Tag: hearing aids

  • How to Use Your Smartphone to Cope With Hearing Loss (2024): Tips for iPhone, Android

    How to Use Your Smartphone to Cope With Hearing Loss (2024): Tips for iPhone, Android

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    MFi hearing devices usually have additional settings (it depends on the manufacturer) and can be configured from Control Center (with Hearing added) or through the Accessibility shortcut, which you can turn on and configure in Settings > Accessibility > Accessibility Shortcut.

    To use hearing aids with Android phones, pair them like any other Bluetooth device by going to Settings > Connected Devices and Pair New Device. You may also have the option to pair through Settings > Accessibility > Hearing Devices and Pair New Device.

    Additional features vary by phone manufacturer. Look for hearing aid compatibility (HAC) to see what your phone supports. For example, here is the Google Pixel hearing aid compatibility page. Some hearing aids can now stream music and podcasts directly to hearing aids from Android phones, but it’s wise to check compatibility before you buy.

    When using hearing aids with Pixel phones you should also open the Phone app, tap the three vertical dots for Menu at the top right, and tap Settings > Accessibility to toggle Hearing Aids on.

    If you don’t yet have a hearing aid but think you might need one, read our guide on how to buy a hearing aid. We also have a guide on how to stream audio to hearing aids and cochlear implants.

    How to Use Real-Time Text With Your Phone

    Some folks may prefer to type responses on a call, and you can do this with the real-time text (RTT) feature. Sadly, availability depends on your region and carrier. If there’s no RTT option, you will likely have Teletype (TTY) support instead. (RTT is more advanced and can transmit audio as you type.)

    On Android phones, open the Phone app, tap the three vertical dots for Menu at the top right, and tap Settings > Accessibility to turn on RTT or TTY. If you choose Always Visible, you can tap the RTT icon (a capital T) after dialing someone to start an RTT call, and you can tap to launch it during a call.

    To review transcripts of calls on Android, open your Phone app and tap Recents, choose the call you want, and then Call Details > See Transcript.

    For iPhone, you can turn on RTT or TTY in Settings > Accessibility and you can select Answer All Calls as RTT/TTY. You can also choose RTT/TTY Call when calling someone and tap the RTT/TTY icon (looks like a landline phone) to answer a call or switch to text during a call.

    To review transcripts of calls on iPhone, open your Phone app and tap Recents, then the i next to the call. You will see the RTT/TTY icon next to calls with transcripts in your call history.

    Why Some Android Accessibility Features Are Baked Into Pixels

    You may be wondering why some hearing accessibility features are baked into Google’s Pixel phones but offered as separate apps for other Android devices. Angana Ghosh, director of product management for input and accessibility at Google, says this allows the accessibility team to try new things on Pixel, where Google designs the hardware, especially since some phones may not be capable of the same level of on-device processing.

    Keeping certain features as stand-alone apps also allows for regular updates so other Android phones can benefit from the latest developments without requiring firmware updates, which are often less frequent on non-Pixel phones.


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  • The Best Hearing Aids of 2024, Reviewed by Experts

    The Best Hearing Aids of 2024, Reviewed by Experts

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    If you have hearing challenges, you long had but one option for dealing with it: An expensive, bulky hearing aid prescribed by a doctor. That all changed in 2022 when the US Food and Drug Administration approved over-the-counter hearing aid devices, giving consumers access to a vast and growing array of alternatives. Today, there are more hearing aids than ever, and they come in all different shapes, sizes, and most importantly, prices. How does a $100 hearing aid compare to a $5,000 prescription device for treating mild to moderate hearing loss? We’ve been testing products for the last two years to answer that question.

    To help us out with this analysis, we brought in an expert. Licensed audiologist Dr. Ruth Reisman analyzed all of these hearing aids in a scientific lab setting, only approving models that amplified noises at safe levels. At the same time, I did hands-on (ears-on?) testing of these hearing aids around my home, outside, and in noisy environments.

    We’ve found plenty to like on the market today—and plenty of aids we’d avoid. The Jabra Enhance Select 300 has the current crown as the best hearing aid, with the Eargo Link and Sony CRE-C10 close behind. Here’s our complete roundup of the best prescription and over-the-counter hearing aids we tested and approved.

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    What to Consider Before You Buy

    Every person is unique, and so are their hearing loss needs. To find a device that suits your needs and lifestyle, consider these factors. Check out our guide on How to Buy a Hearing Aid for more.

