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2. disease
3. aids and hiv

Alberta Health
AADL Approved Products List – Hearing Aids
Pricing effective July 1, 2014 to June 30, 2015
Cost Share Seniors and Adult Dependents of Seniors .................... APL H-1
Cost Share Exempt Seniors and Adult Dependents of Seniors ....... APL H-3
Cost Share Exempt Adults............................................................... APL H-5
Eligible Full Time Students 18 to 24 Years ...................................... APL H-7
Children Under 18 Years ................................................................. APL H-9
July 1, 2014
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
SCHEDULE A
PAYMENT TERMS
COST SHARE Seniors and Adult Dependents of Seniors (subject to cost-sharing AADL 75% - Client 25%)
AADL
CAT #
DESCRIPTION OF PRODUCT/SERVICE
FREQUENCY
LIMIT
PRICE - CANADIAN DOLLARS
H048
Return Fee
1/5 years
$150 – Cannot be billed if device not trialed
H009
H010
H021
H011
H012
H013
H019
H022
H023
High power BTE hearing aid (HFA FOG ≥ 60 dB)
Behind-the-ear hearing aid
Receiver In the Canal hearing aid
In-the-ear hearing aid
Body type hearing aid
Eyeglass type hearing aid
Bone conduction hearing aid
CROS hearing aid
Bi-CROS hearing aid
1/5 years
$1,200 If Specialty Supplier's advertised
price is less than AADL maximum,
1
advertised price is then cost-shared.
H024
CROS/Bi-CROS microphone
1/5 years
Manufacturer’s invoice cost up to a
maximum of $700.
H375
Assistive listening device (may only be substituted for a conventional hearing
aid with AADL Program Manager prior approval)
1/5 years
Manufacturer’s invoice cost + $100 for
fitting and follow-up services.
H030
Earmold (new or replacement) (not paid with H011)
1/year
Manufacturer's invoice cost up to a
maximum of $70
H035
Service fee for replacement earmold (not within 12 mo. of HA fitting)
1/year
$40
H051
In-house receiver repair for a Receiver in the Canal (RIC) hearing aid.
Applicable only to aid(s) registered with the AADL program and only after the
original purchase warranty on the receiver has expired.
1/yr
Manufacturer's invoice to a maximum of
$60
H072
Service fee for in-house RIC repair only after the original purchase warranty on
the receiver has expired.
1/yr
$30
H040
Major repair to hearing aids (parts and labour) by manufacturer or qualified
repair laboratory. Applicable only to aid(s) registered with the AADL Program
and only after the original purchase warranty has expired.
1/year
Manufacturer's invoice to a maximum of
$300
© 2014 Government of Alberta
Effective July 1, 2014
2
3
APL H-1
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
3
H045
Service fee for major repair only after one year past the instrument billing date.
1/year
$70
H055
Replacement bone conduction receivers for bone conduction hearing aids.
Applicable only after one year past instrument billing date.
1/year
Manufacturer's invoice cost up to $100
H056
Cords for CROS/Bi-CROS, body type hearing aids (audio input cords excluded)
1/year
Manufacturer's invoice cost up to $30
H057
Air conduction receivers for body type hearing aids
1/year
Manufacturer's invoice cost up to $25
1. Flat rate fee includes assessment, cost of instrument and service fee. Clients may choose a higher priced instrument (upgrade) but an
appropriate basic entry level technology hearing aid must be offered at the AADL maximum price.
2. The service fee of $40 is available to all AADL Clients who are having their earmold replaced after 1 year of use. No extra billing on fees
is permitted.
3. The service fee on repairs is available to all AADL Clients. No extra billing on fees is permitted. Service certificates and manufacturers'
invoices must be kept on file. The service fee may be claimed in the final year of a manufacturer's two year warranty. Should the aid
require repair in the following year, both the service and repair fees may be claimed regardless of when the repair occurs. Following this,
the fees cannot be claimed for twelve months from the date of service. After the fourth year, a six-month warranty is acceptable. This
applies to AADL Clients of all ages.
4. H022 (CROS hearing aid) or H023 (Bi-CROS hearing aid) will always be billed in conjunction with a H024 (CROS/Bi-CROS microphone).
 To calculate the exchange rate on U.S. dollars, use the rate on the first day of the month that the invoice is dated and round it to the
nearest .01
* Please note Seniors and Adult Dependents of Seniors who have maxed out their annual cost-share contribution of
$500.00 are eligible for $1,200 towards one (1) hearing aid from AADL category numbers H009 – H023.
