Insurance
Support Center

Cochlear’s Reimbursement and Insurance Services

Paying with Insurance Made Easy

Navigating insurance can feel overwhelming. This Insurance Support Center provides a wealth of information to help you understand the insurance reimbursement process.

Billing Support for Parts and Accessories

As of Feb 1, 2018, Cochlear provides direct insurance billing support for many major private insurance plans, Medicare, Medicaid* (including HMOs) and Tricare for repairs, parts and accessories. Cochlear’s full-service billing support is available for recipients who are covered under one of the plans with whom Cochlear is contracted. If you would like to place an order for a replacement part or accessory, please keep in mind orders may take up to 2 weeks to process and ship, so please plan ahead.

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.1, 2

*Cochlear is currently enrolled with Medicaid programs in the following states: AZ, CA, CO, CT, DC, FL, GA, IA, ID, IL, IN, KS, KY, LA, ME, MI, MN, MS, MT, NC, NE, NJ, NM, NV, NY, OH, OK, OR, PA, SD, TN, TX, UT, VA, VT, WA, WI, WV, and WY.

What is Typically Covered

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 device to function, such as cables, coils, magnets, and rechargeable batteries.

Here is a list of HCPCS codes commonly used for Cochlear’s products (NOTE: please check with your insurance provider or with Cochlear periodically as these codes are subject to change).

HCPCS Codes   Description
Repair L7510 Repair of prosthetic device, repair or replace minor parts
  L7520 Repair of prosthetic device, labor component, per 15 minutes
  L8617 Transmitting coil for use with cochlear implant device, replacement
Replacement Parts and Accessories L8618 Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement
  L9900 or State Misc. Code Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS "l" code
  L8617 Transmitting coil for use with cochlear implant device, replacement
  L8629 Transmitting coil and cable, integrated, for use with cochlear implant device, replacement (used for Nucleus 7)
Rechargeable Batteries L8624 Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each
Battery Charger L8625 External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each
CI Sound Processor Replacement L8619 Cochlear implant, external speech processor and controller, integrated system, replacement
Baha Sound Processor Replacement L8691 and L8694 or State Misc. Code Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each
Baha Transducer/Actuator L8694 Auditory osseointegrated device, transducer/actuator, replacement only, each
Baha System Without Osseo L8692 Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment; initial purchase must be placed through a clinic

How Can I Place an Order?

You can place an order 24 hours a day, 7 days a week on the online store. Or, you can call 866-477-0906 to place your order.

 

Understanding the Insurance Process

Out of Network

What is Insurance Appeal?

 

How to Pay?

Cochlear Direct Insurance Billing

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Direct Insurance Billing

Click on the tabs below to review each step:

Self-Pay and Seek Insurance Reimbursement on Your Own

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Self Pay - Reimbursement

Seeking insurance reimbursement on your own is a 5 step process.
Click on the tabs below to review each step:

Self-Pay Without Insurance*

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Self-Pay without Insurance

Click on the tabs below to review each step of the process:

Insurance Intake Form - English


Insurance Intake Form - Spanish


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