
This tool provides research information only and does not guarantee eligibility, coverage, or reimbursement. Benefit details vary by plan year, member status, and administrator rules. Always verify current benefits directly with your insurer or plan administrator before making purchasing decisions.
See which Medicare Advantage plans route hearing benefits through a third-party payer — before the appointment.
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Currently onboarding 24 of 50 founding practices
When a Medicare Advantage plan routes hearing through a third-party payer (TPP) — TruHearing, NationsHearing, UHC Hearing, HearUSA, Amplifon — the case takes a different financial pathway than a Direct Pay case. AudiCoverage Pro tells your team which pathway applies, before the patient walks in.
Why it matters: earlier pathway identification means your front desk verifies network status correctly, your audiologists prepare the right benefit explanation, and patients get accurate cost expectations the first time — not at the fitting.
$2,270 figure: mid-level pair pathway gap from Gosalia (2019), Seminars in Hearing.
Full benefit detail at every patient visit
Know the plan before you answer the phone
Verification queue to track what still needs attention
Visibility across the practice workflow
See coverage, benefits, and cost-sharing at a glance
Know who to call before you pick up the phone
See year-over-year changes across MA and ACA plans
Track what's verified and what still needs attention
Generate handouts and prior auth templates for your front desk
Admin phone numbers organized by plan and source
Move the sliders to match your clinic. The math reflects the difference in clinic economics depending on which pathway a case takes.
Monthly economic difference
$7,945
Annual economic difference
$95,340
At a $481/hr clinic revenue target, that's ~198 hours of equivalent clinical time — captured by knowing the pathway before the appointment, not by adding patient slots.
Defaults reflect mid-level pair gap from Gosalia (2019), Seminars in Hearing. Adjust to your typical product mix.
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