FEES - TRAVEL FEE FOR HOME VISIT

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 NOTE 7 -IF SERVICES ARE PROVIDED IN THE CLIENT'S PLACE OF RESIDENCE, (IE. HOME, HOSPITAL, NURSING HOME, ETC.), THEN THE PROVIDER WILL BE ENTITLED TO A FEE FOR EACH HOME VISIT TO A MAXIMUM OF FIVE (5) VISITS. ADDITIONAL FEES MUST BE PRE-AUTHORIZED. THIS AUTHORIZATION CAN BE OBTAINED IN CONJUNCTION WITH THE AUTHORIZATION FOR THE HEARING AID(S), AND WILL ONLY BE GRANTED IF IT IS NOT MEDICALLY POSSIBLE FOR THE CLIENT TO TRAVEL TO THE PROVIDER'S PLACE OF BUSINESS. IN ADDITION, IF A PROVIDER IS SEEING MULTIPLE CLIENTS AT ONE LOCATION, ONLY ONE "TRAVEL FOR HOME VISIT" FEE WILL BE PAID PER CIVIC ADDRESS.