© 2014 Government of Alberta
Effective July 1, 2014
APL H-2
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
PAYMENT TERMS
COST SHARE EXEMPT Seniors and Adult Dependents of Seniors
AADL
CAT #
DESCRIPTION OF PRODUCT/SERVICE
H448
Return Fee
H409
H410
H411
H421
High power BTE hearing aid (HFA FOG ≥ 60 dB)
Behind-the-ear hearing aid
In-the-ear hearing aid
Receiver In the Canal hearing aid
H412
H413
H419
H422
H423
Body type hearing aid
Eyeglass type hearing aid
Bone conduction hearing aid
CROS hearing aid
Bi-CROS hearing aid
H424
CROS/Bi-CROS microphone
H475
FREQUENCY
LIMIT
1 per affected
ear/5 years
1 per affected
ear/5 years
PRICE - CANADIAN DOLLARS
$150 Cannot be billed if device is not
trialed).
$1200 - maximum per aid, or if Specialty
Supplier's advertised price is less than
$1200, advertised price is then billed to
1
AADL.
1/5 years
1/5 years
Manufacturer’s invoice cost up to a
4
maximum of $700
Assistive listening device (may only be substituted for a conventional hearing
aid with AADL Program Manager prior approval)
1/5 years
Manufacturer’s invoice cost + $100 for
fitting and follow-up services.
H430
Earmold (new or replacement) (not paid with H411)
1/year per ear
Manufacturer's invoice cost up to a
maximum of $70
H435
Service fee for replacement earmold (not within 12 mo. of HA fitting)
1/year per ear
$40
H451
In-house receiver repair for a Receiver in the Canal (RIC) hearing aid.
Applicable only to aid(s) registered with the AADL program and only after the
original purchase warranty on the receiver has expired.
1/year per ear
Manufacturer's invoice to a maximum of
$60
H472
Service fee for in-house RIC repair only after the original purchase warranty on
the receiver has expired.
1/year per ear
$30
H440
Major repair to hearing aids (parts and labour) by manufacturer or qualified
repair laboratory. Applicable only to aid(s) registered with the AADL Program
1/year per ear
Manufacturer's invoice to a maximum of
$300
© 2014 Government of Alberta
Effective July 1, 2014
2
3
APL H-3
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
and only after the original purchase warranty has expired.
3
H445
Service fee for major repair only after one year past the instrument billing date.
1/year per ear
$70
H455
Replacement bone conduction receivers for bone conduction hearing aids.
Applicable only after one year past instrument billing date.
1/year
Manufacturer's invoice cost up to $100
H456
Cords for CROS/Bi-CROS, body type hearing aids (audio input cords excluded)
1/year
Manufacturer's invoice cost up to $30
H457
Air conduction receivers for body type hearing aids
1/year
Manufacturer's invoice cost up to $25
1. Flat rate fee includes assessment, cost of instrument and service fee. Clients may choose a higher priced instrument (upgrade) but
an appropriate basic entry level technology hearing aid must be offered at the AADL maximum price.
2. The service fee of $40 is available to all AADL Clients who are having their earmold replaced after 1 year of use. No extra billing on
fees is permitted.
3. The service fee on repairs is available to all AADL Clients. No extra billing on fees is permitted. Service certificates and
manufacturers' invoices must be kept on file. The service fee may be claimed in the final year of a manufacturer's two year warranty.
Should the aid require repair in the following year, both the service and repair fees may be claimed regardless of when the repair
occurs. Following this, the fees cannot be claimed for twelve months from the date of service. After the fourth year, a six-month
warranty is acceptable. This applies to AADL Clients of all ages.
4. H422 (CROS hearing aid) or H423 (Bi-CROS hearing aid) will always be billed in conjunction with H424 (CROS/Bi-CROS
microphone).
