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Frequently Asked Questions

What is the "best" hearing aid on the market?

Is there a hearing aid that can eliminate background noise?

Why are two hearing aids better than one?

Do hearing aids need repair?

Do hearing aids come with any type of warranty?

How long do hearing aids last?

What should a new hearing aid user expect?

What can I expect during my adjustment period?

Why are hearing aids cheaper on the internet?

Why are hearing aids so expensive?

Do all hearing aids work the same way?

What problems might I experience while adjusting to my hearing aids?

What are some tips for taking care of my hearing aids?

What research is being done on hearing aids?

Where can I get additional information?

What is the "best" hearing aid on the market?

There is not one "best" hearing instrument on the market. A hearing instrument that works well for one person may not produce the same result for another person since everyone has different listening needs and hearing. Each major manufacturer makes a product that is highly comparable to other manufacturer's products. The "best" hearing instrument for you is one that can meet your lifestyle and needs, offers you a good warranty and service, and one that your audiologist is experienced in fitting.

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Is there a hearing aid that can eliminate background noise?

No hearing instrument can completely eliminate background noise. In fact, background noise is 'normal'. Most of the time background noise is speech, which is the exact same signal that the hearing aid is trying to amplify. Some hearing instruments can lessen the effects of non-speech noise by using specific microphones and/or technology. Background noise is a nuisance for everyone, even people with normal hearing.

Why are two hearing aids better than one?

Our brain hears better in both quiet and noise with two ears. In noise, our brain is designed to cancel out some of the noise and help us listen to conversation when both ears are working together. Hearing equally with both ears also helps find the direction of a sound. In our busy daily activities we need to hear where sounds are coming from for our own protection as well as for our enjoyment, i.e. being able to find the bird singing in the tree or hear the car coming from a certain direction. Hearing equally with both ears also makes listening less stressful and gives you a more natural sound quality.

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Do hearing aids need repair?

Yes. Hearing aids are incredibly sophisticated devices that are exposed to a damp, waxy environment on a daily basis. Because of this, as well as normal wear and tear, you can expect to face occasional repairs during the lifespan of your hearing instrument. Establishing and maintaining a good preventative maintenance schedule at home and with regular visits to your audiologist's office can significantly reduce the number of repairs. Usually a repair comes with a 6-month warranty if the repair occurs outside the manufacturer's warranty period.

Do hearing aids come with any type of warranty?

Yes. Typically, the hearing aid manufacturer you purchased your hearing aid through provides a warranty that covers repairs for the first two years and will replace a lost or damaged hearing aid one time during the first year for a minimal fee (about $200). Most manufacturers as well as outside venders provide various types of extended warranties at a cost at your choosing.

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How long do hearing aids last?

Hearing aids should last about five years if they are properly cared for. Although digital and programmable hearing aids can adapt to various changes in hearing, a significant hearing change may require different hearing aid technology or hearing aid type. In five years time, generally there are advances in technology that you may want to consider and try.

What should a new hearing aid user expect?

Hearing with hearing aids in both quiet and moderate noise should improve, however your hearing in even moderate background noise is not going to be as good as your hearing in quiet. That being said, your hearing in very noisy situations should not be worse than without the hearing aids. Although your own voice may sound very different and may take some time getting used to, it should at least be acceptable to you. Hearing aids and ear molds should be comfortable and not cause any feedback when seated correctly in the ear. Even when wearing your hearing aids, you should combine your vision and your hearing to maximize your hearing aid benefit. Most importantly, a new user needs to be patient and allow time for appropriate adjustment, as hearing aids cannot restore hearing to "normal".

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What can I expect during my adjustment period?

Many people don't realize that they need time to adjust to wearing hearing aids. They think that adjusting to new hearing aids is just like putting on new glasses and having instant clear sight. Some things you need to expect while adjusting to your new hearing aids are:

  1. Hearing aids will not give you normal hearing
  2. It takes time to adjust to wearing hearing aids
  3. Some sounds may seem loud
  4. Hearing aids cannot fix fuzzy or distorted hearing
  5. Hearing aids won't always let you hear well in noise
  6. You need to be psychologically ready to wear hearing aids

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Why are hearing aids cheaper on the internet?

Buying hearing aids on the Internet can sometimes save you several hundred dollars. But these savings can come at a cost. Buying a hearing instrument online can bypass the medical clearance required by the Food and Drug Administration as well as the custom services needed to fit the device to an individual's needs. Professional follow-up is very important because a poorly adjusted hearing aid can be uncomfortable or even damage the ear. A set of unused hearing aids that sit in a drawer are no bargain. The Internet can be useful for researching the various kinds of hearing aids on the market today and for keeping up with new technology. If you do decide to buy online, be sure to thoroughly investigate the vendor's reputation, return policy and warranty.

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Why are hearing aids so expensive?

