If you have medical insurance, we are anxious to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance, and your understanding of our payment policy.

Insurance Records

You will be asked to update your demographic and insurance information periodically, including providing our office with copies of your insurance card(s). We are required to obtain your signature for permission to release information to your insurance carrier. Our failure to obtain these updates could result in criminal and civil penalties and/or expulsion from your insurance plan. Please assist us in complying with your insurance requirements.

Insurance Coverage

Currently we are in the process of credentialing with several insurances. This is a dynamic situation and our status today may be different than it was last week. We will however as a courtesy, file with most insurances as an out-of-network provider even without the credentialing. We will update this information as credentialing is secured.

Patients should secure an order/referral from their physician or healthcare provider for audiology evaluation. Physician referrals increase the likelihood of insurance coverage and improve the filing/billing process.

Payment for Services

We expect payment of all services within 90 days. It may become necessary for you to pay your account in full if your insurance company fails to pay for services within 90 days. It is very important for you to know your insurance deductible and percent patient responsibility as well as pre-certification, referral, and authorization requirements. You should review your insurance coverage or call your insurance company to review this information.

Insurance Payments

When you receive a statement from your insurance company describing a procedure/diagnostic study, please be advised that this refers to an “in office procedure” or diagnostic study performed during your office visit. Depending on your insurance plan, these charges may be applied to your deductible.

Not all services are a covered benefit in all contracts. Some insurance companies arbitrarily select certain services they will not cover. Medicare, for instance, does not cover any portion of the cost of hearing aids or supplies. Private insurance companies occasionally cover hearing aid costs. However, patients are responsible for understanding details of coverage, and hearing aids will not be dispensed until full payment is received.