    Hearing aids shouldn’t bankrupt you. With such a steep price and minimal insurance coverage, it’s no wonder why so many people put off hearing loss treatment. Between audiologist visits, hearing aid orders, custom fittings, and maintenance, it’s justifiable that you might postpone treatment rather than fork over your credit card. Knowing your budget is vital before you start browsing for hearing aids. Many brands offer trial periods where you can test out the device for a set number of days and, if they’re a bad fit, return them free of charge.

    It doesn’t have to be obvious that you’re wearing a hearing aid. Despite cartoonish media depictions of hunched-over seniors screaming “WHAT?!” at every person who tries to talk to them, hearing loss doesn’t discriminate by age. With nearly 10 million Americans under the age of 60 affected, more should be taking advantage of the sleekly designed hearing aids on the market. Similar to the stigmas that keep people from seeking mental health treatment, the hearing loss community is plagued by self-consciousness when it comes to wearing these devices. Modern in-the-ear (ITE) hearing aids have come a long way in subtlety.

    Opt for a professional hearing test over an online one. While online and app-based tests are a good way to dip your toes in and see if you have hearing loss, a detailed audiogram that only an in-office visit can provide is a far better option. A hearing professional can use this audiogram to calibrate hearing aids to your specific needs.


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  • Signia Silk 7X Review: Fuss-Free, Super Expensive Hearing Aids

    Signia Silk 7X Review: Fuss-Free, Super Expensive Hearing Aids

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    Signia’s vast range of hearing aids includes, by my count, a whopping 20 different models, but one of the smallest and most discreet is the company’s Silk X line. There are currently five different sub-models within the Silk X lineup, the most advanced and most expensive of which is the Silk 7X, reviewed here. Note, however, that while it’s still being actively marketed, Signia says the Silk X line is considered “outdated technology” and will eventually be phased out in favor of the Silk Charge&Go IX line.

    The Silk 7X are a pint-sized powerhouse that sit completely in the ear canal and are virtually invisible save for the tiny retrieval wires that stick out just above your earlobes. Weighing in at 1.34 grams each, their heft is kept at a minimum by using tiny replaceable batteries (size #10) instead of rechargeable ones. Distinguishing right from left is easy: The right aid is clad completely in translucent red plastic, the left in blue. No hunting for tiny R and L signposts here. To turn the aids off, open the battery hatch a bit. Close it to turn them on again.

    A pair of inear hearing aids with the left one having a red shell and the right one having a blue shell while both have...

    Photograph: Save Hear

    Aside from the color scheme, the aids themselves may appear familiar in design—specifically, they look a lot like Sony’s CRE-C10 hearing aids, which were released as part of the first wave of over-the-counter hearing aids back in 2022. Sony’s version is all black but otherwise identical in appearance. That’s for a reason: Signia is Sony’s hearing aid technology partner, and it made the C10 (as well as Sony’s E10 model) for the company.

    Why would Signia make two versions of the same hearing aid? That’s a complicated question, but the crux is that Sony’s model is purely over-the-counter, with no audiologist visit required (or available), whereas Signia’s Silk X line comprises prescription models you can get only through a professional. This matters a great deal, and which type of hearing aid you purchase depends heavily on how much handholding you want and need.

    Case in point: Sony’s C10s aren’t the easiest to set up—they don’t have a Bluetooth connection—so novices may become frustrated during the delicate configuration process, which is performed via high-frequency sound waves emitted by your phone. The C10s also rely on an in-app hearing test to tune them to your hearing profile. On the other hand, the Silk 7X are configured in person by an audiologist. The user doesn’t have to do a thing except get themselves to the doctor’s office.

    Functionally, I didn’t notice any real difference between the two models—though I do not have Sony C10s on hand anymore to test them side by side—and I even had the same notes about the default settings causing the bass to be too heavy on the Silk 7X. There’s no way to make any major adjustments in the mobile app—Signia’s AI-powered Signia Assistant isn’t available on this device —aside from adjusting volume, sliding balance between “soft” and “sharp,” and making directional hearing choices that let you focus on sounds originating from all around you, just one side, or somewhere in between.

    Closeup view of a person's hear while wearing a black inear hearing aid

    Photograph: Save Hear

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  • Eargo Link Review: Basic Hearing Aids That Are Too Pricey

    Eargo Link Review: Basic Hearing Aids That Are Too Pricey

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    Eargo is widely known for its ultra-luxe over-the-counter hearing aids; the company makes some of the most expensive OTC aids on the market. But to make its lineup a bit more accessible, there’s the Eargo Link, a low(er)-priced, no-frills alternative to its more sophisticated options.

