Hearing Aids - (0093)
CIGNA-0093
Cigna covers FDA‑approved air‑conduction hearing aids, bone‑conduction systems (BAHA/implantable and magnetic coupling devices) and certain partially implantable middle‑ear devices for conductive, sensorineural, or mixed hearing loss (coverage varies by plan) and excludes devices deemed experimental/unproven (e.g., fully implantable Esteem, SoundBite intraoral system). Key requirements include device‑specific candidacy (age limits), detailed audiometric documentation (PTA at specified frequencies, device‑specific bone‑conduction thresholds, and speech‑discrimination scores—commonly >60%), clinical justification that air‑conduction aids are contraindicated or not tolerated when applicable, and correct coding/benefit verification; batteries, repairs, and replacements are covered if medically necessary.
"If coverage for U."
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