The First TPA Transparency Tool
Instant Medicare Advantage hearing aid benefit lookup—built for hearing care providers to avoid TPA revenue loss.
HearShield Pro helps you instantly identify which Medicare Advantage plans require a TPA and which don’t—so you can make faster decisions, avoid revenue loss, and stay in control of patient care.
Does this plan require a TPA?
How many times a day do you wonder if the insurance card your patient just handed you uses a TPA?
What do you do next? Take a deep breath, close your eyes, make a wish, dial the provider phone number on the back of the card, and pray you don’t hear the word TPA?
This is too often the case in private practice. TPA fitting fees don’t even cover your cost of time, your most valuable asset.
This is where HearShield Pro comes in. Medicare beneficiaries have over 5,000 Medicare Advantage plan options to enroll in annually. We have tracked down all of the hearing aid benefit details for each plan.
With a quick search, you’ll know:
- which TPA is involved
- the hearing aid benefit amount or copay range
- the frequency of the benefit
Knowing this information up front prevents triggering a TPA referral and gives you the power to decide which path to take. This is not a verification of coverage, but providing you the hearing aid benefit details associated with the Medicare Advantage plan.
It’s time to take away the TPA’s “Advantage.”
Search
Input the Medicare Advantage plan’s contract ID to view benefit details instantly.
Uncover
See immediately if a TPA is involved and view the specific benefit details.
Shield
Stay in control of pricing and protect against TPA reverse referrals.
Why HearShield Pro?
Instant Benefit Insights: Stop wasting hours on hold. Access accurate Medicare Advantage hearing aid benefit information in seconds.
TPA Awareness: Know upfront if a third-party administrator is involved in your patient’s plan, helping you protect your revenue.
Save Time & Increase Efficiency: Eliminate the frustration of navigating insurance phone trees and verify benefits quickly and reliably.
Comprehensive & Reliable Data: Powered by regularly updated CMS data and industry research to ensure you have the latest information.
Easy to Use: Intuitive interface designed for busy audiology professionals.
HearShield Pro is a powerful subscription-based tool created exclusively for hearing care providers.
No more scouring PDFs or sitting on hold with insurers. HearShield Pro helps you avoid unnecessary TPA referrals, protect your revenue, and make faster decisions with confidence.
A single reverse referral to a TPA could cost your practice $3,000 in lost revenue.
Do TPAs Have You Working for FREE?
In the example below, we compare a standard private pay sale to the same set of services delivered through a third-party administrator (TPA) contract for a privately acquired patient.
While the dollar amounts speak for themselves, there’s an even bigger cost most providers overlook—your time.
Assuming a conservative breakeven rate of $150/hour, every hour spent navigating insurance calls, verifying benefits, and completing TPA paperwork chips away at your bottom line.
HearShield Pro saves time.
And when your time equals money, it’s not just a convenience—it’s a necessity.
Private Pay
- -$75 Hearing Test
- -$150 Hearing Aid Evaluation
- -$150 Hearing Aid Fitting
- -$150 Hearing Aid Dispensing
- - $600 One Year of Service
- -$2800 COGS Premium Tech
TPA
- -$75 Hearing Test
- -$150 Hearing Aid Evaluation
- -$150 Hearing Aid Fitting
- -$150 Hearing Aid Dispensing
- -$600 One Year of Service
- -$120 Patient Acquisition Cost
TPA
- -$75 Hearing Test
- -$150 Hearing Aid Evaluation
- -$150 Hearing Aid Fitting
- -$150 Hearing Aid Dispensing
- - $600 One Year of Service
- - $120 Patient Acquisition Cost
Let’s face it, The math ain’t mathin’.
And that’s if everything goes perfectly.
These numbers assume a flawless process:
- No returns
- No exchanges
- No rescheduled appointments
- And not a single minute over your scheduled time
But let’s be honest—how often does that happen?
Every unexpected adjustment, follow-up, or frustration chips away at your bottom line. And when your reimbursement is already this low, one wrong move can turn into a financial loss.
HearShield Pro helps you avoid this.
By simply searching our database first, you can identify which plans have a TPA attached, what benefits are included, and make an informed decision before you book that appointment.
Because guessing costs you money.
And guessing wrong? Costs you even more.
Medicare Advantage plans and hearing aid benefit details in our database.
Monthly Access
Built for hearing professionals who know the cost of one wrong referral.
At the $249/month introductory price, HearShield Pro pays for itself
the moment you avoid a single third-party administrator (TPA) handoff. No more long calls, no more lost revenue—just the right data, right when you need it.
Start with a 7-day free trial – explore everything before you commit.
After the trial, your card will be billed monthly at $249.
All features included – no tiers, no upsells, no limits.
Cancel anytime – but you probably won’t want to.
New features launching soon – and yes, you’ll get them all automatically.
Additional Features to Empower Your Practice
Resource Hub
Access an extensive library of industry-standard CPT and ICD-10 codes, designed to streamline your billing and coding processes.
TPA Stats
Stay informed with up-to-date statistics and insights on third-party administrators impacting Medicare Advantage hearing aid benefits.
Insights
Review comprehensive annual reports from leading hearing aid manufacturers to make data-driven purchasing decisions.
Medicare Info
Access Medicare Reference Guides specific to audiology, ensuring compliance and maximizing patient care.
Everything You Need, All in One Place
No more digging through PDFs, bookmarking 12 tabs, or second-guessing your codes.
HearShield Pro centralizes the essentials—from billing and coding resources to TPA statistics and Medicare guidance—giving private practices a clear path to informed, confident decisions.
It’s not insurance verification, it’s information empowerment.
Questions?
Our top secret agents obtain current Medicare Advantage plans from CMS and the hearing aid benefit information and deliver it straight to you in an easy to search format.
The HearShield Pro database contains 5,243 Medicare Advantage plans that have active CMS contracts for the 2025 calendar year.
Our database is updated annually. In November 2025, the 2026 Medicare Advantage plan information will become available.
This tool does NOT replace direct insurance verification. The information comes directly from published CMS plan benefits for 2025 and serves as a resource. We just bring the information straight to you. It is not a substitution for insurance verification.
LET'S CONNECT
🔍 Heads up! HearShield Pro is not an insurance verification tool.
All hearing aid benefit information is sourced directly from CMS Medicare Advantage plan data for 2025.
If a third-party administrator (TPA) is listed, it was identified using publicly available documents.
HearShield Pro is for informational purposes only.
- it does not guarantee coverage
- should not be used as billing advice
- is not a substitute for directly verifying benefits with an insurance provider.
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