Hearing loss is a common health condition among adults ages 55 and older. Fortunately, almost all individuals with hearing loss can benefit from hearing aids.
As with any major purchase, selecting a hearing aid can be overwhelming if you don’t have the right information or know the correct questions to ask. You can use this checklist to feel confident in your decision to improve your life through better hearing.
Where Do I Go For A Hearing Test?
Up to 90 percent of hearing loss is a result of non-medically treatable issues. But that means as many as one in 10 people will have a medical issue associated with their hearing loss.
If this is your first hearing evaluation, it would be prudent to see your primary care doctor first to rule out a medically treatable issue, then be referred to a specialist—either an audiologist or hearing instrument specialist—for a hearing evaluation.
If a medically treatable issue associated with hearing loss is suspected, such as Ménière’s disease, Usher syndrome, sudden-onset, a genetic condition, or ototoxic drug exposure, you may be directed to an otolaryngologist/ENT (ear, nose, and throat specialist).
Where Do I Buy My Hearing Aids?
Typically, once an audiologist or hearing instrument specialist has evaluated your hearing, you should be able to purchase your hearing aids from them. Requirements differ by state or province, but generally speaking, the professional is trained in hearing aid selection, fitting, and care.
Make sure you are comfortable with the quality of care and the options offered by the provider. If only one brand of hearing aid is available, that is a red flag. Be sure your provider offers a range of choices, in all styles and at all price points.
You can also opt to get a second opinion. This will give you additional provider choices, so you can go with the person with whom you feel most comfortable. After all, you will be starting a relationship that may last for years.
What Style is Best For Me?
A hearing aid’s style (shape and configuration) is determined by the severity of hearing loss, manual dexterity and vision ability, comfort, and/or cosmetic appeal. Whether you get a larger, behind-the-ear hearing aid, or one that is nearly invisible in the ear canal, the cost is roughly the same. Discuss options with your provider and ask about the benefits and drawbacks to each type of device. Here is a brief overview of hearing aid styles, categorized from a larger size to smaller:
Behind-the-ear (BTE); receiver-in-canal (RIC) (also known as receiver-in-the-ear, RITE): These are currently the most popular due to durability, comfort, and cosmetic appeal. They may be a bit more difficult to put in the ears at first, but since less of the circuitry is inside the ear, they usually offer more natural sound. Also, RICs can be discreet, with only the speaker wire visible at the top of the outer ear.
In-the-ear (ITE); in-the-canal (ITC): This category is among the best for ease of use. Just one piece goes into the ear, with a portion of the device visible outside the ear. Many people like ITEs because they are easy to insert into the ear, and the battery life is better than that of their smaller, ITC cousins.
Completely-in-the-canal (CIC); invisible-in-the-canal (IIC): These typically fit deeper into the ear and are a very good choice for people who wear helmets or use stethoscopes. Since they are deep in the canal (making them less visible), the most common complaint is that they may not feel as comfortable as the BTE styles, and depending on usage you must change the batteries once or twice a week. (BTEs and RICs often use larger batteries for more power, and last longer.)
Which Fidelity Level is Best For Me?
Once you have chosen your preferred style of device, you must choose the fidelity (technology) level of the computer chip in the hearing aid. This is where the cost differences in hearing aids become apparent.
Most manufacturers have three levels of fidelity in their newest hearing aids as well as in their economy-priced models. The higher the level of technology, the better and faster the hearing aid can separate noise from speech. This means the speech and sound information passed to your brain is more accurate. Every level will help one-on-one conversations in quiet environments; the more advanced chips will boost clarity and noise reduction even more effectively. In most cases, get the best hearing aid you can afford, but don’t feel pressured into a decision. Take advantage of the 30- to 60-day trial period that is offered by certain providers and in certain locations.
What Other Special Functions Do I Need?
In the past few years, new features have emerged that have dramatically changed how we can interact with hearing aids:
Rechargeable batteries: Rechargeable hearing aids are now available, requiring changing the battery only once every one to three years. These devices are recharged by placing the entire hearing aid unit on its charging dock. Not having to frequently manipulate the battery door is very helpful if you have vision or dexterity issues or if you tend to forget your batteries.
Almost waterproof hearing aids: There are now hearing aids that are so waterproof they actually dry themselves when they get wet. They are also dust- and shock-resistant. These are great for people who frequently spend time outdoors or who just perspire a lot. While it is not recommended swimming with them, these devices should survive taking a shower if you forget to take them out.
Bluetooth-enabled hearing aids: Many manufacturers now give you the ability to adjust your hearing aids with your smartphone, using Bluetooth wireless connectivity. You may even be able to stream sound directly to your hearing aids without the use of an additional device like a neck loop. If you’re tech-savvy, this may be for you.
Using the items in this checklist, you will hopefully feel more confident about making decisions and improving your hearing. Always consult your hearing health professional for additional questions.
Hearing Health Foundation is a U.S.-based nonprofit organization that funds research to prevent, treat, and cure hearing loss, tinnitus, and related conditions and promotes hearing health.
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