 To calculate the exchange rate on U.S. dollars, use the rate on the first day of the month that the invoice is dated and round it to
the nearest .01
© 2014 Government of Alberta
Effective July 1, 2014
APL H-4
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
PAYMENT TERMS
COST SHARE EXEMPT Adults *(18 to 64) covered by the AADL Program
AADL
CAT #
H748
DESCRIPTION OF PRODUCT/SERVICE
Return Fee
FREQUENCY
LIMIT
1per affected
ear/5 years
H709
H710
H711
H721
High power BTE hearing aid (HFA FOG ≥ 60 dB)
Behind-the-ear hearing aid
In-the-ear hearing aid
Receiver In the Canal hearing aid
1per affected
ear/5 years
H712
H713
H719
H722
H723
Body type hearing aid
Eyeglass type hearing aid
Bone conduction hearing aid
CROS hearing aid
Bi-CROS hearing aid
1/5 years
H724
CROS/Bi-CROS microphone
H775
PRICE – CANADIAN DOLLARS
$150 –Cannot be billed unless device
trialed and returned
$1,200 maximum per aid, or if Specialty
Supplier's advertised price is less than
$1,200 advertised price is then billed to
1
AADL.
1/5 years
Manufacturer’s invoice cost up to maximum
4
of $700
Assistive listening device (may only be substituted for a conventional hearing
aid with AADL Program Manager prior approval)
1/5 years
Manufacturer’s invoice cost + $100 for
fitting and follow-up services.
H730
Earmold (new or replacement) (not paid with H711)
1/year per ear
H735
Service fee for replacement earmold (not within 12 mo. of HA fitting)
1/year per ear
Manufacturer's invoice cost up to a
maximum of $70
2
$40
H751
In-house receiver repair for a Receiver in the Canal (RIC) hearing aid.
Applicable only to aid(s) registered with the AADL program and only after the
original purchase warranty on the receiver has expired.
1/year per ear
© 2014 Government of Alberta
Effective July 1, 2014
Manufacturer's invoice to a maximum of
$60
APL H-5
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
3
H772
Service fee for in-house RIC repair only after the original purchase warranty on
the receiver has expired.
1/year per ear
$30
H740
Major repair to hearing aids (parts and labour) by manufacturer or qualified
repair laboratory. Applicable only to aid(s) registered with the AADL Program
and only after the original purchase warranty has expired.
1/year per ear
Manufacturer's invoice to a maximum of
$300
H745
Service fee for major repair only after one year past the instrument billing date.
1/year per ear
$70
H755
Replacement bone conduction receivers for bone conduction hearing aids.
Applicable only after one year past instrument billing date.
1/year
Manufacturer's invoice cost up to $100
H756
Cords for CROS/Bi-CROS, body type hearing aids (audio input cords excluded)
1/year
Manufacturer's invoice cost up to $30
H757
Air conduction receivers for body type hearing aids
1/year
Manufacturer's invoice cost up to $25
1. Flat rate fee includes assessment, cost of instrument and service fee. Clients may choose a higher priced instrument (upgrade) but
an appropriate basic entry level technology hearing aid must be offered at the AADL maximum price.
2. The service fee of $40 is available to all AADL Clients who are having their earmold replaced after 1 year of use. No extra billing on
fees is permitted.
3. The service fee on repairs is available to all AADL Clients. No extra billing on fees is permitted. Service certificates and
manufacturers' invoices must be kept on file. The service fee may be claimed in the final year of a manufacturer's two year warranty.
Should the aid require repair in the following year, both the service and repair fees may be claimed regardless of when the repair
occurs. Following this, the fees cannot be claimed for twelve months from the date of service. After the fourth year, a six-month
warranty is acceptable. This applies to AADL Clients of all ages.
4. H722 (CROS hearing aid) or H723 (Bi-CROS hearing aid) will always be billed in conjunction with H724 (CROS/Bi-CROS
microphone).
 To calculate the exchange rate on U.S. dollars, use the rate on the first day of the month that the invoice is dated and round it to the
nearest .01
3
*Cost-share exempt adults (18-64) include clients on AISH and EI programs, and clients who qualify for cost-share
exemption based on AADL’s cost-share policy income thresholds.
*Cost-share adults (18-64) who have maxed out their annual cost-share contribution of $500, through the receipt of
other AADL benefits are not eligible for hearing aid benefits.
