Billing & Insurance
At Rawls Clinical Audiology, we want the billing process to be as clear and transparent as possible. Recent changes across the healthcare system have affected how hearing and audiology services are billed and reimbursed by insurance providers. Because of these changes, coverage and payment amounts may vary depending on your specific insurance plan.
Our team works closely with patients to help verify benefits and provide guidance on any potential out-of-pocket costs prior to appointments whenever possible.
Insurance Verification
Whenever possible, we verify your insurance benefits before your appointment. This helps us better understand your coverage and provide an estimate of any costs you may be responsible for at the time of your visit. Because insurance policies differ widely, benefit verification allows us to minimize surprises and keep you informed.
Medicare & Medicare Advantage
Many Medicare and Medicare Advantage plans now cover only a portion of hearing-related services. To help create a smoother and more predictable experience for our patients, we may collect estimated balances at the time of your appointment based on the coverage information available to us.
Commercial Insurance Plans
For patients with commercial insurance plans, we continue to collect co-pays and any estimated out-of-pocket costs at the time services are provided. Because coverage for audiology services varies between plans, we evaluate benefits on an individual basis whenever possible.
Deductibles & Out-of-Pocket Costs
Out-of-pocket costs are determined by your individual insurance plan and may be subject to your deductible.
If insurance does not fully cover services, office visit fees typically range from $150 to $250, depending on the services provided during your appointment. Replacement parts or components for hearing aids are not included in this estimate and may involve additional charges separate from professional services.
For individuals and families with limited income, we offer a sliding scale option to help make care more accessible. Patients with Medicaid coverage are billed according to the fee schedules established by their specific plans.
In-Network Insurance Providers
Rawls Clinical Audiology is currently in-network with the following insurance providers:
Medicare, Medicaid, Tricare, United Healthcare, Aetna, Humana, Cigna, and Anthem Blue Cross Blue Shield.
If you have questions about your insurance coverage, billing, or upcoming appointment, please contact our office. Our team is always happy to help you understand your benefits and plan for your visit.