Policy Reversal for Hearing Aid Devices (Non-FEP business only)
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CareFirst and CareFirst BlueChoice, Inc., are returning to the hearing aid device policy that was in effect prior to January 1, 2010 for all non-Federal Employee Program (FEP) business.
Key Policy Points:
- This change is retroactive to January 1, 2010.
- Providers are able to balance bill members up to the charge for a hearing aid device.
- Providers may only balance bill non-Federal Employee Program (FEP) business.
- Providers must accept CareFirst’s allowed benefit as payment in full (no balance billing), for all FEP members.
- Please note: FEP business requirements preclude CareFirst from extending this change to FEP members. Balance billing “waivers” are not permitted for the hearing aid devices for FEP members.
We will continue to work collaboratively with professional audiology and ENT provider societies as we give further consideration to our coverage for hearing aid devices.
If you have questions regarding this policy change, please contact your Provider Relations Representative.
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