© 2014 Government of Alberta
Effective July 1, 2014
APL H-6
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
PAYMENT TERMS
Eligible Full Time Students 18 to 24 Years (subject to cost-sharing AADL 75% - Client 25%)
AADL
CAT #
DESCRIPTION OF PRODUCT/SERVICE
H714
H748
Hearing Assessment (only billed with hearing aid)
Return Fee (cannot be billed unless device trialed and returned)
H709
H710
H711
H721
High power BTE hearing aid (HFA FOG ≥ 60 dB)
Behind-the-ear hearing aid
In-the-ear hearing aid
Receiver In the Canal hearing aid
FREQUENCY
LIMIT
1/5 years
1 per affected ear/5 years
PRICE - CANADIAN DOLLARS
$75 (AHS sites cannot bill)
$150
1 per affected ear/5 years
Manufacturer's unit invoice cost up to $650
H712
H713
H719
H722
H723
Body type hearing aid
Eyeglass type hearing aid
Bone conduction hearing aid
CROS hearing aid
Bi-CROS hearing aid
H724
CROS/Bi-CROS microphone
H715
1/5 years
1/5 years
Manufacturer’s invoice cost up to a
3
maximum of $700
General Service Fee
1/5 years
$600
H720
Service Fee for Second Aid of a Binaural Fitting (not paid with H722, H723)
1/5 years
$600
H730
Earmold (new or replacement) (not paid with H711)
1/year per ear
H735
Service fee for replacement earmold (not within 12 mo. of HA fitting)
1/year per ear
Manufacturer's invoice cost up to a
maximum of $70
1
$40
H751
In-house receiver repair for a Receiver in the Canal (RIC) hearing aid.
Applicable only to aid(s) registered with the AADL program and only after
the original purchase warranty on the receiver has expired.
1/year per ear
Manufacturer's invoice to a maximum of
$60
H772
Service fee for in-house RIC repair only after the original purchase warranty
on the receiver has expired.
1/year per ear
$30
© 2014 Government of Alberta
Effective July 1, 2014
2
APL H-7
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
AADL
CAT #
H740
DESCRIPTION OF PRODUCT/SERVICE
FREQUENCY
LIMIT
PRICE - CANADIAN DOLLARS
Major repair to hearing aids (parts and labour) by manufacturer or qualified
repair laboratory. Applicable only to aid(s) registered with the AADL
Program and only after original purchase warranty has expired.
Service fee for major repair only after 1 year past the instrument billing date.
1/year/per aid
Manufacturer's invoice to a max. of $300
1/year/per aid
$70
1/year
Manufacturer's invoice cost up to $100
H756
H757
Replacement bone conduction receivers for bone conduction hearing aids.
Applicable only after one year from instrument billing date.
Cords for CROS/Bi-CROS, body type hearing aid (audio input cords excluded)
Air conduction receivers for body type hearing aids
1/year
1/year
Manufacturer's invoice cost up to $30
Manufacturer's invoice cost up to $25
H700
H725
H705
FM Auditory Trainer
FM Fitting Fee
Major Repair to FM (Same conditions as H740)
H745
H755
H750
H760
2
1/5 years
Manufacturer's invoice cost up to $1,900
1/5 years
$450
1/yr per component to
Manufacturer's invoice to a max. of $300
maximum of 3/year
Service Fee for major FM repairs (Same conditions as H745)
1/yr per component to
$70
maximum of 3/year
FM Return Fee (cannot be billed unless device trialed and returned)
1/5 years
$75
1. The service fee of $40 is available to all AADL Clients who are having their earmold replaced after 1 year of use. No extra billing on fees
is permitted.
2. The service fee on repairs is available to all AADL Clients. No extra billing on fees is permitted. Service certificates and manufacturers'
invoices must be kept on file. The service fee may be claimed in the final year of a manufacturer's two year warranty. Should the aid
require repair in the following year, both the service and repair fees may be claimed regardless of when the repair occurs. Following this,
the fees cannot be claimed for twelve months from the date of service. After the fourth year, a six-month warranty is acceptable. This
applies to AADL Clients of all ages.
3. H722 (CROS hearing aid) or H723 (Bi-CROS hearing aid) will always be billed in conjunction with H724 (CROS/Bi-CROS microphone).
