Common Questions

Amplifon Hearing Health Care partners with hearing healthcare businesses and professionals like independently owned audiology practices, franchise hearing healthcare businesses and ENT clinics. We work with these business owners to provide the best possible hearing healthcare to our Amplifon members.

Amplifon contracts with insurance companies, employers, Third Party Administrators, and other organizations. However, anyone may qualify to use the Amplifon Universal Program and you may refer patients to Amplifon at any time. Simply enter the necessary information in the provider portal Add Patient screen. When a patient is added, Amplifon is notified automatically and will verify insurance. The patient referral is available to process when approved. Refer to the Myamplifonusa.com Quick Guide for specific instruction.

The Provider Portal was created to help you easily view your Amplifon referrals, create appointments and enter hearing aid sales for patients referred to your location. The Provider Portal makes it easy for you to manage your referrals and shows you all the relevant referral activities on your dashboard, including a detailed summary of processed sales.

An Amplifon plan where the patient is responsible for 100% of the payment at the time of their service. Pricing is established by Amplifon for testing and hearing aid charges. Testing fees are collected and retained by your office while hearing aid fees are paid directly to Amplifon.

Can I bill my patient’s insurance for testing under a Discount Plan?

Yes. You can bill your patient’s insurance for testing services. If the patient is responsible for a co-pay, the payment would be paid to your office.

Can I bill my patient’s insurance for hearing aids under a Discount Plan?

No. Amplifon requires payment in full when the hearing aids are ordered. Amplifon will provide your patient with a receipt which they submit to their insurance to be reimbursed for any eligible hearing benefits.

1. Amplifon will conduct billing for patient’s funded portion to be paid.
2. Amplifon requires payment in full when the hearing aids are ordered. Amplifon will provide the patient with a receipt which they will submit to their insurance to be reimbursed for any eligible hearing benefits.

Can I bill my patient’s insurance for testing under a Funded Plan?

Payments for diagnostic testing vary based on the specific Amplifon partner and health plan. The details of the Funded Plan payment options are provided in the insurance verification section of the customer summary. These are the two most common payment options through a Funded Plan:  

If testing isn’t covered under Amplifon, the patient pays the location directly for diagnostic testing services. The patient can then seek reimbursement from their health plan; or you can bill the plan directly at the insurance contracted rates, if applicable.

You submit a receipt of delivery form with documentation about the diagnostic testing services provided to Amplifon. Amplifon then bills the plan on your behalf, and reimburses you for the diagnostic testing services provided with the provider reimbursement fee.

Can I bill my patient’s insurance for hearing aids under a Funded Plan?

No. Your office does not need to bill the patient's insurance. Amplifon will bill the patient's insurance plan for the amount covered and listed on the insurance verification form. This process begins when your office returns the Receipt of Delivery form. Your patient is responsible for the balance at the time of order.

Patients contact their insurance company and are then referred to Amplifon. Amplifon representatives will verify the patient's eligibility and refer them to your practice. You’ll receive an email notification about the referral, be called by Amplifon or be notified in the Provider Portal. After receiving that notification, you’ll want to help your patient book their appointment.

First, you’ll want to review the patient's information from within the Provider Portal. Then, contact your patient directly to schedule their appointment.

No, Amplifon refers patients to a single provider location only. However, if a patient wants to change locations, they can call Amplifon back at any time to do so.

Patients are either transferred to your office to schedule an appointment or instructed to contact your office when their letter is received in the mail. However, we encourage providers to contact their patients to assist with the scheduling process. Please contact Amplifon Provider Relations at 1-800-920-4327 if you don’t see your patient listed in the provider portal within 24 hours of scheduling the appointment.

Conduct the necessary testing for your patient. Your patient will then pay the clinic directly for any testing conducted. Follow the Amplifon discounted rates listed on the Diagnostic Service Fee Schedule or on the Amplifon provider portal. If your patient has insurance that covers testing, you may bill the patient’s insurance for testing services only. If your patient is responsible for a co-pay, the payment would be paid to your office. If your clinic does not routinely charge for testing, Amplifon patients cannot be charged as per typical insurance billing guidelines. Please contact Amplifon Provider Relations at 1-800-920-4327 if you have any questions or need additional testing codes.

