Buying a Hearing Aid
Answers to common questions
I don't hear well. What should I do? What should I
Because some hearing problems can be medically corrected, first visit a
physician who can refer you to an otolaryngologist
(an ear, nose, and throat specialist). If you have ear pain, drainage,
excess earwax, hearing loss in only one ear, sudden or rapidly progressive
hearing loss, or dizziness, it is especially important that you see an
otolaryngologist. Then, get a hearing assessment from an audiologist (a
nonphysician health care professional). A screening test from a hearing
aid dealer may not be adequate. Many otolaryngologists have an audiologist
associate in their office who will assess your ability to hear pure tone
sounds and to understand words. The results of these tests will show the
degree of hearing loss and whether it is conductive or sensorineural and
may give other medical information about your ears and your health.
Where do I go to get hearing aids?
Because federal regulation prohibits any hearing aid sale unless the
buyer has first received a medical evaluation from a physician, you will
need to see your physician before you purchase a hearing aid(s). However,
the regulation says that if you are more than 18 years old and are aware
of the recommendation to receive a medical exam, you may sign a waiver to
forego the exam. An otolaryngologist, audiologist, or an independent
dispenser can dispense aids. Hearing aids should be custom fitted to your
ear and hearing needs. Hearing aids purchased by mail-order typically
cannot be custom fitted.
Conductive Hearing Loss
A hearing loss is
conductive when there is a problem with the ear canal, the eardrum
and/or the three bones connected to the eardrum. Common reasons for
this type of hearing loss are a plug of excess wax in the ear canal
or fluid behind the eardrum. Medical treatment or surgery may be
available for these and more complex forms of conductive hearing
Sensorineural Hearing Loss
A hearing loss is
sensorineural when it results from damage to the inner ear (cochlea)
or auditory nerve, often as a result of the aging process and/or
noise exposure. Sounds may be unclear and/or too soft. Sensitivity
to loud sounds may occur. Medical or surgical intervention cannot
correct most sensorineural hearing losses. However, hearing aids may
help you reclaim some sounds that you are missing as a result of
How expensive are hearing aids?
Hearing aids vary in price according to style, electronic features, and local
market conditions. Price can range from many hundreds of dollars to more than
$2,500 for a programmable, digitalized hearing aid. Purchase price should not be
the only consideration in buying a hearing aid. Product reliability can save
repair costs and the frustration of a malfunctioning hearing aid.
What kinds of hearing aids are available?
There are several styles of hearing aids:
- Behind-the-ear (BTE) hearing aids are placed over the ear and connected
with tubing to custom-fitted earpieces.
- In-the-ear (ITE) hearing aids fill the entire bowl of the ear and part of
the ear canal.
- Smaller versions of ITEs are called half-shell and in-the-canal (ITC).
- The least visible aids are completely-in-the-canal (CIC).
Hearing aid options, which are appropriate for your particular hearing loss
and listening needs, the size, and shape of your ear and ear canal, and the
dexterity of your hands will all be considered in deciding what type of hearing
aid is the best for you. Many hearing aids have special telecoil "T" switches to
aid in use of the telephone and certain public sound systems. Discuss your need
for a T-coil switch while you are considering hearing aid options.
Will I need a hearing aid for each ear?
Usually, if you have hearing loss in both ears, using two hearing aids is
best. Listening in a noisy environment is difficult with amplification in one
ear only, and it is more difficult to distinguish where sounds are coming from.
If, however, the quality of hearing in one ear is very different from the other,
one hearing aid may be better than two.
What other questions should I ask?
- Ask about charges for the hearing evaluation, dispensing fee(s), and
future servicing and repair.
- Inquire about the trial period policy and what fees are refundable if you
return the hearing aid(s) during the trial period.
- Ask about the warranty coverage for your hearing aids and the consumers'
protection program for hearing aid purchasers in your state.
What will happen at my hearing aid fitting?
- The hearing aids will be fitted for your ears.
- Then, while wearing your hearing aids, you will be tested for word
understanding in quiet and in noise and for improvement in hearing tones.
- Next, you will receive instruction about the care of your hearing aids,
the batteries used to power them, a suggested wearing schedule, general
expectations, and helpful communication strategies.
- You will also practice properly inserting and removing the hearing aids
How should I begin wearing the aids?
- Start using your hearing aids in quiet surroundings, gradually building up
to noisier environments.
- Note where and when that you find the hearing aids beneficial.
- Be patient and allow yourself to get used to the aids and the "new" sounds
they allow you to hear.
- Keep a diary to help you remember your experiences.
- Report any concerns on a follow-up appointment.
© 2004 AAO-HNS/AAO-HNSF
Please read our disclaimer. Any information provided on this Web site should not be considered medical advice or a substitute for a consultation with Dr. Hector N. Hernandez or other healthcare professional. If you have a medical problem, contact us for diagnosis and treatment.