Tom Harkin: “Audiologic services are critical in the diagnosis and management of hearing loss. I am concerned that under FEHBP, an…”

“Audiologic services are critical in the diagnosis and management of hearing loss. I am concerned that under FEHBP, an efficient and effective avenue to appropriate care is unavailable because FEHBP law does not explicitly identify the option of direct access to audiologists. Senator Cochran introduced, and I supported, along with Senator Frist and Pryor, legislation in the 104th Congress to ensure that FEHBP beneficiaries who require audiological services would have the option of direct access to them. Earlier this year, I received a letter from Kenneth W. Kizer, M.D., Under Secretary for Health with the Department of Veterans Affairs. In 1992, the VA instituted a policy allowing veterans who suspect a hearing loss to make appointments directly with an audiologist. According to Dr. Kizer, "The VA experience suggests that providing direct access to audiologists for civilian federal employees will result in high quality hearing care and reduce the cost of services." We are not talking about mandating additional benefits. In addition, I believe it would be advisable to add provider non-discrimination assurances to FEHBP plans.”