Oregon § 743A.140 Bilateral cochlear implants

Oregon Statutes

§ 743A.140 — Bilateral cochlear implants

Oregon § 743A.140

Vol.18

Title 56Insurance

Ch. 743AHealth Insurance: Reimbursement of Claims

This text of Oregon § 743A.140 (Bilateral cochlear implants) is published on Counsel Stack Legal Research, covering Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Or. Rev. Stat. § 743A.140 (2026).

Text

(1)A health benefit plan, as defined in ORS 743B.005, shall reimburse the cost of:

(a)Bilateral cochlear implants if medically appropriate for the treatment of hearing loss; and

(b)The fitting, programming and reprogramming of bilateral or unilateral cochlear implants or other assistive listening devices performed by licensed audiologists.

(2)For purposes of ORS 746.230, a reasonable investigation of a claim for bilateral cochlear implants must include a request to the treating surgeon for a written recommendation based on peer-reviewed medical literature and for the medical findings that support the recommendation.

(3)A health benefit plan shall reimburse the cost of repair and replacement parts for a cochlear implant if the repair or parts are not covered by a warranty and are neces

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(1) A health benefit plan, as defined in ORS 743B.005, shall reimburse the cost of:
(a) Bilateral cochlear implants if medically appropriate for the treatment of hearing loss; and
(b) The fitting, programming and reprogramming of bilateral or unilateral cochlear implants or other assistive listening devices performed by licensed audiologists.
(2) For purposes of ORS 746.230, a reasonable investigation of a claim for bilateral cochlear implants must include a request to the treating surgeon for a written recommendation based on peer-reviewed medical literature and for the medical findings that support the recommendation.
(3) A health benefit plan shall reimburse the cost of repair and replacement parts for a cochlear implant if the repair or parts are not covered by a warranty and are necessary for the device to be functional for the user.
(4) A health benefit plan shall reimburse the costs described in this section when prescribed by a licensed health professional even if over-the-counter items and services are available without a prescription.
(5) An adverse determination on a claim for coverage under this section must include a prominent notice to the enrollee of the enrollee’s rights to file grievances and request appeals and reviews under ORS 743B.250 and must provide a toll-free telephone number or chat line for enrollees to seek assistance in contesting the denial of or limitation on coverage.
(6) Coverage under this section may not be subject to a deductible, except as provided in ORS 742.008.
(7) The provisions of this section are exempt from ORS 743A.001.