    At first glance, the Link hearing aids don’t appear any different than standard Bluetooth earbuds. You get a glossy black plastic and a bulbous design that rests inside the ear’s concha, albeit bulging out a little. At 4.74 grams (fitted out with a small ear tip), it’s considerably heavier in the hand than a lot of modern hearing aids, but it doesn’t feel particularly weighty in the ear, due to the particulars of its design—even after sustained use. They can, however, be tough to wrangle into the right place as they need to be carefully rotated into the ear to fit snugly.

    Closeup of a person's ear with a small black inear hearing aid inserted

    Photograph: Eargo

    In addition to its design, the Link is distinguished from its forebears by its lack of an app. While it pairs to your phone like a set of standard Bluetooth headphones, it doesn’t work with Eargo’s standard hearing aid control app. It doesn’t have any physical controls either. Rather, the earbuds are touch-sensitive and rely on (well-placed) taps to operate them. More on that in a bit.

    These control limitations mean there’s not a lot to using the Link hearing aids; there’s not even a traditional way to control the volume. Instead, you’ll spend most of your time double-tapping your way through four Listening Programs, each one offering a higher amplification level (reportedly tuned to speech) than the last. A final mute setting turns all amplification off before cycling back to Program 1. The four programs don’t seem to vary in any other way aside from overall loudness, and there’s no way to tune the aids for certain environments such as TV watching or outdoor use. By and large, you’ll just have to experiment to find out what works.

    The good news is that the Link does a solid job at boosting audio, though I found it a bit blunt, amplifying everything across the board from voices to footsteps to wind noise. Moving up the programs, each is, well, one louder. Other than increasing levels of loudness, I didn’t hear any difference among them.

    Eargo includes six sets of ear tips—three sizes in both open and closed designs. The default medium ear tips are gargantuan for me, and even the small size is a snug fit. Using open ear tips, I experienced a fair bit of echo and the usual “booming own voice” effect, but neither is overly onerous. Screeching feedback was common when inserting the aids, but otherwise, I never encountered any. Neither did I experience any problems with hiss except when using the highest volume program.

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  • Sony CRE-E10 Review: Well-Rounded Hearing Aids

    Sony CRE-E10 Review: Well-Rounded Hearing Aids

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    When Sony entered the over-the-counter hearing aid market two years ago, it did so with a pair of products: the CRE-C10 and the more expensive CRE-E10. I was dazzled by the minuscule C10—it’s still one of the hearing aid options I recommend the most—and assumed the E10 would be even more impressive. Now that I’ve finally landed a pair of E10 aids to test, I can assure you that the E10 isn’t so much an upgrade to the C10 as it is a wholly different class of product with its own pros and cons.

    While both the C10 and E10 rely on an in-ear earbud-like design conceit, their general approach is considerably different. While the 1-gram C10 fits nearly entirely inside the ear, invisible enough to require a small retrieval wire to remove it, the 2.94-gram E10 is much more bulbous and visible. It looks more like a standard Bluetooth earbud than any other hearing aid I’ve tested, filling the concha with its rounded body. Since, as the old saying goes, all concha are not created equal, your comfort level while wearing these hearing aids may vary considerably. In my ears, the fit was snug but not tight—comfortable for wearing for a few hours but not all day. Sony provides just four pairs of eartips you can experiment with to help improve the fit.

    Two black inear hearing aids with dark grey canal cushions

    Photograph: Sony

    The other big difference between the C10 and E10 is that while the C10 uses replaceable hearing aid batteries, the E10 features a more common rechargeable battery. The extra size of the device lets the E10 work for up to 26 hours (without streaming). The USB-C connectible and Qi-compatible charger provides enough juice for an additional two to three recharges.

    Despite their larger size, the CRE-E10 aids do not feature any external controls, which is understandable because controls would be hard to access based on the way the aids sit in the ear. Instead, all controls are situated in Sony’s Hearing Control app (Android, iOS). This is the same app used for the CRE-C10, so I already had it installed, but I ran into immediate problems because the old aids were still registered to the app.

