may cause problems in pregnancy.

b. Children or young adults who are 20 years old and younger and receive full scope Medi-Cal.

c. People who live in a licensed nursing home such as a Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), ICF for the Developmentally Disabled (ICF-DD) and Sub Acute Facility.

 

2.    I need a hearing aid(s); can I still get a hearing aid(s) after June 30, 2009?

Answer: Yes. Hearing aids are still a benefit and will continue to be covered by Medi-Cal; however, hearing tests will not be covered or paid for by Medi-Cal.

 

3.    I have hearing aids and they need to be tested to make sure they are working; can I get my hearing aids serviced after June 30, 2009?

Answer: No. The testing for hearing aids is no longer covered after June 30, 2009, or after you reach 21 years of age.

Only the following persons may continue to receive hearing tests for hearing aids that will be paid for by Medi-Cal:

a. Pregnant women will receive the optional benefit if it is part of their pregnancy-related care or for services to treat a condition that may cause problems in pregnancy.

b. Children or young adults who are 20 years old and younger and receive full scope Medi-Cal.

c. People who live in a licensed nursing home such as a Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), ICF for the Developmentally Disabled (ICF-DD) and Sub Acute Facility.

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4.    I have a bone anchor hearing aid (BAHA) and it needs to be tested to make sure it is working; can I get my BAHA checked and tested after June 30, 2009?

Answer: No. The testing for your bone anchored hearing aid (BAHA) is no longer covered after June 30, 2009, or after you reach 21 years of age.

Only the following persons may continue to receive a hearing exam for their BAHA that will be paid for by Medi-Cal:

a. Pregnant women will receive the optional benefit if it is part of their pregnancy-related care or for services to treat a condition that may cause problems in pregnancy.

b. Children or young adults who are 20 years old and younger and receive full scope Medi-Cal.

c. People who live in a licensed nursing home such as a Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), ICF for the Developmentally Disabled (ICF-DD) and Sub Acute Facility.

 

5.    I had a cochlear implant. My hearing needs to be examined at regular intervals; can I still get a hearing exam to test my cochlear implant after June 30, 2009?

Answer: Yes. The testing, exam, or follow-up for your cochlear implant shall continue after June 30, 2009 or shall continue after you reach 21 years of age. You will also continue to receive follow-up care for your cochlear implant if you are pregnant, less than 21 years old, or live in a nursing home or sub-acute facility. The service is limited only for your cochlear implant care and follow-up. Other services not related to cochlear implant care and follow-up will no longer be covered.

 

6.    My hearing aids need replacement batteries. Can I still get hearing aid replacement batteries after June 30, 2009?

Answer: No. When your hearing aid is fitted then dispensed (new), it should include one standard battery package. However, replacement of hearing aid batteries has never been a covered benefit of Medi-Cal and will remain not covered after June 30, 2009.

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7.    My hearing aids need to be repaired. Can I still have my hearing aids repaired after June 30, 2009?

Answer: Yes. Repair of hearing aids is not affected. However, testing the hearing aid to see if it is working will not be covered and will not be paid for by Medi-Cal. See question #3 above.

 

8.    My hearing aids need new parts. Can I still have my hearing aids parts replaced after June 30, 2009?

Answer: Yes. Replacement of hearing aids are still a benefit and will continue to be covered by Medi-Cal.

 

9.    I lost my hearing aids. Can I still get new hearing aids after June 30, 2009?

Answer: Yes. However, you need to follow the steps for getting a new hearing aid.

 

 

Last modified on: 12/29/2009 10:43 AM