Need for better Hearing Aid (HA) and Provider Selection Information

Posted by lindabro @lindabro, Mar 29, 2022

Is it just me or is the information about how to select a hearing aid and a hearing aid provider really confusing? If confusing; why;--too many choices, not enough comparative spreadsheets?

Currently trying to figure out the best value by Manufacturer (Phonak or Starkey), Brand, Model and to compare all the features/benefits.

Not sure I am getting all the answers from the retailers or I am just not understanding the choices.

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@ner

I wouldn't go back to Costco. The products they offer seem cheaper, but don't be deceived. You'll pay a high price for its lack of follow-up service, which is a critical part of any hearing-device package.

Never forget that Costco is a massive warehouse chain, not a healthcare practice. You are always their customer, but never their client. So they are great if you are shopping for jeans or bed linens or baked goods, and they are very happy to sell you their merchandise. Their mindset is, sell and move on.

Whereas a practitioner is obligated to deliver ongoing support after the sale of the device, which sooner or later will need to be serviced. To maintain their license, audiologists have to have some degree of accountability if things don't go well with your device. At my local Costco, however, that follow-up was simply not available. They have no incentive or apparent interest in forming a continuous relationship with you, a person disabled by hearing loss and dependent on their device for your daily functioning.

So for example, you have a problem with your Costco hearing aids? I found I couldn't set an appointment to discuss my issues, as appointments were reserved for the customers who were testing and purchasing devices. So when you have a hearing aid issue, you might leave a voicemail. Maybe someone will call you back during the week (never on a weekend)--or maybe not. So you need to trek out there in person, without an appointment, during workday hours, 9-5. Maybe there's one technician on duty, and they are in the booth, testing a customer for a fitting, so you stand by for 45 minutes until they are done. Maybe there's a line of people waiting, so it's like standing in the returns line at the grocery store. You just wait there in the warehouse for some undetermined length of time, trying to talk to the person behind the counter about your hearing aid problem when they get a minute. Is that what you want to depend on for your hearing health?

Also, in my experience, the hearing aids and their accessories were inferior. I didn't have such terrible hearing loss at the time (~9 years ago), so didn't need a very advanced product, although I bought the top of the line at the time. But I got these big clunky things that tended toward feedback all the time, and they didn't switch functions smoothly. Plus the bluetooth feature never worked, even though I paid extra for it. I'd hate to imagine relying on a pair of Costco hearing aids now, when my loss is far greater.

Maybe services are better at some Costcos than others, but the basic setup and assumptions are the same. Do you want to put your hearing health in the care of a warehouse store? I mean, if it were another kind of healthcare, would you want to sign up with Costco?

If it's just a matter of the dollar cost, it seems to me there are better options. You can get a credit card with 0% APR for 18 months, put a small amount down and pay it off in small monthly payments without interest. AARP teams with Hear USA to get hearing aid discounts--I got 50% off the last time I used it, with a year to pay it off interest-free. Also, Hear.com is a hearing-aid distribution network modeled on a German distribution system. It has a network of audiologists, and a responsive call center that gets you in to an audiologist quickly to address your hearing aid service issues. All of the hearing aids they prescribe are prescription devices made by the major manufacturers. https://www.hear.com/ Or you can join a health network like Kaiser and get discounts on hearing aids because they negotiate a special price with the manufacturers. Medicaid also provides hearing aids.

Of course, in some communities it's possible that Costco is the only supplier within reasonable distance--but in general I think Costco should be a last resort as a hearing aid supplier. I strongly suggest that you check your options. There may well be a better path.

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My experience at Costco In Eden Prairie, MN was just the opposite. The person who took care of me, Scott, was ALWAYS available for a personal or phone appointment. He adjusted my Kirkland (Phonak Marvel) hearing aids so I could hear well in a noisy restaurant. I was so grateful for that.
I later got hearing aids from the VA which were very similar to the Phonaks I got from Costco but the Phd audiologist was not nearly as competent as the person from Costco and no audiologist has been able to make the adjustment for noisy restaurants that the Costco person did.

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@hergiew

My experience at Costco In Eden Prairie, MN was just the opposite. The person who took care of me, Scott, was ALWAYS available for a personal or phone appointment. He adjusted my Kirkland (Phonak Marvel) hearing aids so I could hear well in a noisy restaurant. I was so grateful for that.
I later got hearing aids from the VA which were very similar to the Phonaks I got from Costco but the Phd audiologist was not nearly as competent as the person from Costco and no audiologist has been able to make the adjustment for noisy restaurants that the Costco person did.

