Skip to main content

Model Insurance Plan Benefit for Pediatric Speech, Language and Hearing Services

(reprinted with permission from Childrens Hospital of Cinncinnatti and the Ohio Speech Language Hearing Association)

The following speech, language, and audiology procedures are covered when rendered by a speech-language pathologist or audiologist who is certified by the American Speech-Language-Hearing Association and, where appropriate, is licensed by the state.

  • Speech-language assessment and audiological assessment
  • Provision of necessary habilitative or rehabilitative speech-language pathology and audiology evaluation and treatment for a speech, language, or hearing disorder resulting from illness, disease, injury, congenital, developmental, and psychological conditions
  • Hearing aid assessment and recommended amplification devices including but not limited to hearing aids, sound field and personal FM systems
  • Aural rehabilitation treatment
  • Cochlear implant evaluations, surgical procedures, and recommended follow-up speech and language treatment
  • Dysphagia (swallowing disorder) and oral-motor assessment and treatment services
  • Assessment and treatment for augmentative communication systems and devices


  • “Loss or impairment of speech or hearing shall include communicative disorders resulting from genetic defects, birth defects, injury, illness, disease, developmental disabilities or delays or other causes whether of organic or nonorganic etiology and whether or not the person suffering from that loss or impairment had the capacity for speech, language or hearing before the loss or impairment occurred.”