BUNDLE #1 - RIGHT (HEARING AID SELECTION, POST-FITTING FEE, DISPENSING FEE AND SHIPPING & HANDLING)

BUNDLE #1 - RIGHT (HEARING AID SELECTION, POST-FITTING FEE, DISPENSING FEE AND SHIPPING & HANDLING)

Benefit Code Number
321737
Program of Choice
03 - Audio (hearing) services
Province
Alberta
Recommender Required
No
Preauthorization Required
No
Frequency
1/4 CY
Negotiated Fee
$910.00
Provincial Coverage
No
Comments
SEE NOTE 1, NOTE 9 AND NOTE 21.
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