    Side view of two black inear hearing aids

    Photograph: Sony

    To set up new aids, you have to remove the old ones from the app. To do that, Hearing Control requires you to enter a code sent to your registered email address. Naturally, I never received the code, so I couldn’t install the new set of aids. Eventually, Sony tech support instructed me to delete the app altogether and set it up again with a different email address—perhaps not the most elegant solution, but it worked to get me up and running.

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  • Orka Two Review: Sleek Hearing Aids

    Orka Two Review: Sleek Hearing Aids

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    Founded in 2018, Orka Labs feels like a bigger and more established hearing aid company than it is, with polished hardware that’s now on its second edition.

    The Orka Two is something of a hybrid between prescription and over-the-counter hearing aids. The devices are registered as prescription-class aids but are sold online as OTC products. Professional medical consultations and adjustments are available (and included in the price) but are not required if you decide to go it alone.

    The hardware is traditional in form, a behind-the-ear model with receivers that snake into the ear canal via flexible wires. But while they are a bit oversized in comparison to similar designs (and rather heavy at 3.8 grams each), they are distinguished by their glossy AirPod-white color and curvy, teardrop design. The units carry no physical controls, which further improves their sleekness. For behind-the-ear hearing aids, these look about as good as you could expect—and much better than the usual industrial-gray aids that are now so commonplace.

    As with most over-ear aids, I found the units a little clumsy to fit and in need of significant fidgeting to situate them properly in my ears. The usual collection of open and closed tips is included in the box. While I normally find that medium-sized tips fit perfectly for me, I found all but the smallest uncomfortably large.

    Two side by side white overtheear hearing aids with grey ear canal cushions

    Photograph: Orka

    In keeping with its hybrid design, Orka offers two ways to configure the units. There’s a capable hearing test built into the app, which can be used to quickly make the appropriate settings. Alternatively, if you have a professional audiogram, you can snap a photo and upload it through the app. Then Orka’s in-house audiologists will tune your aids accordingly (in one business day). Any adjustments can be made by emailing or calling Orka for tweaks, though the company notes its “remote consultation” feature, where you can schedule an appointment directly through the app, is currently being revamped and is offline.

    Orka’s app is straightforward to the point of being idiot-proof, with two primary operating modes. “Normal” is the low-environmental-noise mode that relies on the settings made via your audiogram or in situ hearing test, while “In Noise” is, well, self-explanatory. Here, Orka gets more aggressive with settings, using an AI algorithm to adjust its settings dynamically in response to your environment. A beam-shaping option in the In Noise mode lets you target your hearing on a single person or on “everyone.” Volume can be adjusted universally or individually for each ear.

    As noted earlier, there are no physical controls on the units. Unusually, hardware controls are found on the charging case (which is good for about three charges). Here you’ll find a program button that cycles through the two operational modes and another pair of buttons for adjusting volume. Pay close attention: Volume up is paradoxically the button on the left and volume down is on the right. Despite the reversal, I ultimately found the case-mounted buttons a lot more convenient than fumbling behind my ears to find the right buttons. For users with mobility impairments, this could be a game changer.

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  • Ceretone Core One OTC Hearing Aids Review: Tiny and Barely Useful

    Ceretone Core One OTC Hearing Aids Review: Tiny and Barely Useful

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    Indiegogo-backed Ceretone is yet another hearing aid company aimed at people looking for a low-cost, low-complexity way to give their hearing a boost. At $349 for a pair—or $229 for a single ear’s aid—the tiny hearing aids are designed to have only a modest impact on hearing. Fortunately, they also make an equally modest impact on the wallet.

    The first thing you’ll notice about the Core One is how small the hearing aids are. I weighed them at 0.96 grams each (with a small ear tip), which makes them perhaps the smallest aids I’ve tested to date—just a hair lighter than the Sony CRE-C10. The glossy white aids slip entirely into the ear canal, with only the recovery thread sticking out a few millimeters for retrieval. Unless you closely examine your ears, they are functionally invisible.

    Out of the ear, they’re not so unobtrusive. Color-coded, cone-shaped ear tips (one blue, one red) provide a somewhat garish indication of which aid goes where. Only six ear tips, a pair of each in three sizes, are included in the box—although Ceretone also sent some clear tips on the side which I found a bit more comfortable. All of Ceretone’s ear tips are considered “closed” domes, which created a moderately distorted, echolike effect in my testing. At the very least, a broader selection of ear tips, including open domes that are more appropriate for users with mild hearing loss, would help to improve audio fidelity.

