VNS Health Total: Hearing Services

Routine hearing exams and associated hearing aid services and supplies. Hearing - or lack of - impacts balance, walking, perception, and thinking.

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Cost
$0 hearing exam; $2,000 hearing aid coverage limit ($1,000 per ear)
Prior Authorization Required
No
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

  1. Hearing services are provided by HearUSA. Call (800) 468-9868 / TTY: 1-800-662-1220; 8am – 6pm, Monday – Friday.

  2. Schedule an appointment with an in-network audiologist for a hearing exam.

  3. Attend the appointment and complete the hearing exam.

  4. Engage in recommended follow-up treatment and/or referrals.

  5. Contact the VNS Health Total Care Team at (866) 783-1444 (TTY 711) for applicable authorization rules regarding hearing aids.

The plan covers several hearing care needs:

  • 1 routine hearing exam every year

  • 2 fitting evaluations for supplemental hearing aids every 3 years

  • 2 supplemental hearing aids every 3 years

    • Covered products include hearing aids, ear molds, special fitting, replacement parts, and hearing aid repairs.

Availability
Annual routine hearing exam; Triannual (every 3 years) for hearing aids
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Hearing services and products are covered when medically necessary to alleviate disability caused by the loss or impairment of hearing.  Routine hearing exams help to identify early hearing loss, gauge progressive hearing loss and track changes to make needed adjustments, identify balance problems associated with the inner ear, and address any modifiable factors that may contribute to hearing loss.    

Many people believe that they hear just fine, and perhaps they do.  Most do not know, however, that they have actually lost their ability to hear high frequencies, and some come to accept that muffled sound is normal.

Issues in the inner ear, which can be detected during routine screening, also cause balance problems.  Sometimes what we think is a musculoskeletal cause of imbalance (pain or weakness) may be an inner ear disorder.

Finally, modifiable factors that contribute to hearing loss, such as certain medications and environmental factors, can be addressed.

Older adults are also susceptible to excessive wax build-up and even ear infections.

Diagnostic hearing and balance evaluations performed by a provider to determine if medical treatment is needed are covered as outpatient care when completed by a physician, audiologist, or another qualified provider.

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