Maintaining your hearing devices and buying batteries / servicing rechargeable batteries can be costly. An easy and cost-effective way to help you take care of your hearing devices is to enter into an Australian Government subsidised Maintenance Agreement. A Maintenance Agreement will cover the costs of your device batteries and maintenance for 12 months, for which you may be asked to pay a co-payment. Your Maintenance Agreement may end early if you are fitted with new devices under the program. Maintenance Agreements are optional and do not cover device accessories.

For Fully Subsidised Devices the client maintenance co-payment is set by the program and may increase each year. The co-payment amount is the maximum you can be charged per Maintenance Agreement. Maintenance Agreements for fully subsidised devices also cover all repairs for your device.

For Partially Subsidised Devices the client maintenance co-payment may be more than the program set co-payment for fully subsidised devices. You should have been informed of this amount in your device quote. This amount may increase each year. Maintenance Agreements for partially subsidised devices may not cover all repair costs, however any additional costs should be included in your device quote.

Department of Veterans’ Affairs (DVA) Gold or White (specific for hearing loss) card holders – Clients with fully subsidised devices are exempt from paying the client maintenance co-payment. Clients with partially subsidised devices must pay any difference between the government maintenance subsidy and the maintenance co-payment quoted for their device/s. DVA clients must still agree to enter into a Maintenance Agreement by agreeing to this form.

Further information about maintenance agreements is available on the program website at http://www.hearingservices.gov.au

Your client co-payment for this agreement is $50.00. Exempt for DVA Gold or White (specific for hearing loss) card holders.

If you have any questions about the Maintenance Agreement, including when it will begin, please contact us on (07) 3822 1879 specified above. Your agreement to these terms will be held on your client file. You can ask for a copy of your agreement to these terms for your records.

Certification by client

By agreeing via text message, email or recorded verbal agreement, I have chosen to enter into a Maintenance Agreement. I understand that the information provided on this form is required for the delivery of maintenance services under the Hearing Services Administration Act 1997.