Hearing/Hearing Aids
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Ancillary
Health Net plans cover hearing tests provided by a member's physician, audiologist or other qualified provider in accordance with Hearing Aid CAP FAQ and Medi-Cal guidelines (DOC). Hearing aids, including molds, supplies, inserts, and an initial set of batteries, are also covered.
Replacement of a hearing aid is covered if:
- Hearing loss is such that the member’s current hearing aid is not able to correct it
- Hearing aid is lost, stolen, or broken and cannot be fixed (and was not the member’s fault).
- Replacement hearing aid batteries
Health Net contracts with Connect Hearing, Inc., Sonus and Hearing Healthcare Providers (HHP) to provide hearing aid services. Providers should refer members with a prescription, to one of these contracting providers. Once the contracting provider receives a prescription from the treating provider, the contracting provider verifies the member's eligibility and administers benefits in accordance with Medi-Cal guidelines (DOC). For additional information on hearing aid services, refer to the Department of Health Care Services (DHCS) Medi-Cal Provider Manual.