How do I choose the best hearing aids?

Posted by dkeefe @dkeefe, Nov 1, 2018

I currently have Starkey brand hearing aids which I have had for 4 years. They work well, but I have some issues with them. I am looking for replacements (they are behind the ear type) and would like to know what is available in similar quality and cheaper. I am located near Atlantic City and would like to know if there is someone in the area that offers something similar and carries various brands, not just one

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@julieo4

@ sueinmn and @loribmt These strategies work some of the time, but denial is a huge factor, as is the stigma that is associated with hearing loss...which is associated with aging. No one wants to be old. Yet, when HL is not addressed it makes someone look a whole lot older than they are.

I encourage you to consider becoming a member of HLAA. It is the ONLY consumer organization that is advocating for the hard of hearing population. There is a chapter of HLAA in the Twin Cities and one of the oldest chapters is in the Fox Valley Region of Wisconsin. Not that a person who is a member of HLAA has to become involved in a chapter; they don't unless they want to meet other people they can discuss things. The other side of HLAA is similar to MCC. A primary purpose of the organization is to reach out to others who need support and unbiased information. The 'each one; reach one' philosophy has helped thousands of people who just needed to learn they were not alone. Of course sharing of coping strategies and knowledge of assistive listening technology is huge too.

The Fox Valley Performing Arts Center installed assistive technology when it was built because members of HLAA advocated for it. It has been updated and kept in excellent condition because the HLAA folks in the area educate and care. If a person's hearing aids have telecoils as an option, all they have to do is push a button and they will hear what is coming from the stage microphones directly...no background noise. It's wonderful! If they do not have telecoil equipped hearing aids they can get audio loop receivers to use to get the same effect. (Just a shame to not have telecoils in one's hearing aids...it's kind of like owning a car without air conditioning. It's not needed all the time, but when it is, it's fully appreciated.

Instead of no longer going to events at looped venues, as many hard of hearing people do, the PAC in our area is well attended by grateful people who appreciate and use the loop system.

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I agree Julie, about the denial. But I thought we were past that years ago 😔. Having one bad experience with hearing aids seems it ought to be a lot like having one bad experience with one doctor- you know you need help, so you try another. But instead it invoked the "never again " response. Stigma wasn't an issue as HA use has always been common in our families.
I have suggested HLAA, but I would like him to do that - then any advice would not be coming from me.
Sue

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@sueinmn

You are lucky - when we do that, we are accused of "ganging up".
The first thing I did was make an audiology appointment for both of us, and she saw us together, asking each what our goal for the visit was, then explained our respective losses and compared our charts, explaining he really needed bilateral aids, and I was "not bad enough yet" in her experience, to be ready to go through the learning curve.
Next, after complaining about it being "so loud" to no avail, I reduced the TV to my volume whenever he stepped away, without saying a word. When he had to turn it up every time he came back I think it dawned on him how bad his hearing was compared to mine. Like you, being in our tiny house was the last straw on that, as the volume from the living room was too loud in the bedroom, so I had no escape.
Finally, unless critical, I quit repeating missed dialogue to him, making him ask whoever we were chatting with to repeat. This was really tough to do when "catching up" with friends in Texas, some of whom we hadn't seen since March 2020, but I persisted.
The day we got home, he called and made an appointment for new aids. Now he even wears them in the house, and he is so much less cranky I can't believe it! Last night he took them out and said "Wow, I had no idea how much I was missing!"

I hope your plan works!
Sue

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Thanks Sue! I feel your pain. This has been progressing over time but it wasn’t until being confined in that smaller area that it really impacted me just how much hearing loss he must have. And how loud commercials are on TV!! Yikes, I had to keep turning the volume down between segments. I know masks don’t help when we’re out in public either.

I’m not a quiet person having grown up in a household with my father losing most of his hearing from loud machinery in a paper mill. I learned to talk very loudly and that’s been hard to shake. Ironically, when my husband and I were dating, 50+ years ago, he would tell me that I talk too loudly! Hahah. So now he tells me to talk louder and quit mumbling, i KNOW it’s not me!!

I like your idea of joint appts at the audiologist. I’m thinking that will ultimately be my approach. Our daughter will say something to him because she hinted strongly already last summer when they were visiting. We had to raise our voices over the television and I was getting a headache! Our key is making him think it’s his idea!

I really hope it’s similar to your husband’s experience and that he acquiesces and considers hearing aids. What I find amusing is a friend of his recently started using them. But his friend often doesn’t wear them in the house and his wife gets upset. So here’s my husband, on the way home from a visit, saying “he should really wear those all the time! It’s crazy to have ‘em and not wear ‘em if they’re needed.” Huh… 😂

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@nancydowling

How does that work at Costco? Do you take them your hearing test done by a hearing aid specialist? Can you go back in for adjustments? How much did you pay for yours?

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They test you there but they are not audiologists. I ended purchasing a pair there and the first three months were great. Then they miserably failed. Fortunately they come with a six month trial. My biggest complaint was that they were not highly trained, when I took them in for cleaning and had questions, I got some false info and my biggest complaint was that they failed when using my phone app. I had Phillips and they were about $2,000.

