>rd" Hearing Aid?
>From: hearwhac <hearwhac at netins.net>
>Date: Sat, Nov 15, 1997 23:09 EST
>Message-id: <346E71DD.A1D65B00 at netins.net>
>>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
>into their contracts with us, their providers (that we must accept their
>payment as "payment in full."). Thus, you cannot "bill the patient the
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
Robert B. Siegel M.S. CCC-A, BC-HIS
Family Hearing Centers
2001 Lincoln Dr W. Suite E
Marlton, NJ 08053-1531