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How do you File Claims for Reimbursement?
Download Claim Form
The Hearing Aid Assistance Program provides a maximum reimbursement
of $1000.00 every three (3) years for the cost of a hearing aid device. Reimbursement
is provided for a hearing aid device only. There is no coverage for a hearing
HOW DO YOU FILE CLAIMS FOR REIMBURSEMENT?
Fund is your secondary insurance for a hearing aid device. You must submit your
claim to your health insurance carrier through the Commonwealth of Massachusetts
Group Insurance Commission for coverage first. Then submit your paid receipt for
your hearing aid device to the Fund Office with the completed claim form for the
Hearing Aid Assistance Program.
The Commonwealth of Massachusetts/NAGE
Fund Office will not process any claims until all payments have been received
from your health insurance carrier. You must submit an itemized statement of services
as well as the Explanation of Benefits (EOB) from your health insurance carrier.
The following information must be provided: name of patient, name of insured member,
name and address of the provider, date of service, a list of the itemized services
provided and each associated charge, with written confirmation of payment for