Description: Provides hearing aid(s) and hearing aid replacement, hearing aid supplies and accessories, hearing aid-related audiology services, and other related post-evaluation services to children with no health insurance or not enough health insurance coverage for hearing aids and related services.
Eligibility: - 17 years and younger, Must have a household income above 266 percent of the Federal Poverty Level up to and including 600 percent of the Federal Poverty Level, Must be a California resident, Must not have Medi-Cal (including presumptive eligibility), Must have received a prescription from their health care provider for hearing aids or a referral for related services, Must not have California Children's Services (CCS) coverage for hearing aids and services, Must not have other health insurance or the health insurance does not cover hearing aids and services
Requirements: If health insurance does not cover hearing aids and services, must submit a denial of coverage notice from the health insurance; For each person in the household who has a job, a copy of: A recent pay stub from less than 45 days ago, a signed and dated statement from their employer showing their gross income and how often they are paid, or Last year's federal income tax return; For each person in the household who is self employed, a copy of: Last year's federal income tax form with Schedules C,C-EZ, or F, or a signed and itemized profit and loss statement for the last three months; For individuals with income from Disability, Pensions, Retirement, Social Security, Veteran's Benefits, Worker's Compensation, or Unemployment: A copy of the award letter, check, or bank statement showing direct deposit for the most recent payment; Other income documents may be able to be used, please call for more information
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