Treatment of Tinnitus

This policy covers non‑surgical management of persistent (≥6 months), bothersome tinnitus — including psychological coping therapies (CBT, ACT, mindfulness, psychophysiological therapy), tinnitus retraining/habituation, in‑ear masking and other sound therapies (e.g., Neuromonics, Heidelberg model), hearing aids, and related supportive interventions for patients often experiencing associated hearing loss, sleep disturbance, anxiety, or depression. Major limitations/requirements: psychological therapies are generally expected to be 4–6 one‑hour visits over an 18‑month period; many neuromodulation and certain sound technologies (e.g., some customized maskers, transcranial magnetic/direct current stimulation, electrical/transcutaneous ear stimulation, transmeatal laser) are considered experimental/investigational and not established, and treatments are supportive only (no cure).

"Psychological coping therapies (including cognitive-behavioral therapy, self-help CBT, tinnitus coping therapy, acceptance and commitment therapy, and psychophysiological treatment which may includ..."