Schedule of Fees
The Schedule of Fees for the period of 1 July 2022 to 30 June 2023 is now available.
Annual indexation of fees
Under the Australian Government Hearing Services Program, the GST exclusive amount for service items will be adjusted on the 1st day of each financial year, in accordance with the following indexes
- The Wage Cost Index 1 for the majority of items, this being a weighted average of estimated movements in wage costs and underlying inflation, and
The Consumer Price Index for client maintenance contributions.
The resultant GST amount will be rounded to the nearest cent.
Device pricing
The device prices payable are those specified in the Schedule of Fees current at the Date of Fitting.
Non-standard device prices
Please refer to the Fully Subsidised Schedule of Devices for individual device pricing. The device prices can be found under the publications accordion when you are logged into the Hearing Services Online Portal.
Dispensing fee for behind-the-ear (BTE) hearing aids fitted
For item numbers 630, 631, 640, 641, 650, 651, 660, 661, 760, 761, 770, 771, 820, 821, 830, 831, 840, 850 and 960, an additional dispensing fee is paid for behind-the-ear hearing devices (C1 and C2) as listed in the Schedule of Fees.
Payments from Clients
Annual Hearing Aid Maintenance Co-payment
The client can be charged the specified Maintenance Co-payment listed in the Schedule of Fees in accordance with the Device Supply Requirements.
This GST amount is not recorded on the claim for payment form but must be declared in your Quarterly BAS Statement for each client who makes a payment within this period. This co-payment is GST inclusive and is payable by the client in relation to fitting and maintenance items.
Note 1: Where a refit has been provided a client may enter into new Maintenance Agreement, however the next claimable maintenance item providers will be entitled to will be >= one calendar year from the Date of Refitting.
Note 2: Where a client transfers away from you, then transfer back to you, an item 711 / 722 should not be claimed if a current 700 / 710 is still active. You will be entitled to claim an item 700 / 710 once the current maintenance expires.
Replacement Fee
Where the hearing device replacement fee is not covered by items 555 or 888, the client can be charged the specified Replacement Fee listed in the Schedule of Fees.
Claiming services
Providers are responsible in ensuring the client has a current voucher prior to services being provided through the program. All services must fall within the voucher issue and expiry date of the voucher current at the time of the date of service. Claims for services must be submitted within 12 months of the date of service.Hearing Services Program - Schedule of Fees 2022-2023
All services provided must be within the voucher issue and expiry date.
Assessment
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST (Rounded to the nearest 5 cents) |
| 600 | First Assessment |
$147.95 |
$0.00 |
$0.00 |
$147.95 |
| 610 | Audiological case management |
$46.95 |
$0.00 |
$0.00 |
$46.95 |
| 800 | Reassessment |
$147.95 |
$0.00 |
$0.00 |
$147.95 |
| 810 | Audiological case management |
$46.95 |
$0.00 |
$0.00 |
$46.95 |
Hearing Device Prices
| Category 1 (high powered BTE) + $28.15 (dispensing fee) per device |
$501.55 |
$0.00 |
$0.00 |
$501.55 |
| Category 2 (BTE) + $28.15 (dispensing fee) per device |
$474.45 |
$0.00 |
$0.00 |
$474.45 |
| Category 3 (ITC, CIC, ITE) no dispensing fee applied |
$435.70 |
$0.00 |
$0.00 |
$435.70 |
| BTE Additional Dispensing Fee per device for Cq and C2 devices |
$28.15 |
$0.00 |
$0.00 |
$28.15 |
Device Fitting with follow-up
The date of service for these item must be at least 1 week after the date of fitting.
