Your Hearing Aid Benefit

1
Pure Hearing Freebies:

• Additional savings

• 4-year warranties

• Free accessories

Only we give you these extra perks on top of your benefit!
2
What type of insurance do you have?* This field is required.
Medicare
Federal
Other / not sure
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Federal Insurance - Your Cost/setChoose your Hearing aid
5
What State do you live in?* This field is required.
6
AlabamaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Alabama
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
7
AlaskaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
8
ArizonaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Alignment
BCBS of Arizona
Cigna
Humana
Molina
Scan
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
9
ArkansasWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Arkansas BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
10
CaliforniaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Alignment
Anthem BC California
BS of California
Cigna
Humana
Molina
Scan
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
11
ColoradoWho is your insurance provider?
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AARP Discount
Aetna
AMAC Discount
Anthem BCBS Colorado
Cigna
Humana
Molina
Select Health – (t)
Select Health – IHC
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
12
ConnecticutWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
13
DelawareWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Highmark BCBS
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
14
FloridaWho is your insurance provider?
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AARP Discount
Aetna
AMAC Discount
Alignment
BCBS – Florida Blue
CarePlus
Cigna
Humana
Humana – Florida (HMO)
Humana – Florida (PPO)
Molina
Simply 1000
Simply 2000
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
15
GeorgiaWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
16
HawaiiWho is your insurance provider?
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AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
17
IdahoWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Deseret Mutual B.A.
Humana
Molina
Regence BS
Select Health – (t)
Select Health – IHC
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
18
IllinoisWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Illinois
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
19
IndianaWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
20
IowaWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
Wellmark BCBS
My Plan Isn't Listed
21
KansasWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Kansas
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
22
KentuckyWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
23
LouisianaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
24
MaineWho is your insurance provider?
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Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
25
MarylandWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS – CareFirst
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
26
MassachusettsWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Massachusetts
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
27
MichiganWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Michigan
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
28
MinnesotaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Minnesota
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
29
MississippiWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Mississippi
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
30
MissouriWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
31
MontanaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Montana
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
32
NebraskaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Nebraska
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
33
NevadaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Alignment
Anthem BCBS
Cigna
Humana
Molina
Scan
Select Health – (t)
Select Health – IHC
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
34
New HampshireWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
BCBS – Horizon
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
35
New JerseyWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
36
New MexicoWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of New Mexico
Cigna
Humana
Molina
Scan
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
37
New YorkWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Highmark BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
38
North CarolinaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Alignment
BCBS of North Carolina
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
39
North DakotaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of North Dakota
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
40
OhioWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
41
OklahomaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Oklahoma
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
42
OregonWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Regence BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
43
PennsylvaniaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Capital BC
Cigna
Humana
Independence BC
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
44
Rhode IslandWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Rhode Island
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
45
South CarolinaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of South Carolina
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
46
South DakotaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
Wellmark BCBS
My Plan Isn't Listed
47
TennesseeWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Tennessee
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
48
TexasWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Alignment
BCBS of Texas
Cigna
Humana
Molina
Scan
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
49
UtahWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Deseret Mutual B.A.
Humana
Molina
PEHP
Regence BCBS
Select Health – (t)
Select Health – IHC
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
50
VermontWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS of Vermont
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
51
VirginiaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
BCBS – CareFirst
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
52
WashingtonWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Regence BS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
53
Washington DCWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
BCBS – CareFirst
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
54
West VirginiaWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Highmark BCBS
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
55
WisconsinWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Anthem BCBS
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
56
WyomingWho is your insurance provider?
Please Select
Please Select
AARP Discount
Aetna
AMAC Discount
Cigna
Humana
Molina
United Health
Wellcare 1000
Wellcare 2000
My Plan Isn't Listed
57
Image Field
58
AARP - Your Cost/setChoose your Hearing aid
59
Image Field
60
Aetna - Your Cost/setChoose your Hearing aid
61
Image Field
62
AMAC - Your Cost/setChoose your Hearing aid
63
Image Field
64
Alignment - Your Cost/setChoose your Hearing aid
65
Image Field
66
Anthem BC California - Your Cost/setChoose your Hearing aid
67
Image Field
68
Anthem BCBS of Colorado - Your Cost/setChoose your Hearing aid
69
Image Field
70
Anthem BCBS 1000 - Your Cost/setChoose your Hearing aid
71
Image Field
72
Anthem BCBS 2000 - Your Cost/setChoose your Hearing aid
73
Image Field
74
Anthem BCBS 3000 - Your Cost/setChoose your Hearing aid
75
Image Field
76
CareFirst BCBS - Your Cost/setChoose your Hearing aid
77
Image Field
78
Florida Blue - Your Cost/setChoose your Hearing aid
79
Image Field
80
Horizon BCBS - Your Cost/setChoose your Hearing aid
81
Image Field
82
BCBS of Rhode Island - Your Cost/setChoose your Hearing aid
83
Image Field
84
BCBS Nations - Your Cost/setChoose your Hearing aid
85
Image Field
86
BCBS TruHearing - Your Cost/setChoose your Hearing aid
87
Image Field
88
BS of California - Your Cost/setChoose your Hearing aid
89
Image Field
90
CarePlus - Your Cost/setChoose your Hearing aid
91
Image Field
92
Cigna - Your Cost/setChoose your Hearing aid
93
Image Field
94
Deseret Mutual Benefit Administrators - Your Cost/setChoose your Hearing aid
95
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96
Humana Florida HMO - Your Cost/setChoose your Hearing aid
97
Image Field
98
Humana Florida PPO - Your Cost/setChoose your Hearing aid
99
Image Field
100
Humana - Your Cost/setChoose your Hearing aid
101
Image Field
102
Molina - Your Cost/setChoose your Hearing aid
103
Image Field
104
PEHP - Your Cost/setChoose your Hearing aid
105
Image Field
106
Scan - Your Cost/setChoose your Hearing aid
107
Image Field
108
SelectHealth IHC - Your Cost/setChoose your Hearing aid
109
Image Field
110
SelectHealth TruHearing - Your Cost/setChoose your Hearing aid
111
Image Field
112
Simply 1000 - Your Cost/setChoose your Hearing aid
113
Image Field
114
Simply 2000 - Your Cost/setChoose your Hearing aid
115
Image Field
116
UnitedHealth - Your Cost/setChoose your Hearing aid
117
Image Field
118
UnitedHealth Utah - Your Cost/setChoose your Hearing aid
119
Image Field
120
Wellcare 1000 - Your Cost/setChoose your Hearing aid
121
Image Field
122
Wellcare 2000 - Your Cost/setChoose your Hearing aid
123
Other / Not Listed InsuranceNo worries, we can still help! What's the name of your insurance company?
Your Insurance Company
124
What's Next?* This field is required.
Use My Benefit
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Name* This field is required.Hippa Compliant - Your information is safe and secure!
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126
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128
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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130
Date Of BirthOptional, but required if we are calling your insurance company.
Date
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131
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Take a Hike

We know of a lot of great hikes in Utah.

Drop us a line and we'll point you in the right direction!

email: info@purehearing.com

text or call: 801-784-6900

website: purehearing.com
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For additional questions please text, call, or email us!

email: info@purehearing.com

text or call: 801-784-6900

website: purehearing.com

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click SUBMIT below!

Then send a pic of the front and back of your insurance card.
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