Introduction:

The health plans fund hearing implants for policyholders in accordance with the rules of eligibility
Those who have received a hearing implant are entitled to a monetary reimbursement for its maintenance


The health plans fund hearing implants for policyholders in accordance with the rules of eligibility detailed below.

  • Policyholders who have received a hearing implant are entitled to a monetary reimbursement from the health plan for its maintenance.
  • Funding, eligibility for a second implant and reimbursements for implant maintenance are relevant for all types of hearing implants detailed on the "Hearing Implants" page except for Auditory Brain Stem (ABI). The following types of implants are covered:
    • Cochlear
    • Vibrant Sound Bridge (VSB)
    • Bone Anchored Hearing Aid (BAHA)
    • Electro Acoustic Stimulation (EAS)

Funding a Single Implant

Who is Eligible?

  • Policyholders from birth until age 18 are entitled to funding for one implant on the condition that they have two-sided deafness that cannot be rehabilitated using hearing devices.
  • Policyholders over age 18 are entitled to funding for one implant on the condition that they are newly deaf or hearing impaired and their hearing has deteriorated, according to the situations defined in the rules of eligibility.

Funding a Second Implant

Who is Eligible?

  • The health plans fund a second implant in the following situations:
  1. If the first implant was funded privately
  2. If the first implant was funded as part of the healthcare basket and partly or completely stopped working
  3. If the policyholder's medical condition justifies a second implant; this decision is contingent on a health plan doctor's medical opinion

Reimbursements for Implant Maintenance

  • Eligibility to receive an implant device also includes eligibility for supply and replacement of related equipment at no cost, including:
    • Processors
    • Cables
    • Microphone covers
    • Transmitters
    • Rechargeable/disposable batteries
    • Battery chargers

Aid Organizations

  • For a comprehensive categorized listing of organizations offering assistance and support for people with disabilities, click here.
  • For a comprehensive categorized listing of organizations offering health assistance and support for people see Health and Illness/Aid Organizations.

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