Expanding access to hearing care for children

Across the United States, access to essential hearing care services is inconsistent, with no universal insurance coverage for hearing devices, ongoing audiology services, or related equipment and supplies. For families of children with hearing loss, securing necessary care can be complex and costly, often depending on state-level policies and individual insurance plans.

State efforts to improve coverage

To address these challenges, some U.S. states have introduced insurance mandates that help families afford critical hearing care services. As of today, over half of the states have passed some form of mandate, though coverage varies depending on the type of insurance plan.

These efforts have helped many children gain access to hearing aids, cochlear implants, bone conduction devices, remote-microphone systems (such as Roger™ technology), and the professional care needed to support their development.

A case study: Oregon’s approach

The state of Oregon has a long history of improving access to hearing care through state-level insurance mandates. Recently, the passage of HB2994 further refined the state’s coverage, ensuring that families can access not only hearing aids but also necessary repairs, replacement parts, earmolds, and audiology services.

These efforts aim to simplify the process for both families and professionals, reducing barriers to care.

How families and professionals can support access to hearing care

While coverage policies vary across states, families, audiologists, educators, and healthcare providers play a key role in advocating for improved access. Here are some strategies that have been effective in the U.S.:

• Building a network: Families, professionals, and advocacy groups can collaborate to share insights and experiences, helping identify where gaps in coverage exist.
  
• Understanding insurance options: Researching coverage options for both commercial and Medicaid plans can help families navigate their choices and advocate for better benefits.
  
• Partnering with employers: Large employers may have flexibility in adjusting their benefits packages, and engaging with HR departments can sometimes lead to expanded coverage.
  
• Highlighting the long-term benefits: Educating policymakers, insurers, and other stakeholders about the impact of early hearing intervention on childhood development can help reinforce the importance of comprehensive coverage.

Each year, over 3.5 million newborns (98% of all births) in the U.S. are screened for hearing loss. Early identification and timely intervention are essential for supporting language and cognitive development in children who are deaf or hard of hearing.

While hearing care policies differ by state, continued collaboration among families, professionals, and advocates can help ensure that all children—regardless of where they live—have access to the hearing care they need.

To explore Phonak hearing technology, including Roger, visit www.phonak.com.

For those living in the US, we invite you to an article that points to additional funding information: “Become a Reasonable Accommodation expert!” Hearing Aids Costs & Options | Phonak