Hearing aid support programs
RAMQ or Medicare from Quebec
Remember : when you benefit from the Hearing Devices Program, you don’t pay anything for insured services. Hearing aid acousticians and assistive listening device distributors, who inform you about these services, are paid by the Régie de l’assurance maladie du Québec.
To benefit from the program, you must:
Consult an audiologist (to have your degree of hearing loss evaluated by means of an audiogram) and obtain an attestation confirming that you need a hearing aid and assistive listening devices. In addition to your degree of hearing loss, the audiologist will take your other needs. For example, if you are a student or are working, the audiologist will take that fact into consideration. To take an audiogram and obtain the required attestation, adults under age 65 may, if they wish, consult an ENT specialist
Consult an ear, nose and throat (ENT) specialist to obtain a medical certificate attesting to your hearing deficiency and its permanent nature. The certificate must also state the indications and contraindications for a hearing device.
Then, to get a hearing aid, you must consult a hearing aid acoustician and provide him/her with your medical certificate, the results of your audiogram and the attestation from the audiologist or ENT specialist. The hearing aid acoustician will provide you with the hearing aid you need.
One or two hearing aids?
- Children 0 to 12 years of age: One or two hearing aids are covered by the RAMQ hearing aid program if the hearing impairment is likely to compromise language or learning.
- Children 12 to 18 years of age and students aged 19 and up: One or two hearing aids are covered by the RAMQ hearing aid program if the affected ear has a pure tone average (PTA) loss of 25 dB or greater for the frequencies of 500, 1,000, 2,000 and 4,000 Hz.
- Adult workers aged 19 and up: One or two hearing aids are covered by the RAMQ hearing aid program if the better ear has a PTA loss of 35 dB or greater for the frequencies of 500, 1,000 and 2,000 Hz.
- Adults aged 19 and up who do not work: One hearing aid is covered by the RAMQ hearing aid program if the better ear has a PTA loss of 35 dB or greater for the frequencies of 500, 1,000 and 2,000 Hz.
- People with deaf-blindness: One or two hearing aids are covered by the RAMQ hearing aid program.
Medicare doesn’t cover all professional services that you may request
Here are a few examples :
- Maintenance and cleaning
- Electro-acoustical hearing aid analyses and hearing-aid check-ups (except during a repair).
- Digital hearing aid reprogramming after the first year of usage.
- Manipulation and general maintenance counselling after the first year of usage.
- Hearing aid readjustement after a change of hearing after the first year of usage.
- Home call travelling fees.
- Consultation fees and professional fees for services normally assured beyond the number of visit foreseen by the Medicare program (consult your hearing aid acoustician to obtain more information concerning your file).
- The second earmold Bi-Cros system doesn’t cover by Medicare.
- Experimentation (trial period) is not a service by Medicare.
N.B. : Your hearing aid acoustician is the only person who can return or exchange a hearing aid. Certain fees may apply.
Commission des normes, de l'équité, de la santé et de la sécurité du travail
The hearing aid program paid by the CSST or CNESST is available at Clinique Bouchard Tremblay through our team of professional in occupational deafness. We are equipped with a complete centre to detect this occupational disease.
- Hearing screening tests are available in the clinic.
- Results check can be performed by our team of professional in occupational deafness.
To qualify for the CSST or CNESST program, it is necessary to establish that the hearing loss was caused by occupational noise exposure. You must have worked for a number of years in a noisy environment (a certain average noise levels) and you must have paid premiums to the CSST. Remember that even if you are retired, you can request to open a case file from the CSST or CNESST.
When the CSST or CNESST recognizes your occupational deafness, it can cover the cost of one or two hearing aids every five years, including cleaning products and batteries.
Fees payable by the CSST : in accordance with Article 194 of the Act respecting industrial accidents and occupational diseases, no amount may be claimed from the worker, including the purchase, adjustment, replacement, repair or remodeling of a hearing aid, or for other goods and services provided by an audioprosthetist (hearing aid acoustician) and under this administrative policy.
Obligations of the CSST or CNESST: CSST supports, on behalf of a worker, the purchase costs, adjustment, replacement, repair or remodeling of a hearing aid, or any other good or service provided by a hearing care professional, according to the amounts and terms covered by this administrative policy.
If you have worked or are currently working in a noisy environment, and you think you suffer from occupational deafness, make an appointment at Clinique auditive Bouchard, Tremblay & Ass., audioprothésistes, now.
Some facts about the occupational deafness
What you need to know... Institut National de la Santé Publique du Québec, « Portrait de la surdité professionnelle acceptée par la Commission de la santé et de la sécurité au travail au Québec : 1997-2010 – Troubles de l’audition sous surveillance ».
- Ear, mastoid bone, and hearing problems are the professional illnesses which constitute by far the most often accepted records at the CSST, amounting to 67.3% of the total, according to CSST’s 2014 annual statistics.
- Professional hearing loss is defined as permanent (irreversible), non-apparent damage that can appear early, after only a few years of exposure to noise.
- Hearing loss creates isolation for the worker, a loss of autonomy and an increasingly negative self- image. These consequences directly affect the quality of life of workers and their loved ones.
- Off work-related hearing loss cases, 99% or 36 188 are professional hearing losses tied to chronic exposure to noise in the workplace.
- In 2010, the average amount given to a worker in a case of professional hearing loss is $5,660.00. The amount’s breakdown is 71% as indemnity for physical harm, 29% for medical fees and 0.4% for income replacement indemnity.
This policy provides guidance on the approval of audiological services for people who meet the eligibility criteria to receive medical benefits under the Health Care Regulations Veterans.
Under the Act Re-establishment and Compensation members and veterans of the Canadian Forces (CFMVRCA), which aims to help veterans regain their independence and promote their social adaptation, Veterans Affairs Canada provides veterans who are eligible under this law a program providing assistance to clients with hearing disorders.
Note that your public, private or group insurance plan may also pay your hearing aids completely or in a part–be sure to check with your insurance company.
Afterwards, Clinique Auditive Bouchard, Tremblay et Ass, audiop. will arrange to send to your insurance company all the necessary information they need.