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.
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.
Bring your insurance card, or give us your details by phone. It takes just a couple of minutes.
Our team contacts your plan and confirms exactly what's covered for diagnostics and devices.
We walk you through your coverage and any out-of-pocket cost in plain language, before you decide.
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.
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.
Comprehensive diagnostic hearing evaluations are often covered, fully or in part, especially when medically indicated. We confirm your specific benefit before the visit.
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.
We participate in programs like TruHearing, Amplifon, and Hear.com, which route your plan's hearing benefit into significant savings on devices.
Original Medicare covers diagnostic testing when ordered by a physician; many Medicare Advantage plans add a hearing aid benefit. We'll check yours.
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 →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.
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.
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.
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.
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.
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.
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.
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.
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.