Abstract
Reimbursement for hearing aids in the present time has become as complicated, if not
more so, than any other area of health care. For many years, hearing aids were a noncovered
item where insurance was concerned. The predominant model of bundling costs into a
single dollar amount was copied decades ago from hearing instrument specialists. However,
insurance companies and federal agencies are increasingly covering the cost of the
diagnostic hearing evaluation and at least some of the costs associated with hearing
aid purchases. One operational question is whether the bundled charge model is still
appropriate, or should audiologists follow more closely the example of optometry whereby
professional services are charged separately from the cost of goods sold? The models
that have evolved constitute a broad mixture of bundling, partial bundling (i.e.,
partial unbundling), and complete unbundling. There exists no uniformity for which
charge method is best. But, with greater frequency, insurance requirements are forcing
a movement toward partial or complete unbundling of associated costs. Regardless of
which charge model is adopted, calculation of the cost of service delivery for each
audiology practice is an essential business component to justify charges and make
educated decisions regarding participation in various insurance, cooperative, or network
plans.
Keywords
hearing aid - reimbursement - cost of service delivery
