What is a "Standard" Hearing Aid?

RSiegel663 rsiegel663 at aol.com
Sun Nov 16 22:35:36 EST 1997


>rd" Hearing Aid?
>From: hearwhac <hearwhac at netins.net>
>Date: Sat, Nov 15, 1997 23:09 EST
>Message-id: <346E71DD.A1D65B00 at netins.net>
>
>Hi Jeff,
>
>Jeffrey Sirianni wrote:
>
>> The result is that you can dispute the $X payment as too little and ask for
>> more, bill the patient the difference (which GM BC/BS patients will NEVER
>> pay), or write off the difference.  It is a real sham that insurance
>> companies that cover hearing aids in their policies refuse to disclose
>> exactly what they will cover in terms of dollars re-imbursed or whether
>> they cover accepted retail cost back to the dispenser.
>
>Unfortunately GM BC/BS has written into their contracts with their insureds
>that they will pay the full cost of the hearing aid - and this is also
>written
>into their contracts with us, their providers (that we must accept their
>payment as "payment in full."). Thus, you cannot "bill the patient the
>difference."
>
>snip>>

>
>Paul ;-)
>
>
Paul, 

I have worked with the GM program for a few years now.  The re-embursement has
 been on the same scale as medicaid in the state,  i.e.  cost plus a dispensing
 fee.  Not great but it just covers the costs.
and a tiny bit of profit.  
Check your agreement

Bob

Robert B. Siegel M.S. CCC-A, BC-HIS
Family Hearing Centers
2001 Lincoln Dr W.   Suite E
Marlton, NJ 08053-1531





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