Insurance Information

We are in network for most major insurance plans. See our list of insurances plans that are in network and out of network.
When you call to make an appointment in our office, we will ask you for your insurance at that time. By knowing your insurance ahead of time, we can verify your benefits before you arrive. Once we know your plan specifics, we can inform you if a referral is needed prior to any visit with us. Please bring your insurance card with you to your appointment, and paperwork can be filled out through the forms online or when you arrive at the clinic.

Medicare Part B Beneficiaries: please note that a referral from your Primary Care Physician is required. If one is not received before your visit, we will be unable to see you and we cannot collect payment from you in lieu of billing your Medicare insurance. If you have any questions about our services, insurance plans or you’re ready to schedule an appointment, give us a call today!

Hearing Aid insurance Programs

There are many insurance programs that claim to have an insurance benefit for their beneficiaries.  It’s important to know whether it is a funded benefit (pays the provider directly for the entire amount or a portion of the cost of the hearing aids) or a discount program, which offers a significant discount or copay towards the cost of the hearing aids.

Many insurance programs, such as Medicare advantage plans and Medicare supplemental plans, often have a discount insurance benefit and not a funded insurance benefit. Some commercial and federal programs may also have this type of discount program.

So what’s the difference?

Funded benefits have a set dollar amount that pays the provider for all or a portion of the total cost of the hearing aids and services. For example, a benefit plan may offer $5000 towards the cost of the hearing aids and will pay the provider this amount once the claim is filed. The insurance plan dictates how often the benefit is available, such as annually, three years or every five years, depending on the plan.

Discount programs work with an insurance plan and assign a third party (3rd Party) coordinator to manage the hearing aid program for its beneficiaries. Some of those 3rd party coordinators include:

• Tru Hearing
• Amplifon
• HearUSA
• United Health Care Hearing
• Nations Hearing

Sonora Hearing Care does not participate with these 3rd party programs due to their limited reimbursements to providers and how they limit the quality of care that can be provided in the clinic setting. We believe in providing the highest level of hearing health care, which utilizes best practices and these plans limit our ability to do that. Therefore, we made the decision to not work with these plans.  We do have an inhouse insurance discount equivalent program that aims to match several of the discount plans and allows our patients to save money while also receiving the high quality care that we strive to maintain.

OUT OF NETWORK

• AHCCCS
  • AZ Complete Care
  • Banner University Family Care
  • BCBS Health Choice
  • Mercy Care
  • UHC Community Care
  • Anything with “Dual” in the plan name
• Alignment Health Plan
• Amerigroup/Wellpoint
• Allwell/Wellcare
• Banner Medicare Advantage
• BCBS Medicare (worth it to check!)
• Cigna LocalFlex
• Cigna Medicare Advantage
• Workers comps outside of OWCP
• Oscar Health Care Plan