    Two white inear hearing aids one with a blue cushion on the left and one with a red cushion on the right

    Photograph: Ceretone

    Echo aside, I found the Core One experience to be initially a little rocky, primarily owing to significant, screeching feedback whenever I touched the aids or the recovery thread in the slightest. While the amplification impact was readily apparent, the aids were hampered by this high-pitched interference. This was further exacerbated by problems getting the aids seated in my ears properly. It may not look like it at first, but there is a “right side up” to these aids, as the recovery thread is meant to angle downward out of the ear canal. I found this surprisingly hard to achieve owing in part to the small size of the aids, which resulted in me constantly having to fiddle with them.

    The Core One hearing aids are not tuned to your audiogram, nor are any frequency equalization options available. Like many low-cost hearing aids, the volume boost is across the board, providing a steady but blunt amplification to all sounds in the spectrum. You’ll need the mobile app to control the aids, as there are no onboard hardware controls available (and no way to reach them anyway).

    Even these controls are on the blunt side: Six volume settings and two program modes (standard and restaurant) are available in the app—and each has to be set individually for each aid. Bizarrely, there’s no indication of what the active volume or program setting is in the app. Instead, you have to tap a control button (say, “Volume up”) and listen for beeps to guess whether the audio is loud enough; three beeps mean you are either at minimum or maximum volume. The same goes for the program mode: One beep means you’re in standard mode, and two beeps mean you’re in restaurant mode. Again, visual cues that indicate the live status of these settings seem like a bare minimum to ask for, even in a budget hearing aid product.

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  • Elehear Alpha Pro Review: Hearing Aids With Great Battery Life

    Elehear Alpha Pro Review: Hearing Aids With Great Battery Life

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    Hearing aids: Not only for the near-deaf? We’ve already seen one product in the emerging category of hearing aids designed for users with relatively mild hearing loss—the Olive Union Olive Max. Now there’s Elehear’s Alpha Pro, another affordable over-the-counter product that aims to acclimate users to what hearing aids can do … before things reach crisis mode.

    Elehear’s Alpha Pro doesn’t break any new ground in the design department, offering a traditional behind-the-ear design with a receiver connected to the primary device via a thin wire—perhaps just a bit longer than most. The units are available only in a dark gray color, which I find more aesthetically pleasing and unobtrusive than the more common silver or beige (yech).

    2 grey overtheear hearing aids side by side with white cushions

    Photograph: Elehear

    The units arrive unconfigured, but new users get a free 30-minute online session with an audiologist if they need help setting things up and getting the lay of the land. If you’re a first-time hearing aid user, this is a good idea, as the audiologist can guide you through which settings and eartips are likely to work best for you, not to mention provide general usage and cleaning tips. The audiologist (there’s just one at Elehear) can also help later, on an ad hoc basis, via phone and email.

    The Alpha Pro’s hardware controls are simple, with an individual volume rocker on the back of each unit. They will work out of the box, without Elehear’s app, but you’ll need to delve into said app if you want to get the most out of the hearing aids. While the app is simple on the surface, there’s a lot more to it underneath. Naturally, individual volume controls dominate the main screen, with selections for controlling the amount of ambient noise reduction plus the ability to opt between a forward-facing speech focus or a 360-degree listening mode. I also found the Mute button here handy, which cuts out all amplification and lets you work in silence should you need some peace and quiet.

    The Adjust tab lets you drill down further, where you’ll find four presets that correspond to various levels of hearing loss, from Mild to Moderate II. Elehear’s audiologist told me these are all tuned based on common hearing loss patterns—boosting high-level frequencies more than lower ones—but you can tweak them further by tapping the Edit icon, which opens a rudimentary equalizer where you can set levels for Ocean Wave, World Sound, and Birds Chirping (i.e. lows, mids, and highs). All of the settings on this screen can be made globally or per-ear. There are also four environmental modes—General, Restaurant, Outdoor, and TV—which are fairly self-explanatory. Elehear says the only real difference among them is the amount of noise reduction along with the use of the directional focus mode.

    Overhead view of hearing aid kit including the hearing aids cushions case and instructions

    Photograph: Elehear

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  • Olive Union Olive Max Hearing Aids: For Mild Hearing Loss

    Olive Union Olive Max Hearing Aids: For Mild Hearing Loss

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    You don’t have to be nearly deaf to use a hearing aid. Many doctors urge patients to get started with the devices early, before hearing loss becomes critical. Olive Union’s Olive Max is the first hearing aid I’ve encountered designed for this specific purpose, built for users with “mild to moderate” hearing loss, which the company defines as 26 to 55 decibels of loss. That’s right in line with my diagnosis, so I figured I’d be a perfect candidate for these new devices.

