Help your patients help themselves by using their 2019 insurance benefits with Cochlear

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By guest author: Danielle Clark

We’re past the half-year mark—so it’s time to remind your patients about potentially using their 2019 insurance benefits with Cochlear.* Our newest technology, the Cochlear™ Nucleus® 7, Nucleus 6, Kanso® and the Baha® 5 portfolio are designed with your patients’ needs in mind.

All of our latest technology is compatible with the full line of Cochlear True Wireless™ accessories , which allow your patients to stream wirelessly. Your patients can listen to music and more on the go, helping them to practice their hearing to continuously improve.

Our Baha sound processors are equipped with our innovative SmartSound® iQ technology which captures sounds and automatically adapts to your patients’ surroundings without the need to make manual adjustments providing your patient the best hearing in that environment.

Our Nucleus 7 and Kanso sound processors feature SmartSound® IQ with SCAN scene classifier technology** which helps maximize performance by continuously capturing sound, enhancing speech and reducing background noise.1 Beyond the automatic features of SCAN, the Nucleus 7 Sound Processor also features ForwardFocus, which is designed to decrease noise coming from behind you and focus on the face-to-face conversation in front of you. Once enabled by your clinician, simply switch on ForwardFocus through your Nucleus Smart App when you want to utilize the function. Additionally, the Nucleus 7 Sound Processor is Cochlear’s smallest and lightest behind the ear processor2, features smartphone compatibility, provides up to 50% longer battery life.3

Encourage your patients and their caregivers to plan ahead and evaluate replacement sound processors in advance of benefit year deadlines. The insurance approval process can take 6-8 weeks and benefit qualification by the patient’s insurance company is dependent on when the order is shipped from Cochlear, not when the order is placed. Insurance companies require replacement order claim submissions in 2019 to have a ship date on or before December 31, 2019. We recommend placing replacement sound processor orders no later than October 31, 2019.

Cochlear is here to help

Reimbursement and Insurance Services at Cochlear helps your patients through the insurance reimbursement process. Our Insurance Support Center provides helpful resources for your patients and we will work with you to determine medical necessity and collect all documentation needed to bill your patient’s insurance directly.

About our guest author: Danielle Clark is a Product Marketing Manager in the Recipient Services department at Cochlear Americas.

References

  1. Mauger SJ, Warren C, Knight M, Goorevich M, Nel E. Clinical evaluation of the Nucleus 6 cochlear implant system: performance improvements with SmartSound iQ. International Journey Of Audiology. 2014, Aug; 53(8): 564-576. [Sponsored by Cochlear].
  2. Cochlear Limited. D1190805. CP1000 Processor Size Comparison. 2019, Apr; Data on file.
  3. Cochlear Limited. D1140877. Battery Life and Power Consumption Comparison between CP1000, CP900 Series and CP810 Sound Processors. 2017, Sept; Data on file.

*If applicable

**SNR-NR and WNR are approved for use with any recipient ages 6 years and older, who is able to 1) complete objective speech perception testing in quiet and in noise in order to determine and document performance 2) report a preference for different program settings. SCAN is FDA approved for use with any recipient age 6 years old and older, to be used at the discretion of the recipient/parent/caregiver

†ForwardFocus can only be enabled by a hearing implant specialist. It should only be activated for users 12 years and older who are able to reliably provide feedback on sound quality and understand how to use the feature when moving to different or changing environments. It may be possible to have decreased speech understanding when using ForwardFocus in a quiet environment.

‡ Orders placed on or before October 31, 2019 are not guaranteed to be approved by an insurer or shipped on or before the December 31, 2019 insurance deadline. Placing an order through Cochlear’s Reimbursement and Insurance Services does not imply approval from an insurance carrier.

The Nucleus 7 and Kanso Sound Processors are compatible with the Nucleus Profile Series, CI500 Series, CI24RE (Freedom) Series, CI24R and CI24M implants. The timeframe for Nucleus 7 Sound Processor compatibility for other implants depends on research and development timelines, manufacturing processes and regulatory approvals. The Kanso Sound Processor will not be compatible with the Nucleus® 22 (N22) Implant due to the Kanso Sound Processor’s size and coil type. The Nucleus 6 Sound Processor is compatible with all implant models.

The Cochlear Nucleus Hybrid acoustic component is not compatible with the Kanso Sound Processor. The Kanso Sound Processor is not intended to be used by Hybrid L24 Cochlear Implant recipients who receive benefit from the acoustic component.

Information for patients:

Please keep in mind that if you choose to self-pay for an item generally covered by insurance, you may not be able to submit a claim on your own if Cochlear is contracted with your private insurance provider. Visit www.Cochlear.com/US/InsuranceList to see if Cochlear is contracted with your insurance provider. If Cochlear is contracted with your insurance provider, we suggest placing your order through Cochlear’s Reimbursement and Insurance Services. If you seek reimbursement on your own you will be solely responsible for any amounts to include contractual or discounted payments that your insurance provider does not cover.

Information provided by Cochlear Americas regarding insurance coverage or reimbursement is provided as guidance only and is not intended as reimbursement or legal advice. Cochlear Americas makes no representation or warranty regarding such information or its completeness, accuracy, fitness for a particular purpose, or that following such guidance will result in any form of coverage or reimbursement from any insurer. Information presented is subject to change at any time. To be sure that you have the most current and applicable information available for your unique circumstances, please consult your own experts and seek your own legal advice regarding your reimbursement needs. In all cases, products or services billed must be medically necessary, actually performed and appropriately documented in the medical record. You will be responsible for paying any applicable coinsurance, deductible, or amounts not covered by your insurance to Cochlear. Coverage determinations and out-of-pocket costs may vary for individuals with private insurance.

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