a. Hearing aids, assistive listening devices, and artificial larynxes will be replaced when the instrument proves to be ineffective, irreparable, or the veteran's medical condition has changed and a different device is needed. Devices will not be replaced because of age or a new make or model is available.
b. Devices may be replaced if the item was destroyed or lost due to circumstances beyond the control of the veteran. If negligence or willful action is suspected, the Chief, Audiology and Speech Pathology Service will determine whether a replacement may be issued, and depending upon the circumstances, VHA Headquarters may be consulted for an opinion.