Get hearing aids through insurance

The Otofonix Hearing Aids Through Insurance program is designed for individuals experiencing hearing loss who seek to obtain hearing aids through their insurance coverage. When you apply, we take care of the entire process – verifying your eligibility and coverage amount with your insurance company, assisting you in obtaining a prescription from your doctor, and delivering the hearing aids to you at no cost. We handle the direct billing to your insurance and manage all the necessary paperwork on your behalf. It's a hassle-free way to access quality hearing aids through your insurance benefits.

Eligibility for receiving hearing aids can vary based on several factors, including the individual's degree of hearing loss, the specific requirements of the hearing aid provider or program, and the coverage provided by insurance plans. In general, individuals with documented hearing loss, as determined by a hearing test or evaluation conducted by an audiologist or hearing healthcare professional, are typically eligible for hearing aids.

TRICARE only covers hearing aids and hearing aid services for adults who have hearing loss that meets specific hearing criteria:

Adults with: Hearing threshold of at least 40 dB HL in one or both ears when tested at 500, 1,000, 1,500, 2,000, 3,000, or 4,000Hz; or hearing threshold of at least 26 dB HL in one or both ears at any three or more of those frequencies; or speech recognition score less than 94%.

It's important to note that these criteria are specific to TRICARE, and eligibility requirements may vary for other programs or providers. If you have questions about your eligibility, it's recommended to consult with the specific program or hearing healthcare professional involved.

In order to determine your eligibility to receive a hearing aid through TRICARE, we will be needing the following documents:

1) Application Form: Fill out our online application. Make sure to complete all sections accurately and thoroughly.

2) Proof of Hearing Loss Diagnosis: Submit a prescription from your physician with a diagnosis code for hearing loss. If you do not have a prescription, please feel free to contact us, and we can assist you in obtaining one from your physician.

3) Hearing Evaluation: Submit an audiogram as part of the verification process to further confirm the presence of hearing loss.

It's important to carefully review the specific requirements outlined by the insurance program and provide all requested paperwork accurately and completely. This will ensure a smooth and efficient evaluation of your eligibility for the program.

Since each insurance plan and individual coverage is different, we have a rigorous procedure in place to confirm your eligibility and coverage amount to make sure you do not have any out-of-pocket costs for your hearing aids.

We use the insurance information you provide to call your insurance provider and ask them coverage questions specific to your policy. Once we have a pre-approval from them and an allowed coverage amount, we reach back out to you to provide you with the covered hearing aid options. We then ship out your hearing aid to your door, and do all the necessary paperwork to file the claim with your insurance on your behalf.

Yes, indeed! Insurance companies typically require proof of medical necessity, and this often comes in the form of a prescription from an audiologist. In addition to the proof of medical necessity, submitting an audiogram, which is a test that measures your hearing ability, is a common requirement. These documents help establish the need for a hearing aid and ensure that the recommended device is suitable for your specific hearing needs. If you have any questions or need assistance in obtaining these documents, feel free to reach out to us, and we would be happy to help!