Meridian Medicare Advantage

The Meridian hearing program is a Medicare Advantage discount and funded benefit plan through Amplifon. This plan went into effect January 1, 2019.  You will follow the standard process (found in the provider portal) with the additional requirement of the Meridian disclosure form.

1. Member is referred to clinic and appointment is scheduled.
2. Amplifon verifies insurance benefits.
3. Provider collects hearing test copay at the time of service, which varies depending on plan type. 
4. Provider must submit hearing test claim to the plan.

Pre-Fitting information:

1. Member is referred to clinic and appointment is scheduled.

2. Amplifon verifies insurance benefits.

3. If the member has a funded benefit, provider informs member of the details. Benefit varies from $500 to $4,000 per device. An example of how this could impact a member's cost:

            A. Device Cost                      $1,595 
            B. Funded Benefit                 $1,595
            C. Patient Responsibility      $0 (A - B = C) ($1,595 - $1,595 = $0)  

4. Members can purchase higher priced hearing aid(s), however, the difference between their benefit amount and the device cost becomes the member's out-of-pocket responsibility. For example:

            A. Device Cost                       $1,795
            B. Funded Benefit                 $500
            C. Patient Responsibility      $1,295 (A - B = C) ($1,795 - $500 = $1,295) 

5. Any instructions about pre-authorization??
6. Provider recommends hearing aid(s) and orders from the manufacturer using the appropriate Amplifon bill-to number and your ship-to address. Please reference the PO reference number located on the Receipt of Delivery form. Amplifon pays the manufacturer for hearing aids and earmolds.
7. Disclosure form is provided by Amplifon and must be reviewed and signed by member prior to fitting.

Fitting and Payment:

1. Patient pays in full. Payment to Amplifon may be made via e-check or credit card through the provider portal, or through Care Credit and must be forwarded to Amplifon. If patient cannot pay by e-check, credit card, or Care Credit, then payment by check will be accepted. Checks should be made payable to Amplifon Hearing Health Care.

2. Please send the signed Receipt of Delivery and disclosure form along with the packing slip from the manufacturer to Amplifon Hearing Health Care within 24 hours of fitting.

• 2 year free supply of batteries with every purchase.
• The first year supply of batteries will be mailed to the member’s home, along with a reminder letter to contact Amplifon for their second year of free batteries.
• After their two year supply is depleted, the member may contact Amplifon to find out if additional battery coverage is available.

• Amplifon Hearing Health Care must have a completed W-9 from you in order to process your dispensing fee. 
• You will be paid 60 days after the delivery date. Standard dispensing fees apply.

If you have any questions regarding our new partnership with Meridian, don’t hesitate to call Amplifon at 1-800-920-4327.