What you will find on this page
- Learn how the sound processor upgrade process works
- Steps in the upgrade process
If you plan to use insurance to purchase a new sound processor, our specialists can help you get your order started and our Reimbursement and Insurance Services group can help you navigate the insurance process.
Below are the steps for demonstrating the medical necessity of a sound processor upgrade.
If you're ready to talk to a customer service specialist, call 800-790-8737 or email firstname.lastname@example.org.
Steps to upgrade
Complete an insurance intake form if your insurance company, clinician or home address has changed or if this is your first order through Cochlear Reimbursement and Insurance Services.
As a durable medical equipment (DME) provider, Cochlear will request a physician’s order and/or a signed Letter of Medical Necessity (LMN) from your clinician on your behalf. This serves as a prescription that allows Cochlear to provide you with the sound processor(s) you ordered and justifies they are medically necessary for your cochlear implant to continuously function.
Health plans have their own definitions of what is considered medically necessary, but typically includes anything that improves your hearing, or is required for the cochlear implant to function, such as sound processors, cables, coils, magnets, and rechargeable batteries.
Cochlear's Reimbursement and Insurance Services team will work with all health plans to help recipients upgrade. Cochlear is the only manufacturer of the sound processor devices that are compatible with your cochlear implant. When Cochlear is considered out-of-network, a one-time-agreement (OTA) must be negotiated with your insurance company.