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST (Rounded to the nearest 5 cents) |
| 630 |
Initial fitting, rehabilitation, maintenance - Monaural | $472.15 | $10.00 | $1.00 | $473.15 |
| 640 | Initial fitting, rehabilitation, maintenance - Binaural | $590.70 | $20.00 | $2.00 | $592.70 |
| 650 |
Initial fitting, rehabilitation, no maintenance - Monaural | $459.20 | $0.00 | $0.00 | $459.20 |
| 660 |
Initial fitting, rehabilitation, no maintenance - Binaural | $550.80 | $0.00 | $0.00 | $550.80 |
| 760 |
Subsequent initial fitting, rehabilitation, maintenance | $120.90 | $10.00 | $1.00 | $121.90 |
| 770 | Subsequent initial fitting, rehabilitation, no maintenance
|
$87.00 | $0.00 | $0.00 | $87.00 |
| 820 | Refitting, rehabilitation, no maintenance - Monaural | $394.60 | $0.00 | $0.00 | $394.60 |
| 830 | Refitting, rehabilitation, no maintenance - Binaural
|
$392.20 | $0.00 | $0.00 | $392.20 |
Device Fitting with no follow-up
The date of service for these item must match the date of fitting.
| 631 |
Initial fitting, no follow-up, maintenance - Monaural | $236.05 | $10.00 | $1.00 | $237.05 |
| 641 | Initial fitting, no follow-up, maintenance - Binaural | $295.35 | $20.00 | $2.00 | $297.35 |
| 651 |
Initial fitting, no follow-up, no maintenance - Monaural | $229.60 | $0.00 | $0.00 | $229.60 |
| 661 |
Initial fitting, no follow-up , no maintenance - Binaural | $275.40 | $0.00 | $0.00 | $275.40 |
| 761 |
Subsequent initial fitting, no follow-up, maintenance | $60.45 | $10.00 | $1.00 | $61.45 |
| 771 | Subsequent initial fitting, no follow-up, no maintenance
|
$43.45 | $0.00 | $0.00 | $43.50 |
| 821 | Refitting, no follow-up, no maintenance - Monaural | $197.30 | $0.00 | $0.00 | $197.30 |
| 831 | Refitting, no follow-up, no maintenance - Binaural
|
$196.10 | $0.00 | $0.00 | $196.10 |
ALD fitting with follow-up
The date of service for these item must be at least 1 week after the date of fitting.
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST (Rounded to the nearest 5 cents) |
| 635 |
Initial fitting, rehabilitation, maintenance - ALD | $212.50 | $10.00 | $1.00 | $213.50 |
| 655 | Initial fitting, rehabilitation, no maintenance - ALD | $193.70 | $0.00 | $0.00 | $193.70 |
| 825 |
Refitting, rehabilitation, no maintenance - ALD | $136.30 | $0.00 | $0.00 | $136.30 |
ALD fitting with no follow-up
The date of service for these item must match the date of fitting.
| 636 |
Initial fitting, no follow-up, maintenance - ALD | $106.25 | $10.00 | $1.00 | $107.25 |
| 656 | Initial fitting, no follow-up, no maintenance - ALD | $96.85 | $0.00 | $0.00 | $96.85 |
| 826 |
Refitting, no follow-up, no maintenance - ALD | $68.15 | $0.00 | $0.00 | $68.15 |
Maintenance
Note: Where a client transfers away from you, then transfer back to you, an item 711 / 722 should not be claimed if a current 700 / 710 is still active. You are entitled to claim an item 700 / 710 once the current maintenance expires.
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST (Rounded to the nearest 5 cents) |
| 700 | Maintenance and battery supply - Monaural | $101.00 | $50.50 | $5.05 | $106.05 |
| 710 | Maintenance and battery supply - Binaural | $202.05 | $101.00 | $10.10 | $212.15 |
| 711 | Relocated maintenance and battery supply - Monaural | $70.70 | $59.00 | $5.90 | $76.60 |
| 722 | Relocated maintenance and battery supply - Binaural | $95.95 | $71.50 | $7.15 | $103.10 |
| 777 | Payment of client contribution for maintenance/batteries DVA eligible clients | $46.55 | $23.50 | $2.35 | $48.90 |
| 790 | Maintenance and battery supply - Monaural (Private) | $101.00 | $50.50 | $5.05 | $106.05 |
| 791 | Maintenance and battery supply - Binaural (Private) | $202.05 | $23.50 | $2.35 | $212.15 |
| Client Maintenance Co-Payment | $46.55 | $23.50 | $2.35 | $48.90 | |
Replacements
The date of service for the item 840, 850 must match the date of fitting, these items don’t require a follow-up appointment.
