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(E) a bone-conduction receiver with headband;

(3) the department will pay one fitting fee per ear, per purchase or rental of a hearing aid; each fitting fee paid under this paragraph includes payment for a minimum of three follow-up visits by the recipient to the hearing services provider to have the hearing aid checked for proper functioning;

(4) the department will pay one dispensing fee per ear, per purchase or rental of a hearing aid for the life of that hearing aid under normal use or for the duration of the rental contract; the dispensing fee covers the following:

(A) repair;

(B) replacement parts;

(C) periodic cleaning;

(D) labor. (c) For a recipient under 21 years of age, the department will pay

(1) separately for an unlimited number of ear mold impressions and ear molds;

(2) for an unlimited number of repairs of a hearing aid if

(A) the hearing aid warranty is no longer in effect; and

(B) the hearing services provider has not already been paid a dispensing fee under (b)(4) of this section;

(3) no more than two replacements of a lost hearing aid if

(A) the hearing aid warranty is no longer in effect;

(B) the hearing aid was lost no more than three years after the original date of purchase; and

(C) a written explanation of how the hearing aid was lost is submitted by the hearing services provider with the provider’s claim for payment; the written explanation must be signed by the recipient or, if the recipient is a minor, recipient’s parent or guardian;

(4) for no more than two replacements of a broken hearing aid if

(A) the hearing aid warranty is no longer in effect;

(B) the hearing aid was broken no more than three years after the original date of purchase; and

(C) the hearing services provider has certified in writing that the hearing aid cannot be repaired or that the cost of repairs would exceed the maximum payment rate for repairing the hearing aid.