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Question/Topic
How does UMP cover hearing exams and hearing aids?
Answer/Article

This benefit is exempt from the annual medical deductible, and includes the following services and supplies:

Hearing Exams (routine)

UMP covers one routine hearing exam per calendar year. When you see a network ­provider, these services are paid at 100% of the UMP allowed amount. However, if you see a non-network provider, services are paid at the non-network rate (60% of the UMP allowed amount). Note: EPIC providers are considered network providers for the purposes of this benefit.

Hearing Aids

UMP pays up to $800 per enrollee every three calendar years for:

  • Purchase of a hearing aid (monaural or binaural) prescribed as a result of an exam, including:
    • Ear mold(s).
    • Hearing aid instrument.
    • Initial battery, cords, and other ancillary equipment.
    • Warranty and follow-up consultation within 30 days after delivery of hearing aid.
  • Rental charges up to 30 days, if you return the hearing aid before actual purchase.
  • Repair of hearing aid equipment.

UMP is now offering reduced-cost hearing aids and hearing care services through the EPIC Program. To find out more about this voluntary program that may save you money, call 1-866-956-5400. If you prefer, you can continue to see your UMP provider for hearing care services.

FOR MORE INFORMATION: UMP offers hearing aids and hearing care services through the UMP network and EPIC Hearing Health. Check UMP’s online provider directory or call Customer Service to find providers in your area. To find out how the EPIC program works, call 1-866-956-5400. EPIC is a voluntary discount program that may help you get better prices on services and equipment.

Hearing-Related Items UMP Doesn't Cover

UMP does not cover the following hearing-related items:

  • Charges incurred after your UMP coverage ends, unless you ordered the hearing aid before that date and it is delivered within 45 days after UMP coverage ends.
  • Purchase of replacement batteries or other ancillary equipment, except those covered under terms of the initial hearing aid purchase.

Related Items
Does UMP cover disorders and diseases of the ear that are not related to routine hearing loss?
How did UMP cover hearing exams and hearing aids in 2008?
KBID 848
Date Modified 2/24/2009
Date Created 10/7/2008

The Certificate of Coverage (COC) is the source of coverage provisions offered under UMP. If information given here is inconsistent with the UMP COC, the rules in the COC will apply. Also, the COC may have additional information on this subject.

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