Martin's Point Generations Advantage

1. Member is referred to clinic and appointment is scheduled.
2. Amplifon verifies insurance benefits.
3. Provider collects hearing testing copay - $40, $45, or $50 depending on plan type - at time of service.
4. Provider must submit hearing test claim to the plan.  Amplifon does not manage claims for testing.

1. Member is referred to clinic and appointment is scheduled.
   
2. Amplifon verifies insurance benefits.
3. Provider informs member of their copay options.  These copay levels have already taken into account the member's hearing benefit (either $100 (see example A) or $700 (see example B) per device).  The resulting copay level will be either:
   
   1. $100 funded benefit: $595, $695, or $895 (Click here for the product/price list for the $100 benefit level.)
   2. $700 funded benefit: $0, $95, or $295 (Click here for the product/price list for the $700 benefit level.)
4. When viewing the pricing within the provider portal, ,the hearing aids will be listed at their original level (before the $100 or $700 benefit is applied).  However, the patient copay will reflect the lower price.  For example:

   
   A. Device Cost  |  $795
   B. Funded Benefit  |  $100
   C. Patient Copay  |   $695 
   
   

5. If a member's hearing loss necessitates a product recommendation outside of the formulary (approved product list), the member may choose to purchase higher priced hearing aids.  Their funded benefit ($100 or $700 per device) would apply to the cost.  For example:
   

   
   A. Device Cost  |  $1,895
   B. Funded Benefit  |  $700
   C. Patient Copay  |  $895
   D. Upgrade  |  $300 (A - B - C = D) ($1,895 - $700 - $895 = $300) 
   E. Patient Responsibility  |  $1,195 (C + D = E) ($895 + $300 = $1,195)  
   
   

6. Provider recommends hearing aids and Medicare Advantage disclosure form is generated from the portal.
7. Provider orders from the manufacturer using the appropriate Amplifon bill-to number and your ship-to address. Please reference the PO reference number located on the Receipt of Delivery form. Amplifon pays the manufacturer for hearing aids and earmolds.

Fitting and Payment:

1. Hearing aid(s) must be fit by a provider in the Martin's Point Generations Advantage associated network.
2. Member pays 'patient responsibility' in full. Payment to Amplifon may be made via e-check or credit card through the provider portal, or through Care Credit and must be forwarded to Amplifon. 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 and member must sign Receipt of Delivery and Medicare Advantage disclosure form.
4. Please fax completed forms along with the packing slip from the manufacturer to Amplifon Hearing Health Care within 24 hours of fitting.

• 2 year free supply of batteries with every purchase.
• The first year supply of batteries will be mailed to the member’s home, along with a reminder letter to contact Amplifon for their second year of free batteries.
• After their two year supply is depleted, the member may contact Amplifon to find out if additional battery coverage is available.

• Amplifon Hearing Health Care must have a completed W-9 from you in order to process your dispensing fee. 
• You will be paid 60 days after the delivery date. Standard dispensing fees apply.

If you have any questions regarding our new partnership with Martin's Point Generations Advantage, don’t hesitate to call Amplifon at 1-800-920-4327.