✨ Hearing Aid Services Notice
1844 NEW ZEALAND GAZETTE, No. 79 8 JUNE 2011
(d) the requirements in Part C have been met.
Defined in this notice: audiology provider, claim, eligible person, hearing aid, hearing aid funding, services manager
Subpart BE—Hearing aid funding scheme: costs associated with replacement hearing aids that are partially met by insurance
BE1 Reimbursement for costs associated with replacement hearing aid that are partially met by insurance
(1) This clause applies if—
(a) an eligible person has received a hearing aid purchased with hearing aid funding, or via the previous Children’s Hearing Aid Fund, or the previous Equipment and Modification Services scheme; and
(b) as a result of the eligible person’s hearing aid being lost, damaged, or for any other reason, the eligible person requires a replacement hearing aid; and
(c) some of the cost of replacing the hearing aid is to be met by insurance.
(2) If this clause applies, an audiology provider—
(a) may forward a claim to the services manager for reimbursement of the cost of the eligible person’s replacement hearing aid that—
(i) is not to be met by insurance; and
(ii) does not exceed the amount of hearing aid funding that would otherwise be available for the hearing aid;
and
(b) must submit with the audiology provider’s claim—
(i) a written statement from an approved assessor that the replacement hearing aid is the most appropriate and cost-effective hearing aid for the eligible person; and
(ii) a letter from the insurer stating that the insurance claim in relation to the replacement hearing aid has been accepted by the insurer and stating the amount paid, or to be paid, on the insurance claim by the insurer.
(3) If this clause applies, the services manager will consider, and may approve, the audiology provider’s claim for reimbursement of the portion of the cost of the eligible person’s replacement hearing aid that has been paid, or will be paid, by the insurer.
Defined in this notice: approved assessor, audiology provider, claim, eligible person, hearing aid, hearing aid funding, services manager
Next Page →
NZ Gazette 2011, No 79
✨ LLM interpretation of page content
🏥
Hearing Aid Services Notice 2011
(continued from previous page)
🏥 Health & Social WelfareHearing aid services, Eligibility criteria, Information requirements, Funding approval, Assessment, Hearing needs, Trial process