Cerumen (Earwax) Management This is a 30-minute appointment with a Doctor of Audiology. We can remove earwax using the Earigator irrigation system, suction, or curette tools. Important notes: 1) If you are on blood thinners or have a condition that makes you prone to bleeding, we may not be able to provide this service. 2) If you do not have a history of ear canal or eardrum injury/disease, we recommend using an over-the-counter wax-softening drop (e.g., Debrox) at least 24 hours before your appointment. MINIMUM CHARGE: $165, even if no wax is found. Insurance typically does not cover ear cleaning by an audiologist. We require up-front payment, but can submit to insurance on request. ?? We will call and email to verify your appointment details. Your appointment is not confirmed until you speak with us.

Hearing Evaluation (Established Patients) This appointment is for established patients who need a comprehensive hearing assessment to evaluate hearing health. Includes: -Diagnostic hearing tests (based on your needs) ?? This appointment DOES NOT include hearing aid services (cleaning, reprogramming, or new aid discussions). Please let us know if you’d like to add these services—additional charges apply. Physician order required for Medicare Part B or HMO plans: Please have your doctor send an order for a “diagnostic hearing test” via fax (440-579-4086) or email (hearforyou1@soundsoflifehc.com). Registration forms will be sent to you—please complete them before your visit. Fees: -Office Visit Fee: $55 (due at time of visit, regardless of insurance) -Testing Fees: $100+ (depending on tests performed) • In-Network: We bill your insurance; you pay co-pays/deductibles at visit • Out-of-Network: Full testing fees due at visit

Comprehensive Hearing Evaluation & Hearing Aid/Treatment Consultation (New Patients) This visit is for new patients who need a full diagnostic hearing evaluation plus a treatment consultation. Includes: -Diagnostic hearing tests -Discussion of rehabilitative plan, treatment options, and hearing aids -Possible at-home hearing aid trial if appropriate Referrals/Orders: -Medicare Part B/HMO: Physician order required for “diagnostic hearing test” (fax 440-579-4086 or email hearforyou1@soundsoflifehc.com). Registration forms will be emailed; complete before your visit. Fees: -Office Visit Fee: $85 (required) -Testing Fees: $100+ • In-Network: We bill insurance; you pay co-pays/deductibles • Out-of-Network: Full testing fees due at visit -Consultation/Treatment Plan Fee: $330 (not covered by insurance) ? Total cost: $415–$490

If you or your child have "normal" hearing but still experience issues, it may be APD. Testing is performed by Dr. Sarah Curtis, our APD specialist. CANDIDACY: -Hearing test (within 6 months) by an audiologist with normal or near-normal, symmetrical hearing. ***Schedule this first if needed*** -Must be age 5+ for testing; 7+ for diagnosis (treatment can start earlier if deficits are found). -Must tolerate 20-30 min testing chunks; total testing time is ~1.5 hours. -Must tolerate headphones and remain quiet during testing. DETAILS: Includes: 2-hour assessment, results review, and report. Fees: **$100 nonrefundable deposit due at scheduling (applied to fees). Deposit required to hold the appointment.** Due on Appointment Date -$500 Advanced Auditory Processing Functional and Communication Needs Assessment Fee (not billable to/payable by insurance)

Comprehensive evaluations tailored for children. DETAILS: Includes: Full pediatric diagnostic assessments. Child Requirements: Must be able to sit steadily, maintaining head and trunk control, either alone or on an adult's lap. FEES DUE ON DAY OF APPOINTMENT: Appointment Fee: $70 for new patients; $55 for established patients. Additional Costs: Co-pays, co-insurance, deductibles, and any non-covered expenses as determined by your insurance plan. If you have any questions or need further clarification, please contact us.

Routine Hearing Aid Maintenance & Cleaning Ensure optimal performance of your hearing aids with our comprehensive maintenance service. Services Include: -Redux Dehumidification: Removes moisture to enhance device longevity. -Component Replacement: Changing of wax guards, domes, and/or BTE earmold tubing as needed. -Deep Cleaning: Vacuuming of microphone ports and receivers; disinfection of hearing aid and earmold surfaces. -Warranty Repairs: If within manufacturer warranty, replacement of covered parts such as receivers. -Firmware Updates: Necessary updates (excluding programming) for supported brands: Oticon, Phonak, Resound, Signia, Starkey, Unitron, or Widex. -Cost: $80 for a single or pair of hearing aids (multiple pairs treated as separate appointments) -Appointment Length: 15–30 minutes. Please Note: This visit excludes hearing aid reprogramming, patient counseling, or other clinical services. You will REMAIN IN THE LOBBY and will NOT BE SEEN BY A CLINICIAN for this appointment

Communication & Functional Needs Assessment (Hearing Aid Consultation) Your hearing care goes beyond the audiogram. This visit combines state-of-the-art testing with a deep understanding of your communication needs to create the most effective, individualized plan. What’s included: -Best-practice hearing evaluation (to ensure accuracy and completeness — even if you’ve been recently tested elsewhere, we will re-evaluate for quality assurance) -Patient-centered conversation about your listening challenges, goals, and priorities -Outcome measures & questionnaires to assess real-life impact (social, vocational, educational, personal) -Customized consultation with clear recommendations, including hearing aid options if appropriate Fees: -Standard: $490 (covers testing + consultation; not billed to insurance) -If testing is billed to insurance: patient responsibility is typically $415–$490

Comprehensive Hearing & Tinnitus Evaluation with Treatment Planning This appointment includes TWO FULL HOURS of time with our Audiologists/Tinnitus Specialists: --A complete hearing evaluation --A full tinnitus evaluation --Advanced counseling and a personalized treatment plan DEPOSIT ***$100 NON-REFUNDABLE DEPOSIT REQUIRED TO HOLD APPOINTMENT SPOT*** Our office will call you to collect this deposit. Appointments not secured with a deposit may be cancelled. Due on Day of Appointment Tinnitus Consultation Fee: $500 --> Not covered by insurance. Testing Fees In-Network Insurance: You are responsible for any copay, coinsurance, or deductible required by your plan. Out-of-Network Insurance: Testing fees can be up to $350. Maximum possible total if out-of-network: $850. ? If you have questions about your coverage or costs, please call us before scheduling—we’re happy to help clarify.