Researching Hearing Aids: Making an apples to apples comparison

November 15, 2021
An apple and an orange are sitting on a wooden table.

If the title of this article caught your eye, you are probably thinking about investing in your hearing health by purchasing hearing aids. These days, most consumers do research ahead of making purchases for a host of goods and services, and online searching has made this process easier than ever. Consumers are to be applauded for educating themselves on items they wish to make an investment in, and hearing aid technology is no exception. However, being a savvy researcher and consumer is key.


Perhaps you have seen ads in magazines and newspapers and on TV for mail order hearing aids. Does the radio station you listen to broadcast a 15 second hearing aid spot multiple times daily? Are ads for hearing devices popping up on your smart phone, tablet or computer? Are you being inundated with direct mail hearing aid flyers in your mailbox?


Regardless of the medium, the message is often the same. Consumers should beware of companies with ads that contain wording like Buy-One-Get-One Free, Free Hearing Tests, Large Discounts, Trade-In Available, Seeking Participants for a New Study, Prices you Can’t Pass Up, etc. These advertisements range from being less than 100% truthful to downright dishonest. In fact, many state licensing boards have intervened by enacting strict advertising guidelines for hearing aid retailers in an effort to protect consumers from these misleading and unscrupulous marketing tactics.


While many factors need to be considered when addressing your hearing health, here are two important questions to answer if you are considering purchasing hearing aids based on a TV, print or radio ad, a direct mail flyer or off the Internet


Is a hearing aid the same as a personal sound amplifier product?

No. Hearing aids are Class 2 medical devices approved by the FDA and dispensed and fitted by a licensed hearing professional. Every individual hearing aid is assigned a unique serial number.


While hearing aids and personal sound amplifier products (PSAPs) may seem similar at first glance, they are very different.


A vast majority of the devices offered for sale straight to consumers through online purchase on sites like Amazon or through TV, magazine and radio ads are nothing more that sound amplification products. An amplifier increases all the sounds in a given environment. Imagine it this way: You are in a crowded restaurant. A PSAP will pick up the sound of the clinking silverware two tables away, the crying baby across the room, and the server putting in an order in the kitchen at the same loudness level as you are hearing the voice of your companion sitting across the table from you. There is no nuance of sound. You are bombarded by all of it. In fact, PSAPS were not even designed for people with hearing loss.


Rather, PSAPs were developed to help a user with normal hearing pick up on low-volume sounds or sounds that are at a distance. Think, for example, about the birding enthusiast who wants to boost a specific long-range sound like the song of a bird sitting at a feeder across the yard. Additionally, PSAPs don’t require an audiogram of your unique hearing loss because they are not programmable devices. When consumers try to use PSAPs as a substitute for hearing aids, the hearing loss problem is not being addressed or solved and can lead to further deterioration of a person’s hearing.



By contrast, a hearing aid a is fine-tuned medical device programmed and fitted by a licensed hearing professional, preferably a doctor of audiology , and is customized to the individual wearer’s unique hearing loss based on that person’s audiogram results as well as his or her ear size and shape, reported typical listening environments, lifestyle, etc. In that same busy restaurant mentioned earlier, the hearing aid wearers aids are precisely programmed to automatically detect background noises created by the clinking silverware, crying baby and waiter’s voice so that those sounds are toned down while the voice of the person you are conversing with is amplified and clarified.

 

I have found an online site to buy hearing aids that will program them based on a hearing test I take online or by sending them my audiogram performed by a hearing professional. This is the same as what I would get from an audiologist at a clinic where I can walk in, right?


You’ve done your homework. You know that a hearing aid must be programmed based on your personal hearing test. Now you’ve found numerous online companies that ask you to send them your hearing test. They will program your aids based on your hearing loss and mail them to your home. Problem solved, right? No. Here’s why.


Scheduling a face-to-face appointment with and investing in hearing aid technology through an established audiology practice close to home ensures that you are well-informed regarding your hearing health care, that your treatment plan is tailored to you, that you are offered the latest technology from all the major manufacturers, and that you have an audiologist supporting you every step of the way. Your licensed audiologist will work closely with you to educate and counsel you about your hearing loss, guide your selection of an appropriate hearing aid, set realistic goals for your journey to better hearing, answer questions, and provide the support and counseling you need to be a successful hearing aid user. Ongoing programming adjustments, cleanings and general maintenance will be completed in the office in real time, which is the best way to account for your individual needs and allows you to get right back to hearing the world around you. Comparing in-office visits with a university trained and educated audiologist to an online buying experience is comparing apples to oranges.


While purchasing hearing aids online may be tempting, many potential pitfalls and hidden costs can exist. Keep in mind that online or mail order purchases do not allow you to use health insurance benefits available for hearing aid technology. Crunching the numbers, consumers often find that a reputable,­­­ local audiology practice—that is committed to seeking out and filing your insurance benefits—can often provide a patient with advanced hearing aid technology AND ongoing service and support at a better value than the flashy, bait-and-switch options available online and through mail order. Trying to work with a hearing aid company long distance can lead to unnecessary frustrations e.g., dealing with multiple phone representatives, communicating hearing aid fit issues that actually need visual evaluation, and navigating repair issues by mail.


