Remember, there's no universal solution to hearing challenges. The best treatment depends on several factors.

Your Comprehensive Walkthrough of the Different Ways to Treat a Hearing Loss

by | Nov 20, 2023 | Hearing Loss, Patient Resources

Navigating the maze of hearing loss treatment can be daunting. With a barrage of marketing promises and a wide array of options across different price points, it’s common to feel adrift in a sea of information.

Especially given the statistics: 1 in 8 Americans are affected by hearing loss, a figure the World Health Organization predicts will double by 2050.

This guide aims to clarify your options for treating hearing loss, presenting an unbiased look at each path’s pros and cons, helping you or your loved one make an informed decision.

Considerations before Exploring Treatment Options

Remember, there’s no universal solution to hearing challenges. The best treatment depends on several factors, including your specific diagnosis, lifestyle, and budget. Consider:


The degree and configuration of your hearing loss


The environments you frequent and your lifestyle’s activity level


Your preference for in-person versus remote support


Whether you’re looking for premium solutions or budget-friendly options


Your choice between local, personalized care versus larger, possibly impersonal corporations

Understanding these preferences is crucial for choosing the most suitable option from the many available.

Exploring Your Hearing Loss Treatment Options

From budget-friendly devices to high-tech solutions, here’s a breakdown of what’s available:

Earphones and Cell Phone Apps

With the proliferation of technology, earphones and cell phone apps have emerged as an accessible means to address some hearing challenges. Apps such as Chatable promise to transform your mobile device and earphones into a makeshift hearing aid by amplifying the sounds picked up by the phone’s microphone.


  1. Cost-Effective: Most apps are free to download, and even those with subscription models are significantly cheaper than traditional hearing aids or professional treatments.
  2. Convenience: For those who already own a smartphone and earphones, this option requires no additional equipment or visits to a specialist.
  3. Discreetness: Using a cell phone and earphones doesn’t carry the same stigma as wearing hearing aids, which may be a comfort to some users.
  4. Immediate Access: There’s no waiting period for appointments or fittings. You can download an app and start using it immediately.
  5. Useful in Quiet Environments: In situations with minimal background noise, these apps can help amplify sounds like conversations or television audio.


  1. One Size Fits All: These apps aren’t tailored to individual hearing loss profiles and can’t differentiate between frequencies that you may or may not need to amplify.
  2. Background Noise: They amplify all sounds without discrimination, which can make understanding speech in noisy environments more difficult.
  3. No Professional Support: There’s no expert guidance or personalized care involved, which is crucial for properly addressing hearing loss.
  4. Requires Earphones: Constant use of earphones can be inconvenient and may not be practical for all situations, like driving or attending social events.
  5. Limited Features: Unlike hearing aids, these apps don’t have features like directional microphones, noise reduction, or tinnitus masking.
  6. Potential for Misuse: Without proper audiometric testing, there’s a risk of amplifying sound to unsafe levels, potentially leading to further hearing damage.
  7. Dependency on Phone Battery: Using these apps can drain your phone’s battery quickly, leaving you without assistance when your phone dies.
  8. Not a Medical Solution: These apps are not recognized as medical devices and should not be used as a replacement for proper hearing care.
  9. Social Limitations: Relying on a cell phone placed in a specific position limits the user’s mobility and can be socially awkward in public settings.
  10. Temporary Solution: They may provide a quick fix but are not a viable long-term solution for those with a progressive or moderate to severe hearing loss.

Over-the-Counter (OTC) Hearing Aids

Over-the-counter hearing aids have become a significant part of the hearing care market, offering a middle-ground solution for those with a mild to moderate hearing loss. Here’s a breakdown of their advantages and disadvantages.


  1. Accessibility: OTC hearing aids are widely available and can be purchased without a visit to an audiologist, offering a convenient option for those who may have limited access to professional hearing care.
  2. Affordability: Generally less expensive than prescription hearing aids, OTC options present a more budget-friendly solution for individuals with a hearing loss.
  3. No Prescription Needed: They eliminate the need for a medical examination or audiogram, simplifying the process of acquiring hearing assistance.
  4. Ease of Use: Many OTC hearing aids are designed for easy use, with straightforward volume controls and pre-set configurations that can be adjusted by the user.
  5. Trial Periods: Some OTC devices come with trial periods, allowing users to test the hearing aids and return them if they’re not satisfied.
  6. Innovation and Variety: The market competition has led to a variety of models with different features, allowing consumers to choose what works best for their specific needs.


