As an Amplifon network provider supporting the Superior HealthPlan contract, all claims for hearing aids and related services for Superior Ambetter, Medicaid, CHIP and Medicare/Medicaid dual eligible members will now be processed by Amplifon as of August 1, 2020.
There are a few unique aspects of the Superior contract that you and your staff should know regarding the process for these members. Further details about each of these requirements can be found below:
- First, all Superior plans supported by Amplifon have a prior authorization element.
- All Superior members must have a medical exam by a physician (ENT preferred) and receive a medical clearance from that physician prior to being evaluated or fit with hearing aids.
- If hearing aids are recommended for the patient, a Physician Order Form must also be obtained and submitted along with the prior authorization request.