Additionally, always be sure to research reviews (other than those found on the retailer’s website) and consumer reports before purchasing any item online. Understand that even if you simply register for information from an online hearing aid company, you may inadvertently bind yourself to them. While the online company will refer you to a local hearing aid practice, that practice must now contractually adhere to the online referral source for pricing and services.


Better hearing is a process and support from family, friends and your audiologist is needed to truly be successful as a hearing aid wearer. Making your investment in hearing health with a careful comparison of costs and benefits is key to ensuring you make an apples to apples decision!

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The restaurant was loud. Music played in the background, conversations filled the room and Karen Marcus was seated with a group of coworkers. For much of her life, this was exactly the kind of setting that made communication difficult. But this time, something remarkable happened: Karen could understand the person sitting across the table. “That just blew my mind,” she recalled. It may sound like an ordinary conversation, but for Karen, it represented something much bigger. She was not trying to piece together fragments of sentences or repeatedly asking someone to start over. She was simply sitting at the table, following the conversation and being part of the moment. A Lifetime of Working to Hear Karen was born with hearing loss. As she grew older, her hearing continued to decline, making conversations increasingly difficult. Social situations could leave her feeling uneasy before they even began. She might have to ask “What?” again and again, misunderstand what someone said or miss the conversation completely. “It was frustrating and embarrassing, even though it shouldn’t be,” Karen said. Her family and coworkers understood her hearing loss and tried to help by facing her when they spoke so she could read their lips. That support mattered, but communication still required effort. A restaurant, meeting or group conversation could quickly become overwhelming. Karen wanted to hear more clearly, but she also wanted something deeper: the confidence to participate without constantly worrying about what she might miss. Discovering What Was Possible Karen eventually received a cochlear implant and a compatible hearing aid. Before her implant was activated, she read about the experiences of other cochlear implant recipients and joined several online support groups. She wanted to understand what the process might be like and what she could realistically expect. Once her implant was activated, those possibilities began to become real. “Seeing those expectations come to realization, it has just been an amazing journey,” she said. The change became especially clear during that evening at the restaurant. Surrounded by music and competing voices, Karen could understand someone seated across the table—one of the most challenging listening situations for many people with hearing loss. Karen is careful not to describe the result as perfect hearing. Instead, she measures it against what life sounded like before. “I’m not going to exaggerate and say that it’s perfect,” she said. “But based on what it was before and what it is now, it’s light-years ahead.” Better Hearing in Everyday Life The difference extends beyond one memorable conversation. Karen can stream cellphone calls directly into her hearing devices, making it easier to understand the person on the other end. Television audio can also stream to her devices, helping her follow programs without struggling to catch every word. For conferences, presentations and other situations when a speaker may be farther away, Karen uses a Roger assistive listening device. During one tour, the guide clipped the Roger microphone to their collar. Even from approximately 20 feet away, Karen could hear the guide without difficulty. These features are not simply conveniences. They help Karen stay involved in her work, enjoy everyday activities, and communicate with greater confidence. “My new hearing devices have really helped with my confidence because I can hear so much better,” she said. “Overall, I just feel more normal, if you will.” A Team Celebrating Every Step Technology has played an important role in Karen’s progress, but so has the care surrounding it. Karen describes Dr. Hannah Dearth and Dr. Katie Brown as encouraging, patient, and kind throughout her cochlear implant journey. As her hearing improved, they celebrated each new milestone alongside her. “When I got my cochlear implant, every time I made progress, they were cheerleading me on,” she said. She also remembers what happened after she purchased a new iPhone and could not get it working properly with her hearing devices. The Johnson Audiology team initially emailed instructions, but when Karen still had difficulty, they invited her to come into the office. Christian, a Johnson Audiology, audiology assistant, patiently reviewed the settings on her phone and made sure everything was connected correctly. “He didn’t make this Boomer feel silly that I was needing all this technical help,” Karen said. That experience reflects what Karen values most about the team: she never feels rushed or dismissed. “They always answer all of my questions and make me feel like I am their one and only patient for the entire day,” she said. More Than Hearing Better Karen’s journey has not been about achieving perfect hearing. It has been about discovering how much more may be possible with the right combination of technology, professional care and continued support. For Karen, progress sounds like a phone call streaming clearly into her hearing devices. It sounds like a tour guide speaking from 20 feet away. It sounds like music playing in a busy restaurant—and still being able to understand the person across the table. Most of all, it feels like greater confidence and a renewed ability to participate in the personal and professional moments that matter to her. “I feel so fortunate to have been connected with Johnson Audiology,” Karen said. “Everything has been so wonderful on this journey to better hearing.” Karen will soon share more of her experience in an upcoming Johnson Audiology patient testimonial video. Watch for the opportunity to hear her story in her own words.