    Out of the box, you’re likely to say what I—and everyone I’ve been around—immediately said when I first laid eyes on the Olive Max: They sure are big. Like, really big. Each looks like a Bluetooth headset from the early 2000s, except you have to wear two. At least the units, in a two-tone white and gray design, look sporty, including a wrap-around ear hook that helps keep them in place. They also carry an IPX7 water-resistance rating. But at more than 12 grams each, they’re a solid four or five times the weight of a typical over-the-counter hearing aid. A total of eight different ear tips, in three different styles, are included in the kit to ensure you get a good fit.

    Two white and black overtheear hearing aids floating side by side

    Photograph: Olive Union

    As hearing aids, the Olive Max units work roughly as advertised, and casual users can pop them out of the box and into their ears to get started with minimal fuss, though getting them hooked over your ear properly can be tricky, especially if you wear glasses. Controls on the back of each aid handle volume (independently for each ear) and let you select one of four environmental modes (TV, Meeting Room, Outdoor, or Restaurant). You can also use the buttons to toggle “Hear-Thru mode,” which lets you turn off environmental audio processing altogether if you simply want to use the Olive Max as Bluetooth earbuds.

    You can fine-tune your listening experience in the My Olive app—though, bizarrely, the hearing aid manual does not mention that an app exists, or even that you can use the hearing aids as Bluetooth earbuds. (You want the My Olive app (Android, iOS), not the incompatible Olive Smart Ear app.) The app allows you to make the same adjustments as the physical controls, but it also offers a noise-reduction and feedback-cancellation feature (pro tip: max out both of these), and it includes a more detailed graphic equalizer that lets you fine-tune frequency response further.

    You can’t test your hearing directly within the app, although a short questionnaire will hook you up with various “AI-recommended presets” based on your age and a few other basic inputs. If you want anything more refined, you’ll need to delve into the equalizer by hand, but this is mostly a trial-and-error situation. It’s also worth noting that the My Olive app includes an audio therapy system designed to help people with tinnitus. I don’t suffer from tinnitus so I wasn’t qualified to test this feature.

    2 overtheear hearing aids floating beside a mobile device with a screen showing adjustment settings for the hearing aids

    Photograph: Olive Union

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  • How to Buy a Hearing Aid: Top Questions and Answers

    How to Buy a Hearing Aid: Top Questions and Answers

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    Cheaper options abound, however, with manufacturers now racing to the bottom to produce the hearing-aid equivalent of gas station “cheater” eyeglasses. Ultracheap hearing aids are now available for under $100.

    Mind you: You get what you pay for. In my testing, I’ve found a fairly direct correlation between price and performance, at least up to a point, as higher-end aids feature essential features such as frequency shaping, better noise cancellation, hiss and feedback reduction, and mobile app support. More expensive aids also typically include access (via phone, video, or email) to a professional audiologist who can make remote adjustments on demand to fine-tune the hearing experience. This support can be absolutely critical in ensuring a hearing aid works well for the user.

    Are Prescription Hearing Aids Better Than Over-the-Counter Hearing Aids?

    Probably, but not necessarily. OTC hearing aids are officially marketed to users with mild or moderate hearing loss, and consumers with severe hearing loss are officially advised to seek out professional medical attention. That said, the quality gap between prescription and OTC aids is clearly closing.

    I’ve tested both types and have experienced the best results with over-the-counter models, but every ear is different, so the experience may not be the same for you. At the very least, OTC aids make it easy to experiment with the technology at a far lower price, and many brands have generous return policies in case things don’t work out. It’s worth starting there.

    Do I Need to See a Doctor Before I Get a Hearing Aid?

    For most people, hearing loss is not unilateral, across the full spectrum of frequencies. Hearing loss in the higher frequencies tends to occur first in most people, though this is hardly universal. The only way to know for sure is to map out your hearing loss, which is best performed by a trained audiologist. An audiologist’s hearing test involves you sitting in a soundproof room for about 15 minutes and listening to pings of various pitch and volume which are used to create an audiogram, a document which graphically charts the highs and lows of your hearing. Some audiology exams will also test if you have weaknesses with certain speech sounds (like distinguishing ch and sh). A physical examination of your ear canal is also commonly included.