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@gulzar

I went back for adjustment after 10 years from purchase date with no charge. But they don't have one month trial time when you purchase it in California.

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I just purchased new hearing aids at COSTCO, in California, and I’m in a six month trail period. So far so good. I paid $1400 for them and I hear better than the ones I paid $7000 for, over 6 years ago. I figure, at that price, as the technology improves, I can afford to by new ones in three years!

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@susanvdupre

I just purchased new hearing aids at COSTCO, in California, and I’m in a six month trail period. So far so good. I paid $1400 for them and I hear better than the ones I paid $7000 for, over 6 years ago. I figure, at that price, as the technology improves, I can afford to by new ones in three years!

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What type hearing aids and do you have High frequency hearing loss?

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@edleson

They test you there but they are not audiologists. I ended purchasing a pair there and the first three months were great. Then they miserably failed. Fortunately they come with a six month trial. My biggest complaint was that they were not highly trained, when I took them in for cleaning and had questions, I got some false info and my biggest complaint was that they failed when using my phone app. I had Phillips and they were about $2,000.

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Costco is different everywhere. They train their hearing instrument specialists. I have asked those specialists at two different Costco locations about this. The answer I got was that Costco employees can 'move up' into jobs that require advanced training. Those people must get higher wages if they qualify and get that training. I assume that would relate to both the optical department and the hearing aid department. Since the pharmacy deals with drugs, I'm pretty sure they have to have credentials prior to being hired.

I also learned that those in the hearing aid department at Costco are not selling on commission. They receive a set salary. Reality: the person fitting hearing aids there may have been the person handing out samples a few years back.

Other reality: Testing hearing, understanding those tests, and also understanding the complex technology that goes into hearing aids, requires intellect and skill.

Some, but probably very few, hearing aid fitters at Costco have master's or doctorate degrees in the field of audiology. Again, not sure, but I think some of Costco's trainers probably do have them, and quite possibly a few Costcos have the benefit of having those doctorate degree audiologists on their staff as providers when they are not training others.

It's a whole different world right now in the hearing aid industry. Soon there will be 'over the counter' hearing aids that do not require testing or fitting if a purchaser is willing to go that route at their own expense.

Costco sells brand name hearing aids like ReSound and Phonak. They also have their own Kirkland brand. The top of the line Kirkland has everything on it the others have. A pair sells for $1400. Whether you pay more or less, it's the skill of the person fitting the hearing aids that can make a difference. I'm not familiar with the Phillips brand, but most likely it is made by one of the major manufacturers.

Most private practice audiologists allow a 30 day trial period; 60 days at most. Costco allows 180 days. For many people that can be huge as it gives them more opportunity to try hearing aids in different settings before deciding whether they work well or not. Obviously, if they don't work well, return them. If the provider will extend the trial period after reprogramming them or fitting you with a different set, keep trying, but know that once that trial period is over, they will not refund your money. Act like a customer even though this is a medical device. Only you know if it's working for you.

Another piece of this puzzle on how Costco can sell brand name hearing aids for such discounted prices is research & development. Those aids may cost less than half of what you might pay elsewhere, but are they as up to date in development as those more expensive hearing aids? Ask that question. It may not matter, but it's good to know. Also ask if the hearing aids can be adjusted by a provider other than Costco. Some of them are 'locked' so that's not possible.

The hearing aid industry is confusing. Why are they so costly? The answer given most often is because of the cost of research and development. As consumers of these products we don't know, but we do have the right to shop around.

Once your hearing loss is determined not to be from a medical condition that has been treated, it's certainly OK to shop around. You have a right to request the audiogram results done by the medical practitioners whether they be ENT MDs or AuD audiologists. It's yours. When you have that information you can compare it with tests done elsewhere. Elsewhere may not even have to test you as they can fit you according to that audiogram if it was done recently.

Lots to think about. Sometimes the way a provider treats you can be a deciding factor rather than cost. You want to work with someone who takes the time to help you learn and adjust. Someone who is willing to try different things if you feel you are not getting sufficient help from the product. It may be worth it to pay more if you get more in the way of counseling, etc. That is a personal decision.

Your personal experiences help others. Are you willing to share them?

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@gulzar

What type hearing aids and do you have High frequency hearing loss?

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I got their Signature brand. My hearing loss in each ear is a bit different. But basically I have a moderate loss in the low frequencies, and a severe loss in the high frequencies.

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@susanvdupre

I got their Signature brand. My hearing loss in each ear is a bit different. But basically I have a moderate loss in the low frequencies, and a severe loss in the high frequencies.

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What is the name of it and can I adjust the sound with IPhone or is it remote controlled?

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@susanvdupre

I got their Signature brand. My hearing loss in each ear is a bit different. But basically I have a moderate loss in the low frequencies, and a severe loss in the high frequencies.

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High frequency hearing loss is very typical. The hair cells in the cochlea that disintegrate first are usually those that transmit those higher frequencies. This is why women's and children's voices are harder for us to hear than the lower male voices. How are the Kirkland Signature hearing aids working for you?

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@susanvdupre

I got their Signature brand. My hearing loss in each ear is a bit different. But basically I have a moderate loss in the low frequencies, and a severe loss in the high frequencies.

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Thanks I made an appointment at Costco

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