Patients are responsible for any referrals or authorizations for their appointments. After your appointment, the department's billing staff will handle all the paperwork required by your insurance company for its portion of your bill. If you do not have your referral at the time of your appointment, the billing staff will charge you the full portion of the bill or you may need to reschedule your appointment.
Payment is expected at the time of service for your portion of the charges or for the full amount. You can receive a copy of your co-payment schedule from your insurance company. You will receive a bill for any amount not covered by your insurance.
Balances from services in other departments or The Johns Hopkins Hospital are also expected in advance of receiving service from our Department. In addition, payment is expected up front for services, such as hearing aids, which are excluded from insurance coverage. A financial counselor is available to assist you with any billing concerns or questions.
Hearing aids are not covered by many insurance providers, including Medicare. Some patients may have limited coverage and a smaller percentage of patients have complete coverage; however this information will need to be verified with the insurance company on an individual basis. Children have more hearing aids covered than adults do; but there are very specific guidelines and paperwork necessary for proper processing of coverage. We can assist you in contacting your insurance company. In many instances, we may need to have you purchase the hearing aids and then provide you with the documentation necessary to submit the claim to your insurance.
The BAHA (bone-anchored sound processor) is a surgical procedure. The BAHA sound processor is bundled into the surgical charges and will be billed along with the surgery. There will be verification and pre-certification of coverage performed by the operating room.
- Maryland Division of Rehabilitation Services (DORS) is the state Vocational Rehab program that provides services to people with disabilities who want to work or keep their current employment. Programs and services for eligible individuals may include vocational evaluation, skills training, academic preparation and job placement assistance. People who are hard of hearing and trying to secure or retain employment may be eligible for hearing aids, assistive devices, interpreter services and more. For more information contact the DORS administrative office at 1-888-554-0334 and they will direct you to your local Maryland office. For addresses and detailed contact information, visit http://dors.maryland.gov/Pages/default.aspx. For individuals outside of Maryland, look under State in the Government section of your local phone book.
- United States Veterans Administration (VA) may provide hearing aids and assistive technology for eligible veterans. Depending on the eligibility and the degree of service-related hearing loss, veterans may receive free hearing aid services. Veterans must visit a local VA medical facility for services. For more information, contact the VA Health Care Benefits Center at 1-877-222-8387. You may also visit www.va.gov to search for a local VA medical center and eligibility requirements.
- Maryland Technology Assistance Program (MD TAP) may provide temporary loans of equipment, loans for purchasing equipment, as well as referral services and demonstration centers. This service does not have a hearing aid program. For more information and qualification requirements, call 410-554-9230 or 1-800-832-4827. You may also visit the website at www.mdtap.org. For assistance outside of Maryland, visit www.resna.org and click on the “Technical Assistance Project” for individual state listings.
- Civic/Service Organizations receive charitable donations to purchase hearing aids and other devices for low-income individuals. Clubs often recondition hearing aids and donate them to needy individuals. The following organizations may be found in your local telephone book or online: National Easter Seal Society, March of Dimes, United Way, Lions International, Kiwanis Clubs, Rotary Clubs, Sertoma Clubs, Optimist Club.
- Starkey Hearing Foundation, in conjunction with the HEAR NOW program, works to provide hearing aids to individuals and families with limited financial resources. This foundation assists individuals who are residents of the United States and qualify under the National Poverty Guidelines for assistance. Contact the Starkey Hearing Foundation at 1-800-769-2799 for an application and more information. Or you may visit the website at www.sotheworldmayhear.org for detailed information and an application.
- Miracle Ear® Children’s Foundation provides free Miracle Ear® hearing aids and services to children from low-income families. To receive assistance through this foundation the child must be a resident of the United States, 16 years old or younger, in a family with an income level that does not allow for public support and in a family committed to the necessary follow-up services needed as the child grows. For more information, please call 1-800-234-5422 or visit the website at www.miracle-ear.com.
- Maryland Accessible Telecommunications (MAT) program provides free assistive telephone communications equipment to qualified individuals residing in the state of Maryland. MAT distributes free TTYs, amplified handsets, and other assistive devices to qualified applicants who have difficulty using the telephone. MAT does not provide hearing aids. For detailed information and an application, contact Maryland Relay Customer Service at 1-800-555-7724 or visit the website at www.mdrelay.org and go to the “Free Equipment” section. For assistance outside of Maryland, visit www.tedpa.org for more information on individual state programs.
- Disabled Children’s Relief Fund (DCRF) provides disabled children with assistance to obtain hearing aids and other medical equipment. DCRF focuses special attention on helping children throughout the United States that do not have adequate health insurance. Applications for assistance are available between March and September. To request an application, write the Disabled Children’s Relief Fund, PO Box 7420, Freeport, NY, 11520.
- Hike Fund, Inc., the Hearing Impaired Kids Endowment fund, will provide hearing aids and/or assistive devices for children with hearing impairments between the ages of newborn and twenty years whose parents are unable to meet this special need financially. An estimate of 100 children are provided with hearing devices each year. For more information, call 636-928-2101 or visit the website for an application at www.thehikefund.org.
- Travelers Protective Association of America established the TPA Scholarship Trust for the Deaf and Near Deaf in 1975 to provide financial aid to children and adults who suffer deafness or hearing impairment and who need assistance in obtaining mechanical devices, medical or specialized treatment or specialized education as well as speech classes, note takers, interpreters, etc. and in other areas of need that are directly related to hearing impairment. Applications must be returned to the Trust by March 1st each year. Trustees review all applications on file in April, notify recipients in May and scholarship checks are mailed after August 1st. For an application, write to TPA Scholarship Trust for the Deaf and Near Deaf, 3755 Lindell Blvd, St. Louis, Missouri, 63108-3476