Insurances and Plans in Which We Participate
Medicare Advantage Plans
- Humana Gold Medicare Advantage
- BlueCross BlueShield Medicare Advantage
- United Healthcare Medicare Advantage
- United Healthcare Community Plan
- United Healthcare Dual-Complete
Workman’s Compensation Plans
- Department of Labor
- OneCall Worker’s Compensation
- United Postal Workers Union
- United Healthcare Hearing (previously Epic)
- Nations Hearing
- American Hearing Benefits
- Your Hearing Network
- Hearing Care Solutions
- Starkey HearNow
Due to recent changes and decline in reimbursement for audiology services from commercial insurance carriers, which directly affects the care we are able to provide our patients, this clinic and its provider has made the difficult decision to withdraw in-network participation for commercial insurances and most Medicaid programs.
If we are performing a non-covered procedure or we are not in your insurance network, payment in full is required on date of service.
If your insurance is not on the list above, though you will be required to pay in-full up front, we always bill your insurance company once as a courtesy. We will refund you any amount we are paid. If we are non-participating with your insurance company, we will file the claim once on your behalf, but all fees must be paid on the date of service.
Understanding your insurance is your responsibility. Your insurance is a contract between you and your insurance provider. We strongly suggest you contact your insurance prior to services to ensure that they are 1) covered and 2) that we are an in-network provider> While we will do you the courtesy of billing your insurance once on your behalf, you are responsible for non-covered services.
Medicare does cover hearing test as long as the following requirements are met:
- An order for testing (can come from primary care, a specialist or other ordering Medicare practitioner)
- Medical Necessity
- We will decide based on your history of symptoms whether testing is “medically necessary” to maintain compliance with Medicare Policy. If there is not an apparent medial need for testing, you will be required to self-pay for the appointment.
Coverage of Hearing Aids and Medicare
Hearing aids and related services, such as a test to determine the need for hearing aids, or for the purpose of fitting hearing aids, are statutorily excluded from Medicare.
If billed to Medicare, reimbursement will be denied. Many Medicare Advantage plans do provide some discounted pricing for hearing aids. Please contact us with any questions.
Do you need hearing care?