  1. One-Size-Fits-Most Approach: OTC hearing aids are not customized to the individual’s unique hearing loss profile, which may result in inadequate amplification or, conversely, over-amplification of certain frequencies.
  2. Self-Diagnosis Risks: Without professional hearing tests, users may misdiagnose their level of hearing loss, potentially overlooking more serious conditions or incorrectly attributing their symptoms to hearing loss when another medical issue may be present.
  3. Limited Features: OTC devices may not offer the advanced features found in prescription hearing aids, such as directional microphones, sophisticated noise reduction, and wireless connectivity.
  4. Fitting Challenges: Proper fitting is crucial for comfort and effectiveness. OTC hearing aids may not fit as well as those fitted by a professional, leading to discomfort and feedback issues.
  5. Lack of Professional Support: Users miss out on the personalized care and follow-up provided by audiologists, which can be critical for successful hearing aid use and maintenance.
  6. Potential for Further Hearing Damage: Incorrect use or over-amplification can potentially cause further damage to one’s hearing.
  7. No Insurance Coverage: OTC hearing aids are typically not covered by insurance plans, which can offer financial assistance for prescription devices.
  8. Durability and Repair Concerns: They may not be as durable as prescription models, and repairs or adjustments can be more challenging to obtain.
  9. Overlooked Additional Services: The purchase price may not include important services like hearing evaluations, professional fitting, and counseling on how to get the most out of the hearing aids.

Personal Sound Amplification Products (PSAPs)

Personal sound amplification products, commonly known as PSAPs, are consumer electronic devices designed to amplify environmental sound for consumers without a hearing impairment.

They are often marketed to assist with certain hearing tasks, such as bird watching or lectures, rather than as a solution for hearing loss. However, some individuals with hearing difficulties may consider them as an alternative to hearing aids.


  1. Cost-Effective: PSAPs are generally more affordable than hearing aids, offering a low-cost solution for individuals seeking hearing assistance.
  2. No Medical Evaluation Required: They can be purchased over the counter without the need for a hearing test or prescription, providing immediate access to amplification.
  3. Convenience: These devices are easily available online, in stores, or even in some pharmacies, making them a convenient option for quick purchase.
  4. Variety of Choices: There is a wide range of PSAPs available, with various designs and features that cater to different preferences.
  5. Simple to Use: Many PSAPs have user-friendly controls and are designed for immediate use straight out of the box.


  1. Not Customized for Hearing Loss: PSAPs are not designed to address specific hearing loss needs. They amplify all sounds uniformly, which can be unhelpful or even harmful to a person with a hearing loss.
  2. Potential for Misuse: Because they’re not regulated as medical devices, there’s a risk that individuals with a hearing loss may use them as a substitute for hearing aids, potentially leading to inadequate or inappropriate amplification.
  3. Limited Functionality: PSAPs typically lack the advanced technologies and features found in hearing aids, such as feedback suppression, directional microphones, and customized sound profiles.
  4. No Professional Support: Users do not receive the guidance, fitting, or follow-up care that comes with professional audiology services.
  5. Durability and Quality Concerns: The build quality of PSAPs may not match that of hearing aids, which could affect their longevity and performance.
  6. Risk of Further Hearing Damage: Without proper fitting and volume controls, PSAPs can potentially lead to further hearing damage if used incorrectly or at excessively loud volumes.
  7. Social Stigma: Some PSAP designs are less discreet than hearing aids, which may be a concern for users sensitive about the visibility of their hearing device.
  8. Not a Long-Term Solution: PSAPs are generally not recommended for long-term hearing assistance, especially for those with a progressive hearing loss.
  9. May Overlook Medical Issues: Individuals might choose a PSAP instead of seeking medical advice, possibly overlooking underlying conditions that could be causing hearing loss.

Online Hearing Aids with Remote Audiological Support

In an increasingly digital world, online hearing aids with remote audiological support present a modern solution for individuals experiencing a hearing loss.

These devices are typically programmed based on an online hearing test and can be adjusted remotely by an audiologist through telehealth services.


  1. Convenience: Online hearing aids offer the convenience of shopping from home without the need for in-person appointments or fittings.
  2. Cost Savings: They are often less expensive than traditional hearing aids sold through clinics due to lower overhead costs and direct-to-consumer pricing models.
  3. Access to Professional Support: Remote audiological support provides access to professionals who can help with programming and adjustments, often included in the purchase price.
  4. Advanced Technology: Many online hearing aids come equipped with the latest technology and features, including Bluetooth connectivity and customizable sound settings.
  5. Trial Periods and Returns: Most online hearing aid companies offer trial periods, allowing users to test the devices and return them if they don’t meet their needs.
  6. Ease of Adjustments: Users can make adjustments to their hearing aids via smartphone apps, giving them a degree of control over their hearing experience.


