If you're here, it means you're likely on a mission to find the perfect hearing aid for a senior in your life. Hearing loss is a common among seniors. The NIH estimates that approximately one out of three people over the age of 65 have some degree of hearing loss.
Caring for a loved one can be tricky to navigate at times and requires a lot of careful consideration -choosing the right hearing aid is one of those tricky corners.
My background as an audiologist has taught me that the right hearing aid can truly transform a senior's quality of life. In this guide I'll walk you through everything caregivers need to know about finding the best hearing aids for seniors.
Later on in the guide, I'll include my favorite products and brands specifically for older adults.
What Caregivers Need to Know
Hearing Loss Is A Common Health Change Among Older Adults
Hearing loss is a common condition among older individuals, affecting approximately one in three people between the ages of 65 and 74, and nearly half of those older than 75. As we age, the cumulative effects of noise exposure, health conditions, and even genetic predisposition can contribute to the gradual decline in hearing ability.
Recognizing the signs early and seeking appropriate interventions can help enhance quality of life and overall health. It's a great idea to start monitoring hearing at age 50 with hearing rechecks every few years, or sooner if concerns arise.
You and the older adult in your life can easily start with our online hearing test. You will need a pair of decent headphones and a quiet room.
Key Reasons To Treat Hearing Loss
- Improved Communication: Wearers of any age can engage in conversations more easily, reducing misunderstandings and frustrations.
- Enhanced Safety: Better hearing can help those with hearing loss stay alert to environmental sounds, such as oncoming traffic or emergency alarms.
- Social Engagement: Treating hearing loss can prevent social withdrawal and isolation by enabling participation in family gatherings and community activities.
- Cognitive Health: Addressing hearing loss may slow cognitive decline, as ongoing engagement and interaction keep the brain active.
- Emotional Wellbeing: Seniors can experience increased independence and a greater sense of control over their lives, contributing to improved mental health.
- Quality of Life: Better hearing ultimately can lead to a more vibrant, connected, and fulfilling life, enhancing overall satisfaction and happiness.
Through countless patient interactions in my clinics, I know that addressing hearing loss really makes a world of difference for people of any age. So what hearing aid will work best for the senior in your life? Let's look at hearing aid options to give you a lay of the land.
Age-Related Hearing Loss Configuration
Age-related hearing loss, called presbycusis, most commonly affects high frequencies. Certain medical conditions, such as diabetes or cardiovascular disease, can increase the likelihood of developing hearing loss. Below is a graphic that visualizes the most common hearing loss configuration among older adults. Chances are good that the senior in your life has a hearing loss configuration that looks something like this one.
Thankfully, this common hearing loss pattern is widely understood and accounted for across most modern hearing aids.
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Featured in this article
Our picks for the best hearing aids for seniors.
We'll start with the best prescription hearing aids available at a local clinic. These products are more expensive and feature-rich. They also come with professional, local support. In general, insurance is most likely to cover prescription-grade hearing aids.
Keep scrolling for some simpler budget options below.
Phonak Sphere Infinio
- Flagship device from the world’s top hearing aid manufacturer
- Industry-leading onboard AI processing with advanced Spheric mode for enhanced clarity
- Best-in-class Bluetooth streaming, compatible with both Android and iPhone
Phonak’s Infinio and Infinio Sphere models, released in mid-2024, quickly caught industry attention with groundbreaking features:
- Real-Time AI Processing: Phonak leads in AI innovation with its dual-chip architecture, powering real-time adjustments that make listening easier in complex, dynamic environments. This level of AI-driven sound processing sets Infinio Sphere apart as a top choice for clarity and adaptability.
- Extended Bluetooth Range: Enjoy hands-free streaming and calls with 2x the Bluetooth range, making Phonak an ideal pick for both iOS and Android users who value reliable connectivity.
- Waterproof and Durable Design: Built with an IP68 rating, Infinio Sphere withstands water exposure and daily wear, appealing to users with active lifestyles who want durability alongside performance.
Phonak’s Infinio line combines onboard AI with practical, user-focused features, making it an excellent choice for those seeking top-of-the-line performance and versatility in hearing aids.
Phonak Infinio Sphere receives highly positive reviews, with many users noting significant improvements over previous Phonak models and competing brands. Wearers praise its sound quality and robust Bluetooth streaming. The main complaints we found relate to the larger size and occasional automatic mode switching. Some highlights from our partners at ZipHearing.
