Your Aetna Referral

Testing

Testing services paid to provider

Hearing Aids

Pre-Fitting Information:

1. Amplifon refers patient to clinic and appointment is scheduled.
2. Amplifon verifies patient’s insurance benefits.
3. Provider recommends hearing aids and reviews Aetna’s product list prior to ordering to confirm it is approved.
4. Provider uses the Disclosure Form provided by Amplifon to review the cost estimate with the patient prior to fitting.
5. Provider submits hearing aid order to Amplifon.

Fitting and Payment:

1. Provider fits patient with hearing aids.
2. If patient purchases a hearing aid that costs more than what the plan covers, provider collects the balance at the time of hearing aid purchase. Payment to Amplifon Hearing Health Care may be made via e-check or credit card through www.myamplifonusa.com, or through Care Credit and must be forwarded to Amplifon Hearing Health Care. 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.
3. Provider sends the signed Receipt of Delivery, signed Disclosure Form, and Packing Slip from the manufacturer to Amplifon within 24 hours of fitting.

Batteries

• 2-years of free batteries or free charging station with every hearing aid purchase (maximum of 80 cells per device per year).
• The first year of batteries will be mailed to the patient’s home along with a reminder letter to contact Amplifon Hearing Health Care for their second year of free batteries.
• After year two, the patient may contact Amplifon Hearing Health Care to find out if additional battery coverage is available.