Coverage,
made simple.
We work with most major insurance plans and verify your hearing benefits before you arrive, so there are no surprises at your visit. You focus on hearing better; we handle the paperwork, at both our Midtown Manhattan and Garden City offices.
Care is led by Dr. Eric Nelson, Au.D., a licensed audiologist and founder of Pinnacle Audiology.
No guesswork,
no surprises.
Hearing benefits can be confusing and vary widely from plan to plan. Rather than leave you to decode it, we check your coverage directly and give you a clear picture before you commit to anything.
Share Your Info
Bring your insurance card, or give us your details by phone. It takes just a couple of minutes.
We Check Benefits
Our team contacts your plan and confirms exactly what's covered for diagnostics and devices.
You Get Clarity
We walk you through your coverage and any out-of-pocket cost in plain language, before you decide.
Most major
plans accepted.
We're in-network with many leading insurers and participate in the major hearing-benefit programs. Don't see yours? Call us, there's a good chance we can still help.
Plan participation can change and varies by specific policy. We'll always confirm your individual benefits directly with your insurer before your appointment.
What hearing
benefits cover.
Every plan is different, but here's how hearing coverage usually breaks down. We'll confirm the specifics of yours when we verify your benefits.
Hearing Evaluations
Comprehensive diagnostic hearing evaluations are often covered, fully or in part, especially when medically indicated. We confirm your specific benefit before the visit.
Hearing Aid Allowances
Many plans include a hearing aid benefit or allowance toward hearing aids every few years. We apply it for you and explain any remaining balance up front.
Benefit Programs
We participate in programs like TruHearing, Amplifon, and Hear.com, which route your plan's hearing benefit into significant savings on devices.
Medicare & Advantage
Original Medicare covers diagnostic testing when ordered by a physician; many Medicare Advantage plans add a hearing aid benefit. We'll check yours.
Better hearing,
within reach.
If your plan doesn't cover devices, you still have good options. We believe cost should never be the reason someone goes without hearing, so we keep pricing transparent and flexible.
Talk Through Options →- Transparent pricing. Clear, itemized costs with no hidden fees and no pressure to upgrade.
- Flexible financing. Monthly payment plans that spread the cost into manageable pieces.
- Every technology tier. Excellent options at a range of price points, not just premium.
- FSA & HSA eligible. Hearing aids and evaluations typically qualify for tax-advantaged accounts.
Insurance &
benefits, explained.
Does insurance cover hearing tests?
Often, yes. Diagnostic hearing evaluations may be billed to your insurance when they are medically appropriate, and many plans include this benefit. Medicare Part B, for example, covers diagnostic hearing exams when they are ordered to help diagnose or treat a medical condition. Coverage still depends on your specific plan and the reason for your visit, so we verify your benefits before your appointment and let you know what to expect. Learn more about what a hearing evaluation includes.
Does insurance cover hearing aids?
Sometimes. Some plans include a hearing aid benefit or allowance, and some do not. Because this varies so much, we do not promise coverage; instead, we check your individual plan, apply any benefit you have, and explain any remaining cost clearly and up front. Read more in our guide to insurance coverage for hearing aids in New York.
Why does hearing aid coverage vary so much by plan?
Hearing benefits are set by each plan, not by the insurance company's name, so two people with the same insurer can have very different coverage. Some plans also route their hearing aid benefit through third-party programs such as TruHearing, Amplifon, or Hear.com. We help you understand which situation applies to you, so there are no surprises.
Can I use out-of-network benefits?
In many cases, yes. If we are not in network with your plan, you may still have out-of-network benefits that apply, and we are happy to provide an itemized receipt (superbill) and the documentation you need to submit a claim. We cannot guarantee what your plan will reimburse, so we recommend confirming the details with your insurer while our team helps you prepare.
Do you work with TruHearing, Amplifon, or Hear.com benefits?
Yes. Many plans route their hearing aid benefit through third-party programs such as TruHearing, Amplifon, or Hear.com, and we see patients through these programs. Participation can vary by specific policy, so we confirm exactly how your benefit works when we verify your coverage before your visit.
What should I bring or send before my appointment?
To make benefit verification smooth, share your insurance information ahead of time, including the member name, date of birth, plan, and member ID, along with any prior hearing test results if you have them. Contact the office before your visit and our team will verify your benefits and walk you through what is and is not covered.
Tell us what you're noticing.
We'll help you choose the right next step: a hearing test, a hearing aid consultation, a fitting adjustment, a tinnitus visit, or a concierge appointment at home.
We do the insurance legwork, so you don't.
Hearing benefits are confusing by design. Our practice manager, Andrea, verifies your coverage, explains exactly what applies to your plan, and gives you an itemized estimate before you ever sit in the chair.
- Benefits verified before your appointment
- Medicare, PPO, FSA and HSA guidance
- Itemized, written cost estimates
- Superbills for out-of-network reimbursement
We'll check your
benefits for you.
Call us with your insurance details, or book an evaluation, and we'll verify your coverage and walk you through exactly what to expect, whether you visit our Midtown Manhattan office or our Garden City office.