This section adds a new section to an existing chapter 48.43. Here is the modified chapter for context.
A health carrier offering a health plan issued or renewed on or after January 1, 2023, must include coverage for hearing instruments, including bone conduction hearing devices.
Coverage must include the hearing instrument, the initial assessment, fitting, adjustment, auditory training, and ear molds as necessary to maintain optimal fit.
The maximum benefit amount required by this section is $2,500 per ear with hearing loss every 36 months. This benefit is not subject to the covered individual's deductible.
A covered individual may choose a higher priced hearing instrument and pay the difference between the price of the hearing instrument and the benefit required under this section, without financial or contractual penalty to the covered individual or to the provider of the hearing instrument.
For the purposes of this section, "hearing instrument" has the same meaning as defined in RCW 18.35.010.