The Health Insurance Association of America describes Medicaid as a “government insurance program for persons of all ages whose income and resources are insufficient to pay for health care.” (America’s Health Insurance Plans (HIAA), pg. 232). Medicaid also has enrollment programs for children with specific conditions, depending on state policy. Medicaid programs are funded jointly by the federal government and each state and the programs are administered under this partnership on a state by state basis.
Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States. The system can be quite complex. States establish their own systems for delivery of services under their programs. Add the fact that states have their own policies regarding coverage, and it’s more than a full-time job to keep up with federal and state regulations—especially because they’re constantly changing. It takes the time and care to look into each individual’s case to fully understand and utilize coverage.
In an effort simplify the process of obtaining replacement sound processors and soft bands, Oticon Medical has enrolled as a provider in many state Medicaid programs. Because we are enrolled providers, not only can we provide assistance in ensuring that patients have necessary coverage in place for devices, we can also bill those programs directly.
Bethany Geldmaker has an incredible story. Paired with the impactful way that she advocates for the importance of bone anchored hearing systems and her mission to educate others on the process of getting coverage for their bone anchored hearing systems, she’s one of the most powerful voices in the community. Recently, Bethany has accelerated her efforts even more to bring awareness to the changes that The Centers for Medicare and Medicaid Services (CMS) have proposed that could eliminate coverage for bone anchored hearing devices in 2015.
Our collective rebuttal to the proposed changes must be education that helps people understand just how important it is to keep coverage for bone anchored hearing systems. That’s exactly what Bethany has been doing. She’s been doing this in three key ways:
Working to heighten public awareness
Encouraging others to educate themselves on solution options
Getting information and education in the hands of insurance providers
Here’s Bethany to explain how she works to accomplish these three goals.