- "Wearing these new Phonak Sphere Hearing Aids has been very comfortable and an easy adjustment for me. These are my first hearing aids and the sound with them on sounds very natural. I've been able to understand my friends in a crowded restaurant and have been able to turn off the closed captioning on my TV. The Bluetooth feature has worked well for both streaming music and phone calls. I haven't found any drawbacks yet!" - Eileen
- "I have been wearing hearing aids for 6 years. I started my journey with ReSound which lasted nearly 5 years. I then went to Costco and discovered Costco aids are fine for people with modest hearing loss, but I needed more. I then went with Phonak Sphere and have been very happy. I am active and discovered early on the aids I had purchased were being negatively impacted by sweat. Phonak replaced them with water resistant aids for a very small charge. I am very pleased with my new aids." - David
- "Sound quality is excellent. Definitely an improvement over previous HA. Still trying it out in noisy environments but I definitely see an improvement when in noisy situations in understanding speech." - Ken
- "I am currently wearing the Phonak Audio Sphere 90 hearing aids. Had them about two weeks now and the sound quality is very good. I am a bit frustrated with the Automatic program selection as it does not really seem to pick the correct program for the situation. I have not noted the sphere function working as of yet, even though I have been in a few very noisy situations. They are comfortable and only took a few days to adapt to the thicker design of the body. The battery life is exceptional. After wearing them for 15 to 16 hours they still have 45 percent batter life. The only other complaint is the charger case. It is not easy to get they in and almost kink the wires to the domes. I wish they were bigger like my previous Marvels." - Brian
- Top of the line sound processing (thanks in part to onboard AI)
- Best-in-class Bluetooth connection
- Highly water-resistant option available for active lifestyles
- Sphere is a premium product with an average price of $4,598 per pair.
- Shorter than average battery life of 16 hours per charge
- Phonak Sphere is larger than most hearing aids on the market (due to a larger battery and two onboard chips)
- Phonak Infinio is a fully customizable, prescription hearing aid appropriate for mild-severe hearing loss
- If you have severe hearing loss, your care provider may fit you with a custom earmold to reduce feedback
- If you have profound hearing loss, you may be a better fit for Phonak's high-powered Naída Paradise
- Phonak Infinio is a prescription device fit and programmed by a professional
- After an initial fitting, you can connect with your care provider remotely through the myPhonak app
- Phonak is one of our top reviewed products for background noise management
- Phonak Sphere Infinio uses a first-to-market onboard AI processing chip which makes up to 7 million adjustments per second
- Phonak Infinio comes in in a comfortable receiver-in-canal style that is easy to wear all day
- Sits behind the ear with a receiver (speaker) that reaches into the ear canal
- Phonak Infinio offers a rounded, modern form factor and a comparable size to other leading devices
- Choose from a variety of colors including: Chestnut, sandalwood, sand beige, silver gray, graphite gray, velvet black, beige, champagne
- Phonak Infinio comes with rechargeable batteries only
- 24 hours on a 3-hour charge (including 80 min of streaming); 30 minute quick charge provides 6 hours battery life
- Standard charger uses inductive charging
- Phonak Infinio is among our top choices for Bluetooth capabilities
- Allows simultaneous connection to up to four devices
- Allows hands-free calling for both iPhone and Android devices
- Users can tap their hearing aid to answer calls
- Telecoil is available
- Infinio uses universal connectivity for all Bluetooth devices (other leaders use MFI and ASHA)
- Infinio offers 2X the Bluetooth range (distance from your device) compared to older models
- Phonak Infinio is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- Infinio devices come with an onboard toggle switch for volume and program changes
- Phonak Infinio is water resistant with an IP rating of 68
- Infinio has even stronger waterproofing than previous models from the brand
- This hearing aid can withstand dust and water submersion in one meter of water for up to 30 minutes
- Remote care: Available through the Phonak app in coordination with your provider
- Customization: Volume, treble/bass, adjustable custom programs in the app
- Tinnitus masking: Available through your healthcare provider
- Find my hearing aid: N/A
- Health tracking: Tracks length of wear time and step count
ReSound NEXIA
- ReSound Nexia is one of the smallest RIC hearing aids available
- Auracast-enabled for seamless Bluetooth streaming, developed in collaboration with Bluetooth SIG
- Impressive 30-hour battery life on a single charge, ideal for all-day wear
- Strong performance in background noise, enhancing clarity in busy environments
- Custom prescription programming provided by a local audiologist
ReSound Nexia stands out for its legacy of innovation and modern design. Here’s what makes it a top pick:
- Proven Expertise: ReSound has led the hearing aid industry with tech-first developments, from the earliest made-for-iPhone hearing aids to today’s Auracast-enabled models. With millions of users worldwide, ReSound brings trusted experience and reliability.
- Discreet Design: NEXIA is the smallest receiver-in-canal (RIC) hearing aid we’ve reviewed, offering a low-profile option that’s especially helpful if you wear glasses or prefer subtlety.
