Apply for Coverage
Hearing Aid Coverage for Children Program
How to apply
- Apply online or complete and print the application form. (Español)
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Include all required documentation:
- Household income
- Existing health coverage (if any)
- Hearing aid prescription (signed by your child’s otolaryngologist or physician) or referral
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Mail or fax your application to HACCP.
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Mail:
Hearing Aid Coverage for Children Program
PO Box 138000
Sacramento, CA 95813
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Fax:
(833) 774-2227
Eligibility will be determined within 10 days from receipt of
complete application. HACCP will confirm the applicant’s enrollment status to them by mail.
FAQs
Where on the application should I list myself as the parent/caregiver?
If you are the primary contact for the application, please list yourself in Section 1.
Who do I list in Section 2? How many of my kids should I list if only one needs hearing aid coverage?
For Section 2, please list only the child(ren) needing hearing aid coverage.
Who do I list in Section 3 (Household)?
Please list all family members who live in the home, including all children under age 21, parent/stepparent, or the spouse of any teenager or pregnant individual who lives in the home. Do not list aunts, uncles, nieces, nephews, or grandparents.
Do I list myself?
If you live in the home with the child(ren) applying for HACCP and you are one of the family members listed, yes.
How many of my kids should I list if only one needs coverage?
For Section 3, please list all children under age 21 who reside in your household. (This is different than Section 2.)
Where do I list additional family members?
If your household includes more than four of the family members described for Section 3, please add their names and details on a separate sheet of paper. If you’d like, you can even type and print a second copy of pages 5-6 of the application form for your additional family members.
How do I find my insurance plan’s explanation of coverage?
You should have received an explanation of coverage document when you first enrolled in your plan. You can also call your health plan’s member services to request they send you a copy.
How can my child get coverage to get a hearing aid prescription?
If your child doesn’t have a hearing aid prescription yet, but has a provider referral to be evaluated for hearing aids (for example, from their pediatrician or a school audiologist), you can attach the provider referral for hearing aids to the application instead of a hearing aid prescription. Once enrolled, HACCP does cover physician services such as otolaryngologist exams for a hearing aid prescription.