  1. Accuracy of Online Hearing Tests: Online hearing tests may not be as accurate as in-person evaluations, potentially leading to improperly programmed hearing aids.
  2. No Physical Ear Examination: Remote services cannot replace a physical examination of the ear, which can identify issues like earwax buildup or infections that might contribute to hearing loss.
  3. Lack of Personalized Fitting: Without an in-person fitting, there may be issues with the physical fit of the hearing aids, affecting both comfort and effectiveness.
  4. Limited Face-to-Face Interaction: Some users may miss the personal touch and rapport that comes with visiting an audiologist in person.
  5. Insurance and Financing: Online purchases may not be covered by insurance plans, and financing options may be more limited compared to in-clinic purchases.
  6. Reliance on User Tech-Savviness: Adjusting hearing aids via an app requires a certain level of comfort with technology, which may be a barrier for some users.
  7. Potential for Isolation: Remote support, while convenient, might not provide the same level of ongoing care and community that local clinics can offer.
  8. Risk of Overlooked Hearing Health Issues: Hearing loss can be a symptom of broader health issues that may be missed without a comprehensive health assessment.
  9. Inconsistency in Service: As with many remote services, the quality and responsiveness of support can vary, potentially impacting user satisfaction.
  10. Data Privacy Concerns: Sharing hearing health information online can raise concerns about data security and privacy.

Big Box Retail Stores (e.g., Costco, Sam's Club)

Big box retail stores have become a popular destination for consumers looking to purchase hearing aids. These stores often feature on-site hearing aid centers that provide hearing tests, fittings, and a selection of hearing aids from various manufacturers, including their own store brands.


  1. Cost Savings: Big box retailers typically offer hearing aids at a lower price point than traditional audiologist offices, making them an appealing option for budget-conscious consumers.
  2. Accessibility: With locations nationwide, these stores provide an easily accessible option for consumers to get hearing aids along with their routine shopping.
  3. Free Hearing Tests: Many of these stores offer free hearing tests, which can be a good starting point for those noticing hearing difficulties.
  4. In-Person Assistance: There is often staff available to help with fitting and selecting appropriate hearing aids, providing a level of personal assistance.
  5. Return Policies and Warranties: Hearing aids purchased at these stores usually come with generous return policies and warranties, adding a level of security to the purchase.


  1. General Hearing Screenings: The hearing tests provided may not be as comprehensive as those given in specialized audiology clinics, potentially missing nuanced aspects of an individual’s hearing loss.
  2. Limited Follow-Up Care: While initial assistance is available, ongoing support and care might not be as thorough or readily accessible compared to what’s provided by dedicated audiology practices.
  3. Appointment Availability: Due to high demand, there can be long wait times for appointments, which may be inconvenient for those requiring timely assistance.
  4. Staff Expertise: Staff at these centers may not have the same level of training or expertise as audiologists at specialized clinics, which could impact the quality of care and device customization.
  5. Insurance Use: Some insurance plans may not cover hearing aids purchased from these retailers, and the stores may not offer financing options available at audiology clinics.
  6. Product Selection: While the selection is varied, it might not include the latest models or the full range of products offered in specialized clinics.
  7. Upselling Pressure: As retail environments, there’s potential for sales-focused interactions, where upselling and meeting sales quotas can influence the staff’s recommendations.
  8. Membership Fees: Shopping at these stores often requires a membership fee, which should be factored into the overall cost.
  9. Customization and Adjustments: Adjustments and fine-tuning of the hearing aids may be less precise than what would be available at a professional audiologist’s office, potentially leading to less effective hearing aid performance.
  10. Impersonal Experience: The retail setting may lack the personal touch and long-term patient-provider relationship that many individuals value when receiving healthcare services.

Private Audiology Clinics (e.g., AVI New England)

Private audiology clinics are healthcare facilities that specialize in diagnosing and treating hearing and balance disorders. They are staffed by certified audiologists who provide a range of services, including comprehensive hearing evaluations, hearing aid fittings, and personalized aftercare.


