ORS 743A.140
Bilateral cochlear implants

(1)

A health benefit plan, as defined in ORS 743B.005 (Definitions), 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 (Unfair claim settlement practices), 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 (Required notices to applicants and enrollees) 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 (Health savings account exemption from prohibition on deductible).

(7)

The provisions of this section are exempt from ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance). [2007 c.504 §2; 2018 c.9 §1; 2023 c.424 §3]
Note: 743A.140 (Bilateral cochlear implants) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743A.140 — Bilateral cochlear implants, https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).

743A.001
Automatic repeal of certain statutes on individual and group health insurance 743A.010
Services provided by state hospital or state approved program 743A.012
Emergency services 743A.014
Payments for ambulance care and transportation 743A.018
Services provided by osteopathic physician 743A.020
Services provided by acupuncturist 743A.024
Services provided by clinical social worker 743A.028
Services provided by denturist 743A.032
Surgical services provided by dentist 743A.034
Services provided by expanded practice dental hygienist 743A.036
Services provided by licensed nurse practitioner or licensed physician assistant 743A.040
Services provided by optometrist 743A.044
Services provided by physician assistant 743A.048
Services provided by psychologist 743A.051
Services provided by pharmacist 743A.052
Services provided by professional counselor or marriage and family therapist 743A.058
Telemedicine services 743A.060
Definition for ORS 743A.062 743A.062
Prescription drugs 743A.063
Ninety-day supply of prescription drug refills 743A.064
Prescription drugs dispensed at rural health clinics 743A.065
Early refills of prescription eye drops for treatment of glaucoma 743A.066
Contraceptives 743A.067
Reproductive health services 743A.068
Orally administered anticancer medication 743A.069
Insulin 743A.070
Nonprescription enteral formula for home use 743A.078
Newborn nurse home visiting services 743A.080
Pregnancy and childbirth expenses 743A.082
Diabetes management for pregnant women 743A.084
Unmarried women and their children 743A.088
Use by mother of diethylstilbestrol 743A.090
Natural and adopted children 743A.100
Mammograms 743A.101
Supplemental or diagnostic breast examinations 743A.104
Pelvic examinations and Pap smear examinations 743A.105
HPV vaccine 743A.108
Physical examination of breast 743A.110
Mastectomy-related services 743A.111
Consumer education about post-mastectomy services 743A.124
Colorectal cancer screenings and laboratory tests 743A.130
Proton beam therapy 743A.140
Bilateral cochlear implants 743A.141
Hearing aids and assistive listening devices 743A.145
Orthotic and prosthetic devices 743A.148
Maxillofacial prosthetic services 743A.150
Treatment of craniofacial anomaly 743A.160
Alcoholism treatment 743A.168
Behavioral health treatment 743A.169
Behavioral and physical health services provided on same day or in same facility 743A.170
Tobacco use cessation programs 743A.175
Traumatic brain injury 743A.180
Tourette Syndrome 743A.185
Telemedical health services for treatment of diabetes 743A.188
Inborn errors of metabolism 743A.190
Children with pervasive developmental disorder 743A.192
Clinical trials 743A.250
Emergency eye care services 743A.252
Child abuse assessments 743A.260
Inmates 743A.262
Preventive health services 743A.264
Disease outbreaks, epidemics and conditions of public health importance 743A.310
Primary care visits 743A.315
Treatment for pediatric autoimmune neuropsychiatric disorders 743A.325
Gender-affirming treatment

Current through early 2026

§ 743A.140. Bilateral cochlear implants's source at oregon​.gov