Delaware Code
Subchapter III. Provisions Applicable to Group and Blanket Health Insurance
§ 3571A. Hearing aid coverage.

(a) For purposes of this section, the term “hearing aid” means any nonexperimental, wearable instrument or device designed for the ear and offered for the purpose of aiding or compensating for impaired human hearing, but excluding batteries, cords, and other assistive listening devices such as FM systems.
(b) Every group and blanket health insurance contract, including each policy or contract issued by a health service corporation, which is delivered, issued for delivery, or renewed in this State on or after January 1, 2009, shall provide coverage of up to $1000 per individual hearing aid, per ear, every 3 years, for children less than 24 years of age, covered as a dependent by the policy holder.
(c) The insured may choose a hearing aid exceeding $1,000 and pay the difference in cost above the amount of coverage required by this section. Reimbursement shall be provided according to the respective principles and policies of the insurer. The insurer may require the policyholder to provide a prescription or show proof through other suitable documentation of the need for a hearing aid and nothing contained in this section shall preclude the insurer from conducting managed care, medical necessity, or utilization review or prevent the operation of such policy provisions as deductibles, coinsurance, allowable charge limitations, coordination of benefits or provisions restricting coverage to services by licensed, certified or carrier-approved providers or facilities.
(d) This section does not apply to insurance coverage providing benefits for:

(1) Hospital confinement indemnity;
(2) Disability income;
(3) Accident only;
(4) Long-term care;
(5) Medicare supplement;
(6) Limited benefit health;
(7) Specified diseased indemnity;
(8) Sickness or bodily injury or death by accident or both; and
(9) Other limited benefit policies.

Structure Delaware Code

Delaware Code

Title 18 - Insurance Code

Chapter 35. GROUP AND BLANKET HEALTH INSURANCE

Subchapter III. Provisions Applicable to Group and Blanket Health Insurance

§ 3550. Newborn children.

§ 3551. Filing of rates.

§ 3552. Cancer screening tests.

§ 3553. Midwife services reimbursement.

§ 3554. Lead poison screening reimbursement [For application of this section, see 83 Del. Laws, c. 75, § 9].

§ 3555. Coverage of cancer monitoring tests.

§ 3555A. Equal reimbursement for oral and intravenous anticancer medication.

§ 3555B. Coverage of drugs approved for treatment of certain cancers [For application of this section, see 81 Del. Laws, c. 180, §§ 3 and 4].

§ 3556. Obstetrical and gynecological coverage.

§ 3556A. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, §  12] [Effective until Jan. 1, 2027].

§ 3556A. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, §  12] [Effective Jan. 1, 2027].

§ 3557. Child abuse or neglect — Group coverage.

§ 3558. Immunizations and preventive services.

§ 3559. Contraceptive coverage.

§ 3559A-3559C. Insurance coverage for diabetes; annual pap smear coverage reimbursement; colorectal cancer screening.

§ 3560. Insurance coverage for diabetes.

§ 3560A. Cost sharing in prescription insulin drugs.

§ 3560B. Coverage for insulin pumps.

§ 3561. Annual pap smear coverage reimbursement.

§ 3562. Colorectal cancer screening.

§ 3563. Required coverage for reconstructive surgery following mastectomy.

§ 3564. Referrals.

§ 3565. Emergency care.

§ 3565A. Required coverage for volunteer ambulance company services.

§ 3566. Prescription medication.

§ 3566A. Copayment or coinsurance for prescription drugs limited [For application of this section, see 82 Del. Laws, c. 57, § 3].

§ 3567. Clinical trials.

§ 3567B. Experimental treatment coverage.

§ 3568. Newborn and infant hearing screening; coverage and reimbursement.

§ 3569. Use of Social Security numbers on insurance cards.

§ 3570. Supplemental coverage for children of insureds [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3570A. Autism spectrum disorders coverage.

§ 3571. Phenylketonuria (PKU) and other inherited metabolic diseases.

§ 3571A. Hearing aid coverage.

§ 3571B. Required coverage for scalp hair prosthesis.

§ 3571C. Dental services for children with a severe disability.

§ 3571D. Screening of infants and toddlers for developmental delays.

§ 3571E. Reimbursement for orthotic and prosthetic services.

§ 3571F. Mini-COBRA small employer group health policies [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571G. School-based health centers.

§ 3571H. Payment for emergency medical services.

§ 3571I. No lifetime or annual limits [For application of this section, see 79 Del. Laws, c. 9, § 19].

§ 3571J. Guaranteed availability of coverage [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571K. Prohibition on excessive waiting periods [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571L. Nondiscrimination in health care [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571M. Comprehensive health insurance coverage [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571N. Prohibiting discrimination against individual participants and beneficiaries based on health status [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571O. Insurance offered through the state health insurance exchange [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571P. Rating factors [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3571Q. Notification and reasons for cancellation or nonrenewal [For application of this section, see 79 Del. Laws, c. 390, § 8].

§ 3571R. Telehealth and telemedicine.

§ 3571S. Network disclosure and transparency.

§ 3571T. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

§ 3571U. Mental Health Parity and Addiction Equity Act reporting requirements.

§ 3571V. Time of submitting claim for reimbursement.

§ 3571W. Electronic medical claims.

§ 3571X. Medication assisted treatment for drug and alcohol dependencies.

§ 3571Y. Coverage for epinephrine autoinjectors.

§ 3571Z. Annual behavioral health well check [Effective Jan. 1, 2024].