There are a lot of factors that contribute to the pricing of hearing instruments. There is never an easy way to avoid the sticker shock. But understanding what goes into the production and maintenance of all assistive listening devices can help soften the blow. While the actual size of hearing aids hasn't really changed over the last 20 years, the technology that goes inside them has changed tremendously. These technology advancements have allowed hearing aids to evolve from a basic amplifier to a sophisticated miniature computer chip that can be housed in a small, damp space on a daily basis and in all types of adverse environments. Daily use of these devices in such environments has forced hearing aid manufacturers to have incredibly stringent reliability and durability standards for every aspect of every hearing aid. In addition, manufacturer warranties are provided for both new hearing aids and out-of-warranty repairs on hearing aids. Lastly, and probably most importantly, the personal fitting and professional knowledge of hearing health care professionals should be considered invaluable. A certified audiologist has a bachelor's degree and at least a master's degree and some even have a doctorate degree, usually in the form of an AuD (Doctor of Audiology) or a PhD. The minimum background of education as well as the requirements for keeping up with all the changes and advances in technology not only fulfill licensing requirements but also helps the professional provide appropriate and knowledgeable amplification information to each individual.

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Do all hearing aids work the same way?

The inside mechanisms of hearing aids vary among devices, even if they are the same style. Three types of circuitry, or electronics, are used:

  • Analog/Adjustable: The audiologist determines the volume and other specifications you need in your hearing aid, and then a laboratory builds the aid to meet those specifications. The audiologist retains some flexibility to make adjustments. This type of circuitry is generally the least expensive.
  • Analog/Programmable: The audiologist uses a computer to program your hearing aid. The circuitry of analog/programmable hearing aids will accommodate more than one program or setting. If the aid is equipped with a remote control device, the wearer can change the program to accommodate a given listening environment. Analog/programmable circuitry can be used in all types of hearing aids.
  • Digital/Programmable: The audiologist programs the hearing aid with a computer and can adjust the sound quality and response time on an individual basis. Digital hearing aids use a microphone, receiver, battery, and computer chip. Digital circuitry provides the most flexibility for the audiologist to make adjustments for the hearing aid. Digital circuitry can be used in all types of hearing aids and is typically the most expensive.

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What problems might I experience while adjusting to my hearing aids?

  • Become familiar with your hearing aid. Your audiologist will teach you to use and care for your hearing aids. Also, be sure to practice putting in and taking out the aids, adjusting volume control, cleaning, identifying right and left aids, and replacing the batteries with the audiologist present.
  • The hearing aids may be uncomfortable. Ask the audiologist how long you should wear your hearing aids during the adjustment period. Also, ask how to test them in situations where you have problems hearing, and how to adjust the volume and/or program for sounds that are too loud or too soft.
  • Your own voice may sound too loud. This is called the occlusion effect and is very common for new hearing aid users. Your audiologist may or may not be able to correct this problem; however, most people get used to it over time.
  • Your hearing aid may "whistle." When this happens, you are experiencing feedback, which is caused by the fit of the hearing aid or by the buildup of earwax or fluid. See your audiologist for adjustments.
  • You may hear background noise. Keep in mind that a hearing aid does not completely separate the sounds you want to hear from the ones you do not want to hear, but there may also be a problem with the hearing aid. Discuss this with your audiologist.

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What are some tips for taking care of my hearing aids?

The following suggestions will help you care for your hearing aids:

  • Keep hearing aids away from heat and moisture.
  • Replace dead batteries immediately.
  • Clean hearing aids as instructed.
  • Do not use hairspray or other hair care products while wearing hearing aids.
  • Turn off hearing aids when they are not in use.
  • Keep replacement batteries and small aids away from children and pets.

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What research is being done on hearing aids?

The National Institute on Deafness and Other Communication Disorders (NIDCD) supports more than 30 grants for scientists to conduct studies on hearing aid research and development. These studies cover areas such as the application of new signal processing strategies and ways to improve sound transmission and reduce noise interference, as well as psychological studies of the impact of abnormal hearing function on speech recognition. Other studies focus on the best way to select and fit hearing aids in children and other difficult-to-test populations, and on reducing bothersome aspects such as feedback and the occlusion effect. Further research will determine the best ways to manipulate speech signals in order to enhance understanding.

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Where can I get additional information?

Alexander Graham Bell Association for
the Deaf (AGBell)

3417 Volta Place, NW
Washington, DC 20007-2778
Voice: (202) 337-5220
Toll-free: (800) 432-7543
TTY: (202) 337-5221
FAX: (202) 337-8314
Internet: www.agbell.org

American Academy of Audiology (AAA)
8300 Greensboro Drive, Suite 750
Mclean, VA 22102-3611
Voice/TTY: (703) 610-9022
Toll-free: (800) AAA-2336
FAX: (703) 610-9005
Internet: www.audiology.com

American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
One Prince Street
Alexandria, VA 22314
Voice: (703) 836-4444
TTY: (703) 519-1585
FAX: (703) 683-5100
Internet: www.entnet.org

American Speech-Language-Hearing
Association (ASHA)

10801 Rockville Pike
Rockville, MD 20852
Voice: (301) 897-5700
Toll-free: (800) 638-8255
TTY: (301) 897-0157
FAX: (301) 571-0457
Internet: www.asha.org

Hear Now
4248 Park Glen Road
Minneapolis, MN 55416
Toll-free: (800) 648-4327
FAX: (612) 828-6946

Self Help for Hard of Hearing People, Inc. (SHHH)
7910 Woodmont Avenue, Suite 1200
Bethesda, MD 20814
Voice: (301) 657-2248
TTY: (301) 657-2249
FAX: (301) 913-9413
Internet: www.shhh.org

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