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Code · New Jersey · Title 17B — Insurance · Chapter 26

17B:26-2.1aa Individual health insurance policy to provide coverage for hearing aids, cochlear implant for covered persons.

230 words·~1 min read·/nj/title-17b/chapter-26/17b-26-2-1aa·

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5. a. An individual health insurance policy that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to chapter 26 of Title 17B of the New Jersey Statutes, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for medically necessary expenses incurred in the purchase of a hearing aid or cochlear implant for a covered person, as provided in this section.
b. A policy shall provide coverage that includes the purchase of a hearing aid for each ear, when medically necessary and as prescribed or recommended by a licensed physician or audiologist. An insurer may limit the benefit provided in this section to one hearing aid for each hearing-impaired ear every 24 months.
c. An individual health insurance policy shall provide coverage of the cost of treatment related to cochlear implants, including procedures for the implantation of cochlear devices and costs for any parts, attachments, or accessories of the device, including replacement of obsolete external cochlear implant processors.
d. The benefits shall be provided to the same extent as for any other condition under the policy.
e. This section shall apply to those policies in which the insurer has reserved the right to change the premium.
L.2008, c.126, s.5; amended 2023, c.275, s.4.
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