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Specific Exclusion of Cochlear Implantation in Private Employer Health Insurance Plans
We are interested in learning about the extent to which specific exclusions for cochlear implantation are showing up in private employer health insurance plans.
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1.
What is your role in the cochlear implant or hearing health clinic?
ENT
Audiologist
Speech Language Pathologist
Psychologist
Social Worker
Educator of Children who are Deaf or Hard of Hearing
Other (please specify)
2.
In the past 12 months, how many times has a patient at your clinic had an employer provided health insurance plan with a specific exclusion for cochlear implantation for a child or adult with bilateral moderate to profound hearing loss?
None--we have not seen this within the past year
Once or twice
3-10 times
More than 10 times
3.
In the past 12 months, how many times has a patient at your clinic had an employer provided health insurance plan with a specific exclusion for cochlear implantation in a child or adult with Single Sided Deafness or Asymmetric Hearing Loss?
None, we have not seen that in the past year
Once or twice
3-10 times
More than 10 times
4.
Were patients typically able to reverse the exclusion and gain CI coverage for bilateral deafness?
Yes
No
Other (please specify)
5.
Were patients typically able to reverse the exclusion and gain CI coverage for single sided deafness?
Yes
No
Other (please specify)
6.
Were exclusions more common for adults or children?
More common for adults
More common for children
No difference
Other (please specify)
7.
If you answered yes, what strategies were helpful?
Asking the employer to work with the insurer to eliminate the exclusion for CI
Working directly with the insurance company to urge them to cover CI (either patient or clinic)
Peer review with insurance company representative
Formal written appeal submitted to insurance company
Changing insurance companies
Lodging a complaint with a state regulatory agency
Other (please specify)
8.
Are you willing to answer additional questions about your clinic's experience with specific exclusions in employer insurance plans? If yes, please add your name and email address below. We will not share your personal information with anyone else.
Current Progress,
0 of 8 answered
