Billing & Insurance

Billing
The Speech and Hearing Clinic is a fee-for-service Clinic. All patients are expected to pay for speech, language, and hearing services and products upon receipt of the itemized bill.

Referrals The Clinic requires a medical referral for all services. This referral must be on file before any services can be provided. It is up to the patient to request this referral from their primary physician. A medical clearance is required for patient’s seeking hearing aids. This clearance must include a copy of the most recent hearing exam (audiogram). Some insurance companies require Prior Authorization before services can be provided. In such cases, the Clinic will file these requests on the patient’s behalf once all required documentation is received by our office.

Private-Pay Patients Patients who are uninsured, have an insurance provider not accepted by our Clinic, or whose insurance does not cover our services are classified as private-pay patients. All private-pay patients are responsible for payment of billed services.

Insurance
Primary, secondary and tertiary insurance, where applicable, will be billed for services. Any co-insurance payments/deductibles will be the responsibility of the patient.

  • Blue Cross Blue Shield
  • Our Clinic is in network with most Blue Cross Blue Shield (BCBS) health plans. Services will be covered by BCBS based on diagnosis and local coverage determinations. Patients should confirm coverage for these services by contacting BCBS.

  • Health Alliance
  • Effective July 1 2017, our Clinic is in network with most Health Alliance health plans. Services will be covered based on diagnosis and local coverage determinations. Patients should confirm coverage for these services by contacting Health Alliance.

  • Medicare
  • Our clinic bills Medicare for all services. Patients are responsible for payment of services designated as never covered by Medicare. Patients will also be responsible for any co-insurance or deductible.

  • Medicaid
  • Patients with full Medicaid coverage are accepted in our clinic for speech-language and hearing services. Patients are responsible for payment of services designated as never covered by Medicaid.
    Patients with Medicaid coverage through Molina or Meridian require a prior authorization for services. If services do not meet prior authorization standards due to a classification as a non-covered service, the patient will be responsible for payment.
Forms of Payment
We accept payment in the form of cash, check, or credit card.