Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-Implantable (for Pennsylvania Only)
Medical policy governing coverage and medical necessity for wearable, bone-anchored, and semi-implantable hearing aids and devices for members in Pennsylvania; applies to individuals under 21 years of age and references state-specific prior authorization guidance.
Replaced coverage guidelines for wearable air conduction Hearing Aids with instruction to refer to the Pennsylvania Department of Human Services Medical Assistance Bulletin for prior authorization guidelines.
Removed list of applicable CPT/HCPCS codes for Fitting and Testing of Hearing Aids (92590, 92591, 92592, 92593, 92594, 92595, S0618, V5010, V5011, V5014, V5020, V5264, V5265, V5275).
Added language clarifying that benefit coverage is determined by federal, state, or contractual requirements and that medical records documentation may be required to assess clinical criteria but does not guarantee coverage.
Updated Description of Services, Clinical Evidence, FDA, and References sections to reflect the most current information.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.