We’ve made it half way through 2019, and it’s a great time to start considering how to make the most of your insurance benefits before the end of the year. This may be the perfect time to consider a replacement sound processor.
Using your insurance benefits to replace your current sound processor may be a good option if you have already met your health insurance plan deductible, or if you know that you will have additional medical expenses coming up in the last half of the year.
Your deductible is the specified amount of money that you must pay out-of-pocket before your insurance will pay towards your services. Depending on your specific plan, once you’ve satisfied your deductible your insurance will cover a higher percentage of your covered services, which typically means lower costs to you.
If you’ve already met your deductible, you could have insurance cover a higher percentage of the cost for your replacement sound processor. If you haven’t yet reached your deductible, you could use the costs associated with a replacement processor to reach your deductible and lower your medical costs for the remainder of the year – including any orders for medically necessary parts and accessories like cables, coils, magnets, and rechargeable batteries. Either way, you could maximize your insurance benefits for the remainder of the year and lower your out of pocket costs.
Please keep in mind that benefit qualification by your insurance company is dependent on when your order is shipped from Cochlear, not when the order is placed. Insurance companies require replacement order claim submissions in 2019 to have a ship date on or before December 31, 2019. Since the average processing time for a replacement sound processor order is approximately 6-8 weeks, we recommend that you plan ahead and place your upgrade order no later than October 31, 2019.*
Learn more about how replacing your sound processor can help you get the most out of your hearing experience by visiting the following links for our next-generation Cochlear™ Nucleus® sound processor and Baha® sound processor technology.
We’re here to help
Let us navigate the insurance reimbursement process for you. We are here to help you through every step of the process from choosing your accessory options to placing your order. We will work with your clinician to determine medical necessity and collect all documentation needed to bill your insurance directly.
Contact us at 1-866-922-8673 to get started with your sound processor order today.
*Orders placed on or before October 31, 2019 are not guaranteed to be approved by your insurer or shipped on or before the December 31, 2019 insurance deadline. Placing an order through Cochlear’s Reimbursement and Insurance Services does not imply approval from your insurance carrier.
Information provided by Cochlear Americas regarding insurance coverage or reimbursement is provided as guidance only and is not intended as reimbursement or legal advice. Cochlear Americas makes no representation or warranty regarding such information or its completeness, accuracy, fitness for a particular purpose, or that following such guidance will result in any form of coverage or reimbursement from any insurer. Information presented is subject to change at any time. To be sure that you have the most current and applicable information available for your unique circumstances, please consult your own experts and seek your own legal advice regarding your reimbursement needs. In all cases, products or services billed must be medically necessary, actually performed and appropriately documented in the medical record.