DC 37 Health & Security Plan Benefits
Plan's Audiology Benefit, which is operated by Hear & See Right, Inc., is
provided in response to the many members who suffer hearing loss problems and
don't have ready access to affordable quality care.
This benefit is
available only to you, the member, and is provided exclusively at the Audiology
Center located at 115 Chambers Street, New York, NY 10007 (212-791-2126).
members can use the above facility staffed by audiologists who are committed to
providing quality audiological service.
The Audiology benefit includes
a comprehensive audiological evaluation, hearing aid evaluation and dispensing
of a hearing aid/hearing aids if necessary.
If the comprehensive evaluation
confirms a hearing deficiency, the member will be given a report, which should
be taken to an Ear, Nose and Throat specialist. The Ear, Nose and Throat specialist
will confirm that there is no medical conflict to the use of hearing aids, or
will indicate the need for further medical care. The member must apply directly
to his/her basic health insurance carrier for reimbursement of the specialist
fee. This fee is NOT covered by the Audiology Benefit.
have coverage through an HMO must follow the procedures established by their carrier
for seeing a specialist.
The findings of the Ear, Nose and Throat specialist
are reviewed by the Center's Audiologist, who then determines the proper course
Effective April 1, 2009, if deemed necessary by the Center's
audiologist, the benefit will provide a maximum of two (2) basic hearing aids
(left and right ear) within a three year period at no cost to the member.
The two aids must be received at the same time. The audiologist will adjust the
hearing aid to insure that it is functioning properly to meet the needs of the
member, and will assist the member during the initial adjustment period.
SERVICES NOT PROVIDED BY THE AUDIOLOGY BENEFIT:
Batteries will be provided with a hearing aid, but all future battery replacement
will be the responsibility of the member.
2. Hearing Aid repairs (except those
under the manufacturer's warranty) are not covered. The cost of repairs will be
the responsibility of the member.
3. The cost associated with rehabilitation
therapy needed to acclimate the user to the hearing aid will be the responsibility
of the member.
4. The Plan will not service or honor claims for hearing aids
obtained outside of the Audiology Center.
5. The Plan will not provide assistive
If you are experiencing hearing problems, call the Audiology
Center at (212) 791-2126 and make an appointment for a screening.
Center is located at:
The DC 37 Health Center
115 Chambers Street
York, N.Y. 10007
If your basic health insurance coverage provides reimbursement
for an Audiology Benefit, you will be required to sign an authorization form allowing
Hear & See Right, Inc. to file a claim with your insurance carrier.