    Similarly, aside from very cheap (and not very good) models, hearing aids do not simply amplify all audio with abandon. Rather, they can be tuned to amplify most heavily the specific frequencies that you have the most trouble hearing. Without an audiogram, it’s difficult to know how to tune your hearing aids, though many providers offer their own version of an audiology test that is performed via a website or mobile app. These vary in quality and thoroughness, though I’ve found that many line up pretty closely with my professional results.

    Bottom line: I wouldn’t recommend attempting to configure a hearing aid without taking an online test as a bare minimum, and I would also recommend obtaining a formal audiogram if at all possible. You’ll get the best results that way. (Audiograms have the added benefit of being able to be reused if you end up returning one product and buying another.)

    Do Hearing Aids Restore You to Perfect Hearing?

    Typical patterns of hearing loss are permanent and cannot be recovered, and no amount of wearing a hearing aid will restore your unaided hearing to full health. While you’re wearing hearing aids, however, the impact can be phenomenal. Users with milder levels of hearing loss may find that they hear better than ever—conceivably even better than they did before they had any level of hearing loss at all. However, no hearing aid is perfect, and users should temper expectations accordingly. For most, however, even a modest amount of improvement can make a huge difference in daily life.

    How Many Hours a Day Should You Wear Hearing Aids?

    I’m the first to admit that hearing aids are often a pain to deal with. They are awkward to put on and take off, tough to get seated perfectly in the ear canal, and—most of all—become uncomfortable over time. After an hour or two of wearing hearing aids, I find my ears begin to itch, eventually requiring me to take a break from them. Adapting to the often jarring impact of aids on your hearing is also something that requires some level of acoustic adjustment.

    Hearing aid discomfort decreases and effectiveness increases with time worn, which is why most providers recommend you wear them as much as you possibly can. Typically, users can start with an hour or two a day, move up to three or four hours after a week, and eventually approach full-time wear with enough practice. Every wearer has different needs, though, so full-time use may be overkill for many.

    What Are the Benefits of Wearing Hearing Aids?

    Frustrated spouses who accuse you of ignoring them, requests to rewind a TV show because you missed a key piece of dialog, and pretending to understand what’s being said to you across the table at a loud restaurant—these are all things that can be avoided with a high-quality hearing aid. But hearing aids can do more than just improve your overall hearing and thus your quality of life. They can be used to alleviate tinnitus, and there is strong evidence that hearing aids can stave off dementia in people suffering from hearing loss. Additional research suggests that hearing loss and cardiovascular disease are connected, further implying there are health benefits of improving your hearing with a hearing aid.

    What Are the Negatives of Wearing Hearing Aids?

    Hearing aids aren’t the hippest of accessories, and for my money, the biggest drawback of hearing aids is that they make you look like you are wearing hearing aids. I.e., they make you look old. Or, rather, older. I’ve mentioned the discomfort of hearing aids previously, and of course, the expense can be significant, even with over-the-counter aids. Hearing aids, like earbuds, can be easy to misplace too. This can be nerve-wracking for those prone to losing things.

    How Do You Clean Hearing Aids?

    Almost every hearing aid I’ve tested comes with cleaning instructions and tools to help brush out debris like ear wax. Behind-the-ear models include receivers that are easily replaced when they become too clogged with wax to easily clean. You usually get extra receivers with your purchase and a tool that makes replacing them easy. I also like using cleaning gel or putty to get gunk out of hard-to-access nooks and crannies, especially in and around ear tips.

    Does Medicare Cover Hearing Aids?

    No, believe it or not. If you have standard Medicare coverage, you have to pay 100 percent of the cost of hearing aids and exams. Private, add-on Medicare Advantage Plans (Part C) may include hearing-related benefits. Shop around.

    How Long Does a Hearing Aid Battery Last?

    Hearing aid batteries continue to impress me. I’ve tested aids that last for a solid 24 hours or more before needing a recharge. And since most models include a case that includes an additional, beefy recharging battery, most aids are good for about a week before the case needs to be plugged in to a power source.

    Note that hearing aids that use those tiny, old-school replaceable batteries still exist—in fact, one of our favorite models, Sony’s C10, uses them—though these are increasingly rare because dealing with those minuscule batteries is difficult even for the steadiest of hands. There is a plus side, though: Replaceable hearing aid batteries can last for 70 hours or more, far longer than even the best rechargeable models.

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