HEARING AID DIGITAL - CUSTOM - INTERMEDIATE - ITE - RIGHT

HEARING AID DIGITAL - CUSTOM - INTERMEDIATE - ITE - RIGHT

Benefit Code Number
328105
Program of Choice
03 - Audio (hearing) services
Province
Alberta
Prescriber Required
Medical Doctor
Hearing instrument practitioner
Clinical Audiologist
Recommender Required
No
Preauthorization Required
Yes
Limit
$1,139.00
Frequency
1/4 CY
Provincial Coverage
No
Comments
SEE NOTE 32
Notes
GENERAL NOTES IF THE BENEFIT GRID SPECIFIES A SPECIALIST, ONLY THAT SPECIALIST IS ACCEPTED. SHOULD "MD" BE INDICATED, THE SERVICE MAY BE PRESCRIBED/RECOMMENDED BY A GENERAL PRACTITIONER OR ANY MEDICAL SPECIALIST. COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". PROVIDER MUST SUPPLY A COPY OF THE MANUFACTURER'S INVOICE. THE DOLLAR LIMIT AND/OR FEE ON THE BENEFIT GRID INCLUDES THE MARK-UP PRE-AUTHORIZATION NOT REQUIRED FOR REPLACEMENT ISSUE UNLESS OTHERWISE INDICATED. SPECIAL NOTES