Yes, Dr. Friedman implanted my abutment at the same time as my translab AN removal. I had absolutely no problems with it whatsoever. HEI handled all of the insurance filings for both the AN surgery and the Oticon Medical approval ..... both quickly and with no issues at all.
I presume House would handle all of the insurance paperwork for the Ponto for you, as well. I received the processor from House while there, but with strict instructions not to open the box until I saw my audiologist for programming in 90 days.
Since no audiologist had been trained to program the Ponto in my immediate area, I contacted Oticon Medical and they gave me a list of the closest clinics who had trained personnel. I chose to drive not quite three hours to the University of Kentucky in Lexington to an audiologist there. UKs protocol dictated that I had to see one of their neuro-otolaryngologists for documentation that my abutment had fully osseointegrated ..... which it had.
I would change nothing about the way things worked out for me. West Virginia is about as remote as Wyoming so I understand your situation quite well. Email Dr. Friedman about the insurance and I know he will forward it on to the House insurance department or at least give you a phone number to call them.
If you do have a chance to demo a Ponto or BAHA, keep in mind that the actual implanted abutment works far better than the demo. If you could try the testing device (which is a small plastic tube-like piece that you hold between your teeth), you can get an idea of how it sounds, as well. They actually give you one in the box so your family can try it out to "hear" what you will be hearing.