Note: When a client has lost / damaged their hearing device and requires a different style of device, category / tier or an ALD, a refit is required, NOT a replacement. The same applies to a lost / damaged ALD.
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST (Rounded to the nearest 5 cents) |
| 840 | Replacement of Lost/DBR Device - Monaural | $74.05 | $0.00 | $0.00 | $74.05 |
| 850 | Replacement of Lost/DBR Device - Binaural | $108.00 | $0.00 | $0.00 | $108.00 |
| 555 | Payment of Client Contribution for Exempt Clients (Manual Claim) | $43.40 | $0.00 | $0.00 | $43.40 |
| 888 | Payment of Client Contribution for Replacement for DVA Eligible Clients | $43.40 | $0.00 | $0.00 | $43.40 |
| Client Replacement Co-Payment | $43.40 | $0.00 | $0.00 | $43.40 | |
Other
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST (Rounded to the nearest 5 cents) |
| 670 | Rehabilitation Service - Unaided | $213.80 | $0.00 | $0.00 | $213.80 |
| 680 | Rehabilitation Plus - 2 sessions | $151.50 | $0.00 | $0.00 | $151.50 |
| 681 | Rehabilitation Plus - 1 session | $75.20 | $0.00 | $0.00 | $75.50 |
| 920 | Client review - Unaided | $83.40 | $0.00 | $0.00 | $83.40 |
| 930 | Client Review – Aided Monaural (previously known as Aid Adjustment)) | $83.40 | $0.00 | $0.00 | $83.40 |
| 940 | Client Review – Aided Binaural (previously known as Aid Adjustment) | $129.25 | $0.00 | $0.00 | $129.25 |
| 960 | Spare Aid | $78.70 | $0.00 | $0.00 | $78.70 |
Note: The purpose of a review is to prolong the current use of hearing aid/s currently fitted to the client, therefore an item 930/940 should not be routinely claimed in instances where a refit is due to take place. However, if you can support a reason for a review and clearly document on the client file that sufficient services were provided, including testing, adjustments etc. on the current devices, and this was not successful requiring a move to refit then the program would accept an item 930/940 to be claimed.
Manual Submission for Payment
Aids Returned for Credit (RFC)
The date of service for these items must match the original fitting date of the device before they were returned when the claim is submitted.
|
Item |
Service Description |
Benefit Excluding GST (Rounded) |
GST Liable |
GST |
Total Benefit Inclusive of GST |
| 1 | Device Returned for Credit: Monaural - Half Cost of the Fitting one of the following items – 650 ($229.60), 655 ($96.85), 770 ($43.50), 820 ($197.30) or 825 ($68.15) - no Maintenance Agreement |
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| 2 | Device Returned for Credit: Binaural - Half Cost of the Fitting one of the following items 660 ($275.40) or 830 ($196.10) - no Maintenance Agreement |
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| 3 | Dispensing Fee (BTE only) |
$28.15 |
$0.00 |
$0.00 |
$28.15 |
| 4 | Remote Control - Manufacturer's invoice amount only < $200. If remote is >$200 program pre-approval is required |
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| 6 | Miscellaneous Claim - Only claimable when pre-approved by the program |
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Item 1 is when the client has been monaurally fitted and does not want the aid – the aid is returned to the manufacturer and a credit is given to the provider. The payment made is half the cost of the initial fitting of item # 650, 655, 770, 820 or 825 that does not contain the maintenance component.
Item 2 is when the client has been binaurally fitted and does not want the aid – the aids are returned to the manufacturer and a credit is given to the provider. The payment made is half the cost of the initial fitting of item # 660 and 830 that does not contain the maintenance component.
Note: The date of service for these items must match the original fitting date of the device before they were returned when the claim is submitted.