  1. Comprehensive Care: Audiologists at clinics like AVI New England offer in-depth hearing evaluations that go beyond basic screenings, ensuring that any hearing treatment plan is based on a thorough understanding of the patient’s hearing health.
  2. Personalized Service: Treatment plans are tailored to the individual’s specific needs, lifestyle, and budget, with a wide range of hearing aid options and technologies available.
  3. Expertise: Audiologists have the training and expertise to identify various types of hearing loss and can provide specialized care, which may include fitting advanced hearing aid features, managing tinnitus, or addressing balance issues.
  4. Ongoing Support: Private clinics offer ongoing aftercare, including regular check-ups, hearing aid maintenance, and adjustments, providing a continuum of care that is essential for optimal long-term hearing aid performance.
  5. Insurance and Financing: Many clinics accept various insurance plans and may offer financing options to help manage the cost of hearing aids and services.
  6. Latest Technology: Private clinics often have access to the latest hearing aid models and advanced fitting software, which can lead to better hearing outcomes.
  7. Relationship Building: Patients can build a lasting relationship with their audiologist, enhancing the quality of care and ensuring that any changes in hearing health are promptly addressed.
  8. Community Ties: Local clinics are often well-integrated into the community, offering outreach programs, education, and a network of support for those with a hearing loss.


  1. Cost: The cost of hearing aids and services at private clinics may be higher than those found at big box retailers or online due to the higher level of personalized care and service.
  2. Availability: Depending on the location, some patients may need to travel further to visit a private clinic compared to more widely available retail options.

Hearing Loss Surgery (Cochlear Implants)

Cochlear implants are advanced medical devices designed to provide a sense of sound to individuals who are profoundly deaf or severely hard of hearing. Unlike hearing aids, which amplify sound, cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve.


  1. Effective for Severe Hearing Loss: Cochlear implants are often the only effective solution for individuals with a profound hearing loss where conventional hearing aids are no longer beneficial.
  2. Improved Sound Perception: Many recipients of cochlear implants experience significant improvements in understanding speech, even in noisy environments.
  3. Access to Sounds: Cochlear implants can allow recipients to hear a range of sounds they previously couldn’t, improving the ability to communicate and interact with the environment.
  4. Potential for Music Enjoyment: While the perception of music can vary, some users are able to enjoy music again or for the first time.
  5. Enhanced Safety: The ability to hear alarms, approaching vehicles, and other important signals can increase safety for individuals with a severe hearing loss.
  6. Educational and Social Benefits: Cochlear implants can provide children with a severe hearing loss better opportunities for language development and social integration.


  1. Surgical Risks: As with any surgery, there are risks involved, including those related to anesthesia, infection, and individual response to the implant.
  2. Cost: Cochlear implants are expensive, with costs including the surgery, the device, and ongoing rehabilitation.
  3. Insurance Coverage: While many insurance policies cover cochlear implants, there may still be significant out-of-pocket expenses, and not all policies may cover the cost.
  4. Post-Surgery Rehabilitation: Successful use of a cochlear implant requires intensive post-operative rehabilitation to learn or relearn the sense of hearing.
  5. Device Maintenance: Cochlear implants require maintenance, and external parts may need to be replaced over time.
  6. Mixed Results: The degree of benefit can vary widely between individuals, with some experiencing more significant improvements in hearing than others.
  7. Device Dependence: Users become dependent on the device for hearing, which means device failure can result in a return to a state of profound deafness.
  8. No Natural Hearing: Cochlear implants do not restore natural hearing and the sound perceived is different from natural hearing, which some users may find challenging to adapt to.
  9. Potential Loss of Residual Hearing: The surgery may destroy any remaining natural hearing in the implanted ear.
  10. Limited Device Compatibility: Some implants may be incompatible with certain medical examinations and procedures, such as MRI scans or with other medical devices.

Making the Right Choice for You

We hope this guide provides clarity on your treatment options. The right choice hinges on personal circumstances and needs. If you’re seeking further guidance, consider reaching out to a trusted hearing care professional.

At AVI New England, our experts are committed to understanding your unique situation and recommending the best path forward. Feel free to request a callback or call us at (475) 227-0842 for personalized advice. We’re dedicated to guiding you to the best solution for your hearing health.

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Dr. Natan Bauman

For more than 40 years, I have had the honor and opportunity of helping thousands of local, national, and international people to achieve a better life through better hearing. As an audiologist and electronic engineer, I have changed the course of the hearing aid industry by inventing the Receiver-In-The-Canal, the most widely used hearing aid in the world. Additionally, I established a tinnitus and sound over-sensitivity clinic and developed a special treatment program which I have been teaching to other practitioners nationally and internationally. Our practice follows the key principles that have defined my career: an adherence to best practices, use of the latest technologies, and personalized care in which the patient is treated as family.

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