N.J.S.A. 17B:27A-7.14 — Individual health benefits plan to provide coverage for hearing aids, cochlear implant for covered persons.

17B:27A-7.14 Individual health benefits plan to provide coverage for hearing aids, cochlear implant for covered persons. 7. a. An individual health benefits plan that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1992, c.161 (C.17B:27A-2 et al.), on or after the effective date of this act, shall provide coverage for medically necessary expenses incurred in the purchase of a hearing aid or cochlear implant for a covered person, as provided in this section. b. A health benefits plan shall provide coverage that includes the purchase of a hearing aid for each ear, when medically necessary and as prescribed or recommended by a licensed physician or audiologist. A carrier may limit the benefit provided in this section to one hearing aid for each hearing-impaired ear every 24 months. c. An individual health benefits plan shall provide coverage of the cost of treatment related to cochlear implants, including procedures for the implantation of cochlear devices and costs for any parts, attachments, or accessories of the device, including replacement of obsolete external cochlear implant processors. d. The benefits shall be provided to the same extent as for any other condition under the health benefits plan. e. This section shall apply to those health benefits plans in which the carrier has reserved the right to change the premium. L.2008, c.126, s.7; amended 2023, c.275, s.6. 17B:27A-7.15 Individual health benefits plan to provide installment payments to obstetrical provider for maternity services. 6. a. Every individual health benefits plan that provides benefits for maternity services, and that is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance on or after the effective date of this act, shall provide for reimbursement in installments to an obstetrical provider licensed in New Jersey for maternity services rendered during the term of a covered person's pregnancy. b. For the purposes of this section, "obstetrical provider licensed in New Jersey" means: (1) an obstetrician/gynecologist licensed by the State Board of Medical Examiners; or (2) a midwife licensed by the State Board of Medical Examiners as a certified midwife or a certified nurse midwife. c. This section shall apply to all individual health benefits plans in which the carrier has reserved the right to change the premium. L.2009, c.113, s.6.

This is the verbatim text of N.J.S.A. 17B:27A-7.14, retrieved from the New Jersey Legislature's public statute corpus. Statutes are amended periodically — for the most current version, check the external source link above. Kyzer is not a law firm and this page is not legal advice.