Thanks for your response! I’m still a little confused with your statement
“but , since my loss was not conductive, Medicare would not approve it.”

So my question is, based on your comment that your hearing loss was NOT conductive, what was it? “Sensorial”, as mine was? If so, and your (I’m assuming) word recognition was at 30% then you would qualify for bone conduction options/implants such as my OSIA2 as anything below 60% would be a qualifier, as mine was 42% in my R-ear. Is it possible that Medicare would only cover devices that addressed conductive forms of hearing loss. I was fortunate that my sudden hearing loss was a work related incident; therefore my Workman’s Compensation group has been very understanding and cooperative in approving both my Phonak (I believe it was a C90?) and my OSIA2 based on my sensorial loss. It’s my understanding that Medicare doesn’t usually approve bone conduction implants in general likely because of the costs involved.
As for my Audiologist, I understand your presumed assumption, but I can assure you at the times of my appointments every 4-6 months due to my speech recognition dropping consistently over the course of 3-yr’s, she was on top of things. And during my Audiograms and routine adjustments the tinny-echoing sounds were resolved for maybe 1-5 days before digressing again. And yes, the Phonaks app provided me the ability to make the needed fine adjustments. However, I eventually gave up fine tuning as the tinniness and echoing persisted as I created the different environments I was in to attempt better listening quality. Therefore, the past 1-1/2 yr’s I stopped making self- adjustments and would leave everything the way my Audiologist made. Yet, my word recognition continued to decline, as did the tinny/echoing sounds to where my Neuro Otologist recommended 3 optional bone conduction devices in which I opted for the OSIA2. As a side note, Cochlear released information a few weeks ago that they are releasing the OSIA3 next yr. that is both 1.5 & 3 Tesla MRI compatible without requiring a head wrap.
Bottom line is I’m glad your Phonaks are working well for you; and not that you implied I was unfamiliar with technology 😉 but as a former clinician and healthcare sales person I consider myself familiar with software app’s, etc in thoroughly troubleshooting my Phonak; in which I totally agree with it being a superb product. Again, with Sensorial hearing loss, hearing aids in general do not address that form of hearing loss; and again ” in general”, hearing aids are no more than amplifiers of sounds addressing specific forms of hearing loss in which Sensorial is not one.
I now enjoy consistent clarity that my Phonak wasn’t able to provide.
In full disclosure, Cochlear needs to improve their phone app to provide better environmental adjustments as the Phonak is far superior in that area. Thankfully I rarely if ever need to make adjustments other than volume.
Should you ever need to reconsider your Phonak, then you may run the CROS bone conduction option as its non-invasive and I believe Phonak accommodates that as well, and much less costly than Cochlears BAHA6 and OSIA which again is why Medicare may not assume coverage??