Fee schedule: Hearing services program (bundled services)

Effective November 18, 2024

Hearing services program - initial bundle
Services includedClinicianService codeTotal fee (both ears)
First year of services tied to the selection and dispensing of first hearing aid(s), including batteriesAudiologistBSHAINIL$800 (left ear)
BSHAINIR$800 (right ear)
Hearing Instrument SpecialistBSHHINIL$750 (left ear)
BSHHINIR$750 (right ear)
Audiology consultation*AudiologistBSHAUCON$60
Hearing services initial bundle – outcome reportNot applicableBSHORCOS$40

*Audiology consultation must be billed by an audiologist, and it is to be used when a hearing instrument specialist requires a prescription by the audiologist and does not otherwise include the involvement of a physician.

Hearing services program - ongoing bundle
Services includedService code

Total fee (both ears)

$710 annually (split in two installments of $355, billed every 180 days for both ears or $177.50 per ear)

All services required in subsequent years (starting one year after the hearing aid dispensing date)BSHCONGL$177.50 (left ear every 180 days)
BSHCONGR$177.50 (right ear every 180 days)
Ongoing hearing services form
*applicable when billing ongoing bundle, every 180 days (maximum twice annually)
BSHORONG$10

Total ongoing bundle for services: $710 annually, billed at minimum every 180 days triggered by a patient’s visit for services (a minimum of two visits annually).

Hearing services program - mini bundle
Services includedClinicianService codeTotal fee (both ears)
Clinical services required following WSIB-approved replacement of hearing aids due to a change in prescriptionAudiologist
 
BSHAMINL$310 (left ear)
BSHAMINR$310 (right ear)
Hearing Instrument SpecialistBSHAMINL$260 (left ear)
BSHHMINR$260 (right ear)
Audiology consult*AudiologistBSHAUCON$60
Hearing services mini bundle – outcome reportNot applicableBSHORMIN$40

This bundle is applicable following the approval of a change in hearing aid prescription, which requires a new assessment and prescription.

*Audiology consult must be billed by an audiologist, and it is to be used when a hearing instrument specialist requires a prescription by the audiologist and does not otherwise include the involvement of a physician.

Report fees

For people who enter the hearing services program on or after November 18, 2024.

There are different fees between health providers only when the bundle includes a prescription, given the regulated act of the prescription.

Billing instructions

You can submit bills electronically through our online services on the TELUS Health Provider Portal and submit completed reports/forms by logging in to your online services account with us.

  • For initial and mini service bundles, bill after completing the 30- to 90-day trial from the date you dispensed the initial hearing aid.
    • Submit the required reports  (initial and mini bundle outcome reports) through our online services and bill us for the associated report fee through TELUS Health.
    • We will process the payment once we receive both the completed report and the associated bill.
  • For the ongoing service bundle, you can only bill us after your patient’s first visit in 180+ day intervals from the first service date. This must be at least one year from the date of fitting/dispensing of the hearing aid (completion of the initial bundle).
    • Submit the ongoing hearing services form  through our online services and bill us for the form fee through TELUS Health.
    • We will process the payment once we receive both the completed form and the associated bill.
    • To bill the total annual fee of $710 for both ears, you need to see your patient at their request for a minimum of two visits (at 180-day intervals.

Notes:

  • The hearing services program covers all visits and services associated with the patient’s hearing aids from the first year as well as the following years – starting from the date you fitted and dispensed the hearing aids. Since the program is inclusive, you cannot bill for most individual services at any time during the program.
  • The ongoing bundle service date starts on the day of your patient’s first in-person visit after the first year (initial bundle) is complete. You can bill for the ongoing bundle fee and completion of the associated form twice a year, at least every 180 days. We don’t need a form for any visits in between the 180-day intervals.
  • Be sure to submit additional supporting documents:
    • Initial and mini bundles : Hearing assessment report (audiogram, if required), outcome reports and the manufacturer’s invoice following dispensing
    • Ongoing bundle  – Ongoing hearing services form 
    • Your patient must sign all forms and reports in person
  • The cost for the actual hearing aid(s) is not included in these fees
  • If HST is applicable, record it on the same bill but on a separate line using the service code ONHST