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Hearing Aid Benefits forms
Hearing Aid Benefits
Frequently Asked Questions
Guide to Hearing Aid Benefits
- Direct reimbursement program
- Members can access the service once every three (3) years.
- Members can obtain at least a 25% discount by utilizing a preferred provider.
- Members submit a validated Hearing Aid certificate, along with original paid receipts to the Welfare Fund for a reimbursement maximum of $1,000.00
- The UFT Welfare Fund will also process your retiree Supplemental Health Insurance Plan (SHIP) benefit if you are eligible for that benefit as well.
Who is covered?
All eligible members and dependents, as defined in the General Information section, are covered for a hearing aid benefit.
What is the benefit?
The hearing aid benefit provides one (1) hearing aid every three (3) years (counted from the date of your last service). The benefit includes a comprehensive audiological evaluation, ear impression and required visits necessary for the proper fitting/use of the hearing aid.
Note: If a hearing aid is not dispensed, and you want to remain eligible for the entire benefit, you should pay for or submit the bill to your health insurance carrier or Medicare for the expense of the evaluation. This will ensure your entitlement to a full hearing aid benefit should you require it in the future.
How are benefits obtained?
You must obtain a Hearing Aid Certificate/Direct Reimbursement Form by requesting it from the Fund Office or by calling the Forms Hotline at 212-539-0539. This request must indicate whom the service(s) are for, so that the Fund may verify eligibility prior to issuing the certificate(s).
Please note: Certificates are not transferable. Photocopied certificates will not be accepted. Certificates cannot be faxed.
What is the reimbursement?
Under direct reimbursement you are required to pay for the full cost of the service and submit to the Fund for payment. Reimbursement will be $1,000.00 or the cost of the hearing aid, whichever is less.
Although this is a direct reimbursement benefit, the Welfare Fund has created a list of Preferred Providers who have agreed to give a minimum 25% discount off the cost of a hearing aid.
The Preferred Provider list for hearing aid benefit is also available by calling the Fund hotline at 212-539-0539.
How do I get reimbursed?
- Attach an original, paid, itemized receipt to the Hearing Aid Certificate/Direct Reimbursement Form. Altered or photocopied receipts will not be accepted.
- Complete Parts 1 and 2.
- Sign and date Part 3.
- Mail to the UFT Welfare Fund office. Claims must be submitted for payment no later than 90 days from the date of service.
- The Welfare Fund also administers the hearing aid benefit for SHIP (Supplemental Health Insurance Plan). Claims for retirees who are members of SHIP and are eligible to receive an additional benefit from SHIP, will have their SHIP claim processed when the Fund processes its claim.
What is not covered under the Hearing Aid Program?
- Charges associated with the return of a hearing aid.
- Charges associated with repairs.
- Charges for amplification devices, also known as Assistive Listening Devices (ALD).
What is not covered under the Direct Reimbursement Program?
The benefits are the same under the Direct Reimbursement Program. However, when you do not use a participating provider, the cost of the services are not required to be discounted.
Does Special Coordination of Benefits (SCOB) apply to the Hearing Aid Benefit Plan?
Yes. Members and their spouse/domestic partner who are also members are entitled to SCOB. This entitles each eligible family member to two (2) hearing aids, one hearing aid under each member's benefit record. The two (2) certificates can be combined when purchasing a single hearing aid. Reimbursement to the member may not exceed the actual charge for the hearing aid under SCOB.
How is this benefit affected by my Basic Health coverage?
A patient's basic health coverage will always be Primary and the United Federation of Teachers Welfare Fund hearing aid benefit Secondary.
Please note, assignment of payment to a provider is not permitted.
Know your benefits
Know your benefits
March 3, 2016
The UFT Welfare Fund provides a hearing aid benefit of $1,000. The benefit provides one hearing aid every three years (counted from the date of your last purchase).