Cash register hearing aids are not sufficient
A ruling by the Federal Social Court obliges health insurers to pay the costs for medically necessary hearing aids in full. How do you justify the medical necessity if your hearing aid is more expensive than the fixed amount from the health insurance company?
Things to know about cash register hearing aids
- Statutory health insurance companies pay a certain fixed amount for a hearing aid. Cash register hearing aids are devices that do not cost more than this fixed amount.
- The problem: People with severe hearing loss in particular need a digital hearing aid that can detect ambient noise can filter out and amplify certain frequencies and which is significantly more expensive than a Cash register hearing aid.
- Although a judgment determines that the additional cost of more expensive equipment must be covered, it may lead to the full Assumption of costs be tedious for the new hearing aid.
Hearing aid - how to apply for reimbursement
- Ask your ENT doctor for a certificate attesting to the degree of your hearing loss and a recommendation for a specific hearing aid that is medically necessary for you.
- Ask your hearing care professional to confirm why statutory hearing aids are not sufficient to correct the hearing loss in your case.
- Keep a hearing diary during the fitting phase. You can obtain this from your hearing care professional. In it, write down exactly how well or how badly you could hear with the different hearing aids tested.
- Do not sign a waiver that you will pay any costs yourself.
- Before you buy the new device, it is essential that you apply for full cost coverage to your health insurance company. An informal letter is sufficient. Enclose the certificate, confirmation from the hearing care professional and your hearing diary with the application.
- If your application is rejected, file an objection immediately. The deadline for filing an objection is one month. In it, inform your health insurance company about the BSG judgment Az B 3 KR 20/08.
Exercising is always good for your body, even if you have to wear hearing aids. …
All information: as of July 2012
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