- Powerful Battery: With 30 hours of life on a single charge and a portable charger, Nexia provides extended wear and convenience, ideal for users who are on the go.
- Superior Background Noise Handling: Nexia’s advanced beam-forming tech and innovative in-ear microphone deliver exceptional clarity in noisy environments, making it one of the best in the market for handling complex soundscapes.
ReSound NEXIA combines sleek design with high-performing technology, ideal for those who want both discretion and power.
ReSound NEXIA receives strong reviews for its crisp sound quality. Some users note issues with Bluetooth connectivity on Android devices and slight discomfort from the in-ear M&RIE receiver. Read more reviews via our partners at ZipHearing.
- "I had gotten so used to diminished hearing, I had no idea what I was missing. I no longer say “can you repeat that” or “what?” And my phone rings in my ear and all I have to do is tap the unit behind my ear. No more fumbling to get me phone out of my pocket in time to answer." - Richard
- "I love my new Resound Nexia 9. They seem to pick up sounds my previous 5-year old hearing aids picked up and they seem to process background noise much better. I am very happy with my purchase." - Mitch
- "My new Nexia “ears “ are very comfortable behind the ears. They seemed very loud at first but I have adjusted and are obviously better than my old “ears” . The sound is clear and less tinny . I can hear a phone conversation very clearly using the Bluetooth ability, although I still need my phone very close for the caller to hear me. After a day of wearing my “ears” the left one hurts, I think from the wire, however I have not had a follow up appointment so that may be fixable. The right side is no problem." - Fiona
- "The rechargeable battery is a HUGE plus—no more keeping batteries on me at all times. The moisture resistance is another plus—no more bulky desiccant case. The charging case is small enough to be easily portable, but might be a bit uncomfortable in a pocket—maybe in a jacket pocket. It took me a few days to figure out a good workflow for getting the hearing aids to connect and stay connected to my Pixel 5 (listed on the manufacturer's website as compatible). The connectivity is good when it works but sometimes one of the hearing aids drops out and has to reconnect. I was not able to get them to connect to my work computer (a MacBook) using MFi." - Matt
- Great for background noise management
- Auracast compatible
- Small form factor and an optional 3rd microphone in the ear
- 30-hours of battery life
- More expensive compared to direct to consumer and OTC options
- NEXIA's in-ear M&RIE microphone is a bit larger and can be uncomfortable for some
- ReSound NEXIA is a fully customizable, prescription hearing aid appropriate for mild-severe hearing loss
- If you have severe hearing loss, your care provider may fit you with a custom earmold to reduce feedback
- If you have profound hearing loss, you may be a better fit for ReSound NEXIA BTE
- ReSound NEXIA is a prescription device fit and programmed by a professional
- After an initial fitting, you can connect with your care provider remotely through the ReSound app
- ReSound NEXIA is an excellent choice for background noise management. The optional M&RIE microphone that sits inside the ear adds additional intelligence and reduces handling noise from your hair or glasses.
- NEXIA hearing aids come with four onboard microphones that anayze and manage background noise in the most complex situations.
- ReSound NEXIA is a discreet and comfortable product, but some users with smaller ear canals find the M&RIE receiver uncomfortable in their ears. M&RIE can be removed by your care provider and replaced with a standard receiver.
- ReSound NEXIA hearing aids sit behind the ear
- NEXIA is 25% smaller than past ReSound products and is one of the smallest behind-the-ear style devices on the market.
- NEXIA comes in 8 colors, including, sparkling silver, champagne, gold, bronze, warm grey, graphite, espresso, deep black
- NEXIA comes with three battery options, including micro RIE rechargeable (30 hours), a larger disposable battery version (size 13), and a second disposable battery option (size 312).
- A rechargeable version of NEXIA is also available with a CROS (for single-sided deafness)
- NEXIA is one of the first hearing aids on the market to release Auracast-compatible hearing aids. Auracast will take a few years to roll out in public spaces. Still, once it is available, it will allow users to stream public announcements, movies, and other shared audio experiences directly to their hearing aids.
- Of course, NEXIA also allows standard Bluetooth streaming from iPhone and Android devices. iPhone users can take calls hands-free, while Android users must keep their phones close to pick up outbound audio.
- NEXIA uses Apple's MFI connection and Android's ASHA connection to stream content through Bluetooth
- NEXIA is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- NEXIA recharging cases use conduction charging, which is easier to handle
- NEXIA has an app feature that uses your phone camera to check that the hearing aids are in the ear properly
- ReSound NEXIA is water resistant with an IP rating of 68
- This hearing aid can withstand dust and water submersion in one meter of water for up to 30 minutes
- Remote care: After an in-office activation, the remote care option is available on the app
- Customization: Volume control, treble/bass, streaming treble/bass, programs
- Tinnitus masking: Customizable programs with a hearing care professional or use the Resound Relief app to experiment with masking noise
- Find my hearing aid: Yes, feature is included in the app
- Check my fit: An app feature from Resound to check the hearing aids are in the ear properly
Read our full review of the ReSound App here.