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I have no complaint on Costco as my experience with my insurance appointed HearUSA is about the same. Majority of Costco's HA cost around $1,500. I went for the Resound which cost $2,600. I have used 4 pairs of HA so far - 3 Signia and one Resound. I don't like all of them and lost faith with HA as they are only 70-80% effective. I still have trouble hearing soft conversation. And the worst was too much outside noises that the audiologists didn't know how to suppress or stop amplifying them. While I was watch TV, the noises people walking on wooden floor behind me , and the noises that my wife was washing plates were too hard to bare. Does anyone didn't have these problems?

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@ksly008

I have no complaint on Costco as my experience with my insurance appointed HearUSA is about the same. Majority of Costco's HA cost around $1,500. I went for the Resound which cost $2,600. I have used 4 pairs of HA so far - 3 Signia and one Resound. I don't like all of them and lost faith with HA as they are only 70-80% effective. I still have trouble hearing soft conversation. And the worst was too much outside noises that the audiologists didn't know how to suppress or stop amplifying them. While I was watch TV, the noises people walking on wooden floor behind me , and the noises that my wife was washing plates were too hard to bare. Does anyone didn't have these problems?

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NO my friend, don't look for best value! They are too many factors that need to be considered. Good HA unit needs to have lots of frequencies that an audiologist (AD) can tweak to fit your need. That said, the AD must be capable of identifying the sound frequencies that do and don't need to amplify. I haven't found one after using 4 HAs and lost faith with them. I still not be able to hear soft conversation and I am hearing loud outside noises that annoy me.

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USA Phonak Lumity 90s user here

1) I don't recommend the services of HearUSA or TruHEARING

2) What style of hearing do you wish; Completely In Canal (CIC), Receiver In Canal (RIC) or Behind The Ear (BTE). The audiologist will determine the best HA for your hearing loss. RIC and BTE will always offer the most options for customization.

3) This is a big investment. Consult with at least 5 audiologists and evaluate different brands. You should test HAs a minimum of 30 days. If the audiologist asks for full payment upfront during your "free trial" walk away.

4) Whether you use an iphone or android, carefully evaluate the evaluate the HA manufacturer phone app and pay close attention to the BT connection. Android phones don't seem to play nice with anything except Phonak. A reliable BT connection is important for:
**Phone calls
**Streaming audio
**Real time customization of your HAs to include volume, incr/decr noise suppresion, narrow or widen the focus of the pickup microphone

5) Ask about the HA warranty (typically 3 years) and if free lifetime adjustments are included. Ask about battery & wax filter programs. Ask if the audiologist offers interest free financing. Audiologists will bundle services (cleaning & adjustment) and maintanance products (batteries, wax filters, ear domes) all differently.

6) When testing HAs, spend a lot of time in crowded restaurants, malls, retail stores. HAs will perform much differently in noisy situations than a quiet audiologist office.

7) Ask what accessories are available for the HAs, such as a remote table microphone, to assist with listening to conversations in a noisy restaurant.

Which hearing aid is best? That's like asking which car is the best. Some people drive Chevrolet, some drive BMW. They both will get you from Point A to Point B, one may do it better than the other. Buy the best hearing aid that you can reasonably afford.

There is a misperception that getting fitted for hearing aids is like getting fitted for eye glasses. While two people with identical eye prescription can wear the same eyeglasses, two people with identical audiograms will not respond the same to identical hearing aids. There is one standard in filling a patients eye prescription and a 99% chance that patients vision will be corrected immediately. There are multiple way to program a hearing aid to a patients needs and the probability is high you will need follow up adjustments for volume and clarity. One good thing about Phonak is your audiologist can do that remotely over the phone, saving you a trip to his/her office.

In the Phonak family there is a signicant difference between the entry level and the top of the line in background noise reduction technology - noisy environments is where most HA users have trouble understanding speech.

If you need to try and save money, check the resell market such as Craigslist, eBay, Facebook Market Place, OfferUp etc. You might find some deals. Any audiologist will program them to your audiogram for a fee of $75-$100. Just keep in mind you won't have a warranty.

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