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Connecticut: Age-Based Restrictions and Health Insurance Coverage for Hearing Aids

Connecticut: Age-Based Restrictions and Health Insurance Coverage for Hearing Aids

The Academy is closely monitoring an issue that has recently come to light in the state of Connecticut. On June 15, the Connecticut Insurance Commissioner issued a bulletin to insurance companies doing business within the state that interprets the Affordable Care Act (ACA) and its accompanying regulations as applied to age-based benefit restrictions in Connecticut law.  The Insurance Commissioner found that Connecticut's mandated coverage of hearing aids for children twelve and under was discriminatory in violation of the ACA.

Below please find the Connecticut Insurance Commissioner's Bulletin, as well as the Academy's analysis of the bulletin as it relates to the ACA, regulations and Connecticut law. The Academy will continue to review this issue, but we wanted to disseminate this information immediately to our state advocates. The Academy encourages its members to review this information and also to take a look at your own state's statutes to see how this could potentially apply within your own state. Again, this analysis focuses specifically on the situation in Connecticut, but certainly it has the potential to impact other states, especially those that mandate hearing aid coverage for children.