Coverage for preset AZUR and ORISON hearing aids
The following information is related to the reimbursement of the AZUR and ORISON preset hearing aids in France and deals with their coverage :
- By the social security,
- By the mutual insurance companies.
For all other countries, we recommend you to contact directly the health institutions of your country (non-exhaustive list provided below) as well as your mutual insurance company :
- For Germany : Bundesministerium für Gesundheit
- For Belgium : Service Public Fédéral - Sécurité Social
- For Spain : Instituto Nacional de la Seguridad Social
- For Northern Ireland : Northern Health and Social Care Trust
- For Italy : Ministerio della Salute
- For Luxembourg : CNS
- For the Netherlands : Ministerie van Volksgezondheid, Welzijn en Sport
- For Poland : Narodowy Fundusz Zdrowia
- For Portugal : Ministério da Saúde
- For the United Kingdom : Department of Health & Social Care, National Health Service
- For Switzerland : Office Fédéral des Assurances Sociales
Coverage of hearing aids by Social Security (general informations)
Apart from hearing aids eligible for the RAC0 (France), the social security covers hearing aids up to 199.71€ per ear.
This coverage is conditioned by :
• The care pathway
Hearing aids covered by Social Security must be prescribed by a doctor and must therefore require a consultation with an ENT doctor, who will perform an audiometric assessment. Since the 13th of January 2020, this prescription can also be issued by a general practitioner. However, the law prohibits hearing aid acousticians from "
• The hearing aid
The hearing aid reimbursed by the social security must be registered on the LPPR list (List of Reimbursable Products and Services).
• Additional follow-up services
To be covered by social security, the hearing aid must be sold with a follow-up service over time, which must be performed by the audioprosthesist who sold the hearing aid.
Coverage of AZUR and ORISON by Social Security
For all these reasons, AZUR and ORISON hearing aids are not covered by social security. Indeed :
• AZUR and ORISON are available over the counter (without prescription)
Available without a medical prescription, AZUR and ORISON hearing aids simplify the care process. And for a good reason : AZUR and ORISON are not intended for people with a severe hearing disability, but for those who experience a simple, age-related discomfort called presbycusis (see our Frequently Asked Questions to better understand the difference between severe hearing impairment and presbycusis). Preset by ENT doctors and available without a prescription, AZUR and ORISON hearing aids are an immediate response to the millions of people who give up on making an appointment with a doctor, as the waiting time for a consultation can be up to 6 months in some regions.
• AZUR and ORISON are not registered on the LPPR list
• AZUR and ORISON are sold without additional follow-up services
Preset, the AZUR (rechargeable digital mini-BTE) and ORISON (digital CIC) hearing aids are "ready to hear" : no follow-up service is required or billed, the user is perfectly autonomous.
Coverage of AZUR and ORISON by mutual insurance companies
As complementary health insurance companies, mutual insurance companies cover health expenses not covered by Social Security. They can also, according to their own policy, cover expenses for alternative care or for devices such as AZUR and ORISON hearing aids. More than a third of our clients have benefited from full or partial coverage by their health insurance company : we encourage our users to provide their health insurance company with the invoice for their hearing aids (AZUR / ORISON).
What recourse do I have if the mutual insurance company refuses?
If your mutual insurance company refuses to cover AZUR or ORISON, read again your contract to find the justification for the refusal. If your contract is not clear, contact your advisor : in an amicable request, your advisor can release the reimbursement, even if your contract does not provide for it. Finally, if your requests are unsuccessful, you can turn to the social protection mediator. Contact the