A member contacts Amplifon to access their Amplifon Program benefits as determined by Amplifon and the Plan Partner.

1. The Amplifon Patient Care Advocate assists in scheduling an appointment for the member with the Amplifon Network Location of their choice.
2. If the Amplifon member has selected a Network Location and/or Provider but is unable to schedule an appointment during the call, Amplifon creates a referral notification (“Referral”). The Referral is emailed to the Network Location and the member, instructing the member to contact the Network Location to schedule an appointment. The Network Location may choose to proactively contact the member to schedule an appointment.

Yes, you can order RIC/BTE hearing aids. Please refer to the portal quide on the provider portal for step-by-step instructions. 

Yes, there are many custom hearing aids within the Amplifon formularies available to order.  Please refer to the portal quide on the provider portal for step-by-step instructions. 

Yes, Earmolds are included in the price of RIC/BTE products. Only standard shipping (First Class Mail) is authorized with the earmold order for Emtech, Great Lakes Earmold, or Precision Laboratories. Earmold orders through the hearing aid manufacturer can be ordered with original hearing aids orders only and with standard manufacturer shipping methods (i.e. Fed Ex).  Please refer to the portal quide on the provider portal for step-by-step instructions. 

What do I need to do on the day of the hearing aid fitting?

On the day of the hearing aid(s) fitting, the Network Provider will generate the Receipt of Delivery Form from the AHHC Provider Portal and electronically sign it along with the member.

I forgot to take the patient's payment when ordering, when will my patient's order be placed with the manufacturer?

Once the patient payment is completed in the portal, the order will automatically be routed to our ordering team to place it with the manufacturer. If the patient's portion of the payment has not been completed, the order will not be placed. 

The patient is paying Amplifon. Providers should be processing all payments through the provider portal. Please refer to the applicable guide for step-by-step instructions on how to process a payment.  

Payments can be made in the following ways:

Credit Card (Visa, MasterCard, Discover, AMEX), E-Check – CareCredit. For instructions on how to process each type of payment please refer to the provider guide

Amplifon works with CareCredit to offer a 6, 12, & 18-month interest-free option, as well as a 24, 36, or 48-month extended finance option with interest. If the patient doesn’t have a Care Credit account, please direct them to https://www.carecredit.com/ to apply prior to the fitting of the hearing aid. Please refer to our website for more details.

For additional information on how to process a CareCredit please refer to the prover manual for step by step instructions.

 

My patient's hearing aids are fully 100% covered by insurance, when will their order be placed?

Payment is only required prior to the hearing aids being ordered if there is a balance due from the patient. If a patient does not owe any monies towards the hearing aids, their order will be placed automatically by our ordering team. 

Did you know that registering a reverse referral/clinic-self referral 24 hours or more in advance within the portal will allow the benefit information to be visible at the time of the hearing exam? Registering the patient in advance will give you more time face-to-face with your patient on the day of the appointment, along with the ability to see all of their insurance information.

Provider reimbursements are paid out at 60 days of delivery.

Yes, returns and exchanges can be initiated in the Provider Portal. 

 **Please be aware returns and exchanges must be completed within the 60 day trial period. **

To replace a hearing aid under the loss and damage warranty, please follow the steps below. This transaction is handled directly between the patient and the provider’s office at the set deductible amount listed below. The only exception to this process is when a hearing aid is lost for a Workers’ Compensation claimant (in these instances, contact Amplifon’s Workers’ Compensation Division at 1.888.319.9206).

1. Verify with the manufacturer if the warranty is still in effect.
2. Complete the manufacturer’s paperwork utilizing clinics bill-to account number and ship-to account number.
3. Send to the manufacturer to obtain a replacement hearing aid under the loss and damage warranty.
4. The patient pays your office the Amplifon deductible amount. 
5. Payment is retained within your office.
6. Notify patient the loss and damage warranty has been utilized and any future loss is their responsibility.