 To calculate the exchange rate on U.S. dollars, use the rate on the first day of the month that the invoice is dated and round it to the
nearest .01
© 2014 Government of Alberta
Effective July 1, 2014
APL H-8
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
PAYMENT TERMS
Children under 18 Years (subject to cost-sharing AADL 75% - Client 25%)
AADL
CAT #
DESCRIPTION OF PRODUCT/SERVICE
H108
H148
Hearing Assessment (cannot be billed unless device trialed and/or returned)
Return Fee (cannot be billed unless device trialed and returned)
H109
H110
H111
H121
High power BTE hearing aid (HFA FOG ≥ 60 dB)
Behind-the-ear hearing aid
In-the-ear hearing aid
Receiver In the Canal hearing aid
FREQUENCY
LIMIT
1/5 years
1 per affected ear/5 years
PRICE - CANADIAN DOLLARS
$75 (AHS sites cannot bill)
$150
2/5 years - binaural
Manufacturer's unit invoice cost up to $650
H112
H113
H119
H122
H123
Body type hearing aid
Eyeglass type hearing aid
Bone conduction hearing aid
CROS hearing aid
Bi-CROS hearing aid
H124
CROS/Bi-CROS microphone
1/5 years
Manufacturer’s invoice cost up to a
3
maximum of $700
H115
General Service Fee
1/5 years
$600
H120
Service Fee for Second Aid of a Binaural Fitting (not paid with H122, H123)
1/5 years
$600
H126
Earmold (new or replacement) (not paid with H111)
Manufacturer's invoice cost up to $70
H128
Service fee for replacement earmold (not with a new HA fitting)
1 every 3 months per ear
(0-3 yrs of age)
1 every 6 months per ear
(4-17 yrs of age)
1 every 3 months per ear
(0-3 yrs of age)
1 every 6 months per ear
(4-17 yrs of age)
H151
In-house receiver repair for a Receiver in the Canal (RIC) hearing aid.
Applicable only to aid(s) registered with the AADL program and only after
1/year per ear
Manufacturer's invoice to a maximum of
$60
© 2014 Government of Alberta
Effective July 1, 2014
1/5 years - monaural
$40
1
APL H-9
Alberta Health - Professional Services and Health Benefits
Alberta Aids to Daily Living Manual H - Approved Product List
AADL
CAT #
DESCRIPTION OF PRODUCT/SERVICE
FREQUENCY
LIMIT
PRICE - CANADIAN DOLLARS
the original purchase warranty on the receiver has expired.
2
H172
Service fee for in-house RIC repair only after the original purchase warranty
on the receiver has expired.
1/year per ear
$30
H140
Major repair to hearing aids (parts and labour) by manufacturer or qualified
repair laboratory. Applicable only to aid(s) registered with the AADL
Program and only after original purchase warranty has expired.
Service fee for major repair only after 1 year past the instrument billing date.
1/year/ aid
Manufacturer's invoice to a max. of $300
1/year/ aid
$70
1/year
Manufacturer's invoice cost up to $100
H156
H157
Replacement bone conduction receivers for bone conduction hearing aids.
Applicable only after one year from instrument billing date.
Cords for CROS/Bi-CROS, body type hearing aid (audio input cords excluded)
Air conduction receivers for body type hearing aids
1/year
1/year
Manufacturer's invoice cost up to $30
Manufacturer's invoice cost up to $25
H500
H515
H550
FM Auditory Trainer
FM Fitting Fee
Major Repair to FM (Same conditions as H140)
Manufacturer's invoice cost up to $1,900
$450
Manufacturer's invoice to a max. of $300
H555
Service Fee for major FM repairs (Same conditions as H145)
H560
FM Return Fee (cannot be billed unless device trialed and returned)
1/5 years
1/5 years
1/yr per component to
maximum of 3/year
1/yr per component to
maximum of 3/year
1/5 years
H145
H155
2
$70
$75
1. The service fee of $40 is available to all AADL Clients who are having their earmold replaced after 1 year of use. No extra billing on fees is
permitted.
2. The service fee on repairs is available to all AADL Clients. No extra billing on fees is permitted. Service certificates and manufacturers'
invoices must be kept on file. The service fee may be claimed in the final year of a manufacturer's two year warranty. Should the aid require
repair in the following year, both the service and repair fees may be claimed regardless of when the repair occurs. Following this, the fees
cannot be claimed for twelve months from the date of service. After the fourth year, a six-month warranty is acceptable. This applies to
AADL Clients of all ages.
3. H122 (CROS hearing aid) or H123 (Bi-CROS hearing aid) will always be billed in conjunction with H124 (CROS/Bi-CROS microphone).
 To calculate the exchange rate on U.S. dollars, use the rate on the first day of the month that the invoice is dated and round it to the
nearest .01
© 2014 Government of Alberta
Effective July 1, 2014
APL H-10