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IL SB2516
Bill
Status
1/12/2010
Primary Sponsor
Arthur Wilhelmi
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AI Summary
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Requires health insurance policies and managed care plans amended, delivered, issued, or renewed after the effective date to cover hearing instruments and related services when prescribed by a licensed audiologist, physician, or hearing instrument dispenser.
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Mandates insurers provide coverage of up to $2,500 per hearing aid per impaired ear, subject to co-payments, co-insurance, deductibles, and out-of-pocket limits.
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Allows hearing aids to be replaced once every 36 months, or at any time if there is a significant change in hearing status (defined as a 10 decibel change on audiogram); related services such as exams and repairs covered at all times when prescribed.
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Prohibits insurers from paying hearing aid claims if a substantially identical claim was paid by any insurer within the 36 months prior to the current claim filing.
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Applies coverage requirements to health insurance policies, Health Maintenance Organizations, and Voluntary Health Services Plans; becomes effective immediately upon enactment.
Legislative Description
INS CD - HEARING AID COVERAGE
Last Action
Pursuant to Senate Rule 3-9(b) / Referred to Assignments
6/27/2010