A. An individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state shall provide coverage for a hearing aid and any related service for the full cost of one hearing aid per hearing-impaired ear up to two thousand two hundred dollars ($2,200) every thirty-six months for hearing aids for insured children under eighteen years of age or under twenty-one years of age if still attending high school. The insured may choose a higher priced hearing aid and may pay the difference in cost above the two-thousand-two-hundred-dollar ($2,200) limit as provided in this subsection without financial or contractual penalty to the insured or to the provider of the hearing aid.
B. An insurer that delivers, issues for delivery or renews in this state an individual or group health insurance policy, health care plan or certificate of health insurance may make available to the policyholder the option of purchasing additional hearing aid coverage that exceeds the services described in this section.
C. Hearing aid coverage offered shall include fitting and dispensing services, including providing ear molds as necessary to maintain optimal fit, provided by an audiologist, a hearing aid dispenser or a physician, licensed in New Mexico.
D. The provisions of this section do not apply to short-term travel, accident-only or limited or specified disease policies.
E. Coverage for hearing aids may be subject to deductibles and coinsurance consistent with those imposed on other benefits under the same policy, plan or certificate.
F. For the purposes of this section, "hearing aid" means durable medical equipment that is of a design and circuitry to optimize audibility and listening skills in the environment commonly experienced by children.
History: Laws 2007, ch. 356, § 2.
Effective dates. — Laws 2007, ch. 356, § 6 made Laws 2007, ch. 356, § 2 effective July 1, 2007.
Structure New Mexico Statutes
Article 22 - Health Insurance Contracts
Section 59A-22-1 - Scope of article.
Section 59A-22-2 - Form and content of policy.
Section 59A-22-3 - Required provisions.
Section 59A-22-4 - Entire contract; changes.
Section 59A-22-5 - Time limit on certain defenses.
Section 59A-22-6 - Grace period.
Section 59A-22-7 - Reinstatement.
Section 59A-22-8 - Notice of claim.
Section 59A-22-9 - Claim forms.
Section 59A-22-10 - Proofs of loss.
Section 59A-22-11 - Time of payment of claims.
Section 59A-22-12 - Payment of claims.
Section 59A-22-13 - Physical examination and autopsy.
Section 59A-22-14 - Legal actions.
Section 59A-22-15 - Change of beneficiary.
Section 59A-22-16 - Optional provisions.
Section 59A-22-17 - Change of occupation.
Section 59A-22-18 - Misstatement of age.
Section 59A-22-19 - Other insurance in this insurance company.
Section 59A-22-20 - Insurance with other insurance companies.
Section 59A-22-21 - Insurance with other insurance companies [; alternative provision].
Section 59A-22-22 - Relation of earnings to insurance.
Section 59A-22-23 - Unpaid premium.
Section 59A-22-24 - Cancellation.
Section 59A-22-25 - Conformity with state statutes.
Section 59A-22-26 - Order of certain policy provisions.
Section 59A-22-27 - Third party ownership.
Section 59A-22-28 - Requirements of other jurisdictions.
Section 59A-22-29 - Conforming to statute.
Section 59A-22-30 - Age limit.
Section 59A-22-30.1 - Maximum age of dependent.
Section 59A-22-31 - Industrial health insurance.
Section 59A-22-32 - Freedom of choice of hospital and practitioner.
Section 59A-22-32.1 - Freedom of choice.
Section 59A-22-33 - Children with disabilities; coverage continued.
Section 59A-22-34 - Newly born children coverage.
Section 59A-22-34.1 - Coverage for adopted children.
Section 59A-22-34.2 - Coverage of children.
Section 59A-22-34.3 - Childhood immunization coverage required.
Section 59A-22-34.4 - Coverage of circumcision for newborn males.
Section 59A-22-34.5 - Hearing aid coverage for children required.
Section 59A-22-35 - Maternity transport required.
Section 59A-22-36 - Home health care service option required.
Section 59A-22-39 - Coverage for mammograms.
Section 59A-22-39.2 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.
Section 59A-22-40 - Coverage for cytologic and human papillomavirus screening.
Section 59A-22-40.1 - Coverage for the human papillomavirus vaccine.
Section 59A-22-41 - Coverage for individuals with diabetes.
Section 59A-22-41.1 - Coverage for medical diets for genetic inborn errors of metabolism.
Section 59A-22-42 - Coverage for prescription contraceptive drugs or devices.
Section 59A-22-43 - Required coverage of patient costs incurred in cancer clinical trials.
Section 59A-22-44 - Coverage for smoking cessation treatment.
Section 59A-22-45 - Coverage of alpha-fetoprotein IV screening test.
Section 59A-22-46 - Coverage of part-time employees.
Section 59A-22-47 - Coverage of colorectal cancer screening.
Section 59A-22-48 - General anesthesia and hospitalization for dental surgery.
Section 59A-22-49 - Coverage for autism spectrum disorder diagnosis and treatment.
Section 59A-22-49.2 - Coverage of prescription eye drop refills.
Section 59A-22-49.3 - Coverage for telemedicine services.
Section 59A-22-49.4 - Prescription drugs; prohibited formulary changes; notice requirements.
Section 59A-22-50 - Health insurers; direct services.
Section 59A-22-51 - Dental insurance plan; dental fees not covered; severability.
Section 59A-22-52 - Prescription drug prior authorization protocols.
Section 59A-22-53 - Pharmacy benefits; prescription synchronization.
Section 59A-22-53.2 - Pharmacist prescriptive authority services; reimbursement parity.
Section 59A-22-54 - Provider credentialing; requirements; deadline.
Section 59A-22-55 - Coverage exclusion. (Contingent repeal. See note.)
Section 59A-22-56 - Physical rehabilitation services; limits on cost sharing.