@jeff1816 Has the medical professional who recommended a cochlear implant for your nephew given the family information about options n the area in which he lives? There are 3 well known manufacturers of cochlear implants. If your nephew is a candidate for a CI, and has selected his preferred brand, the company will work with his insurance company to get approval.

It helps a great deal to talk to others who have cochlear implants. I'm making the assumption that your nephew is not an adult, and the family is seeking information. I highly recommend connecting with The Hearing Loss Assn. of America, Inc. http://www.hearingloss.org HLAA has a great deal of information on their website. There are several chapters of HLAA in New York. Most chapters have many CI users among their members.

The reason your nephew doesn't 'like his hearing aids' may be that they are not helping him. That's the point at which people turn to CIs.

Getting information from others who are in the same situation via peer support is extremely helpful, so contacting a chapter may be very helpful.

I am a CI recipient myself. I live in Wisconsin where there are 2 well known CI surgery centers and 2 more that are smaller. I made my choice of surgeon and CI center based on the experiences of others, but know I would likely have had the same positive experience had I gone elsewhere. Definitely, I would want to know how many surgeries have been done, etc. That's information you generally get from others who have had the same surgery.

My CI has been life changing. My only regret is that I didn't do it sooner than I did. Through HLAA, I know many people who have CIs, and also several families that have kids with cochlear implants. They have all been successful.

Adult onset hearing loss is different from that which is present n early childhood. Speech and language development start in early childhood. Adults have the advantage of already having those skills. If this is a pediatric situation, you will want to inquire about that as well.

It's difficult to know where one can go in another state, but know this is a good thing for your nephew. Let me know if I can be of further help.