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Allow Cornerstone Audiology to Check Your Insurance Coverage
Insurance can be a confusing subject. Wading through the pages of small print laying out what is covered, qualifying criteria, deductibles and limitations of coverage can be overwhelming.
Unfortunately, the confusion related to insurance coverage for hearing care causes many people to put off getting the help they need for their hearing challenges.
Because we want to ensure that everyone who might benefit from hearing aids has access to them, Cornerstone Audiology makes it easy for you to find the answer to one of your most pressing questions.
Are hearing aids covered in part, in full or not at all by my health insurance policy?
We have team members who have extensive training in order to help you maximize your benefits by asking the right questions, speaking to the right departments and will help you to receive the highest level of coverage available.
First things first, though? Let’s start with a hearing test and our audiologists will determine if there is a hearing loss, and if so, if hearing aids will help.
Check Your Insurance Coverage
Frequently Asked Questions Related to Insurance Coverage for Hearing Aids
Q: Does my health insurance cover a hearing test?
A. Medicare will pay for the majority of a hearing test (80%) that is deemed medically necessary when your physician refers you to our office. Typically, supplemental insurance pays the remaining (20%). This is only paid after the patient’s deductible has been met. Medicare typically has a low deductible. Some supplemental plans also cover this deductible.
Most other insurances cover hearing tests annually with applicable copays/deductibles.
Cornerstone Audiology also offers affordable private pay options, if a patient decides not to file their insurance.
Q: Does my health insurance cover hearing aids?
A. Medicare does not cover hearing aids.
Medicaid does cover hearing aids, however our office is not Medicaid provider, but will be happy to connect the patient to someone who is.
The VA covers hearing aids for patients who qualify. Cornerstone Audiology is in network with the VA and can dispense hearing aids for Veterans at the Veteran’s request.
Many secondary policies or private insurances offer hearing aid coverage such as Blue Cross Blue Shield, Baylor Scott and White, First Care, United Health Care, Aetna, Team Choice, and more. Please complete this form and our team will verify your hearing aid benefits.
Q: What types of hearing aids are covered?
A. Coverage typically includes new, non-refurbished, monaural or binaural hearing aids (depending on the patient’s hearing loss).
Different styles of hearing aids (i.e. in the ear, over the ear) may be covered at different amounts. For example, an invisible in the ear device may not be covered to the extent that the “over the ear” hearing devices is covered. This varies by policy.
Q: How often are hearing aids covered?
A. Many policies provide hearing aid benefits every 36 months. Other policies provide hearing aid benefits every 5 years. This just depends on the policy.
Q: What is typically NOT covered for hearing by health insurance that offers a hearing aid benefit?
- Service plans
- Batteries
- Extended warranties
- Back up hearing aids
- Loss and damage deductibles
- Supplies
- Accessories
Q: What criteria are typically necessary in order to qualify for coverage from insurance policies that offer a hearing aid benefit?
A. Age requirement – some policies require a patient to be under the age of 18 in order to qualify for coverage
Comprehensive hearing testing including an audiogram showing hearing loss above a certain range
Detailed report from and audiologist
Referral from a physician is required for some policies to cover hearing aids
Written recommendation from a physician can be required by some policies in order to receive hearing aid coverage. (This type of plan does require that the patient be established with a primary care physician in network with the plan in order to receive coverage)
Requires patients to receive hearing aids within 6 months of diagnosis
Medicare denial can sometimes be required in order for supplemental insurance to pick up coverage. Our team is equipped to file this on your behalf.
Q: Which professionals are certified to bill your insurance for hearing aids and hearing services?
A. Audiologists are certified to bill for services as well as hearing aids.
Hearing aid dispensers are typically unable to bill for services through insurance
Q: If my insurance does not offer a hearing aid benefit, what are my options?
A. Always start this journey by #1 obtaining a diagnostic hearing test and #2 allowing us to verify your benefits by clicking here and filling out this form https://cornerstoneaudiology.com/insurance/
Pay out of pocket for hearing aids – our team offers many different levels of service and technology in order to address your hearing and financial needs
Payment plans – we offer many payment plan options to help spread the cost over time
Better Hearing for Life – ask about this program which includes a down payment and low monthly payments – receiving brand new hearing aids every 36 months – always under warranty – no surprise fees
Texas Workforce Commission – our team partners with Texas Workforce Commission to help patients who cannot afford better hearing, but need their hearing devices in order to stay successful in the workplace or remain in independent living
VA – our team partners with the VA to provide hearing devices for Veterans in lieu of the patient having to go to the VA for hearing services
Let us help you receive the most out of your hearing insurance benefits
We have dedicated team members who verify hearing benefits and help patients receive the maximum amount of coverage possible from their benefits.
We are in network with the following insurances
- Medicare
- Supplemental Insurances
- Blue Cross Blue Shield
- Baylor Scott & White Insurance
- First Care
- Team Choice
- United Healthcare
- GEHA
We are not in network with the following insurances, however we have negotiated excellent out of network benefits and still accept patients with these policies
- Cigna
- Aetna
- Humana
We are out of network and do not accept the following insurances, but are happy to refer patients to a participating provider
- Medicaid
- Amerigroup
Check My Insurance Coverage
If you don’t hear as well as you used to and might benefit from hearing aids, Cornerstone Audiology wants to make sure you’re able to get them. If you’re unsure about what your insurance covers, don’t let your confusion and frustration prevent you from getting the help you need.
Our insurance specialist will do the heavy lifting when it comes to sorting out the coverage and benefits to which you are eligible on your behalf. All you have to do is provide the requested information in the adjacent form and submit it, and we’ll get back to you with what we learn.
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