Starkey Edge AI
- Released October 2024 with sound processing and health tracking updates
- Improved sound control over previous Genesis AI models
- Enhanced health tracking features for comprehensive wellness support
- Longest-lasting rechargeable battery in its class
Starkey Edge AI takes the impressive Genesis AI platform and refines it, bringing even more functionality and ease to users. Here’s what makes it a standout choice:
- Top Battery Life – With over 50 hours on a single charge, Edge AI leads the industry for rechargeable hearing aids.
- Innovative Health Features – Includes health tracking, fall detection, and even real-time translation, pushing the boundaries of what hearing aids can do.
- Enhanced Sound Processing – Starkey has evolved “Edge Mode” into an all-day adaptive program, letting users benefit from smart sound adjustments seamlessly throughout the day.
Edge AI offers powerful tech with practical enhancements that support both hearing and health.
- Professionally programmed
- Long-lasting battery
- Smart health features
- U.S. based manufacturer
- Some find the Starkey app experience overwhelming
- Less audiologists are familiar with Starkey
- Costs $5,000 - $7,000 per pair
- Starkey Genesis AI is a fully customizable, prescription hearing aid appropriate for mild-severe hearing loss
- If you have severe hearing loss, your care provider may fit you with a custom earmold to reduce feedback
- If you have profound hearing loss, you may be a better fit for a BTE style (currently available in Starkey's previous generation, Starkey Evolv AI)
- Starkey Genesis is a prescription device fit and programmed by a professional
- After an initial fitting, you can connect with your care provider remotely through the Starkey app
- Starkey Genesis uses a deep neural network to effectively manage background noise. Starkey's devices are capable of making 80M adjustments per hour to match your environment
- Genesis AI's receiver-in-canal models are very comfortable for all-day wear. Your care provider will help you choose an earmold style that promotes comfort and effectiveness
- Starkey Genesis AI hearing aids sit behind the ear or inside-the-ear (read more on in-the-ear styles here)
- Genesis AI has a brand new futuristic design with smoother edges than previous models
- Choose between six faceplate colors: Brown, Chestnut, Medium Brown, Pink, Light Brown, and Black
- Starkey’s Genesis AI RIC RT is currently the industry’s longest-lasting lithium-ion rechargeable battery with up to 51 hours on a single charge (without streaming)
- The battery life is shorter, but still impressive at up to 41 hours with their smaller mRIC R style
- Starkey offers a disposable battery version of their devices with a 312 battery (changed every 7-10 days)
- Genesis AI allows Bluetooth streaming, music listening, and phone calls across all models. iPhone users can take calls hands-free, while Android users must keep their phones close to pick up outbound audio.
- Genesis AI uses Apple's MFI connection and Android's ASHA connection to stream content through Bluetooth
- Genesis is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- Genesis recharging case uses a non-traditional configuration which may take some getting used to
- Genesis AI is water resistant with an IP rating of 68
- This hearing aid can withstand dust and water submersion in one meter of water for up to 30 minutes
- Remote care: available through the app with care provider coordination
- Customization: Edge Mode and adjustments in the app
- Tinnitus masking: programs can be created by your hearing healthcare provider
- Find my hearing aid: yes
- Health tracking: activity tracking
Hearing aid options for seniors on a budget.
If you are shopping for someone on a fixed income or just want a simpler product, the next group of hearing aids could be a good fit. Each product below is available over-the-counter or through Telehealth. Note that these options require some setup or tech savvy.
Sennheiser All Day Clear
- Our favorite OTC hearing aids for under $1,000
- Manufactured by the largest hearing aid maker in the world
- Compatible with iPhone and Android devices
Here’s why we picked the Sennheiser All-Day Clear:
- Trusted Manufacturer: Developed by Sennheiser, a leader in audio, and backed by Sonova, the world's #1 hearing aid maker, ensuring high-quality sound and technology.
- Comfortable Design: Lightweight and comfortable for all-day wear, available in both Slim and standard models to suit different preferences.
- Affordable Price: Offers premium sound quality and features typically found in prescription hearing aids, all for under $1,000.
- Easy App Control: The intuitive smartphone app allows for quick, user-friendly setup and self-programming, ideal for even mildly tech-savvy users.
Sennheiser All Day Clear reviews are about as glowing as you'll find among self-fit devices. Users comment on Sennheiser's lightweight comfort, clear sound and easy to use app. Some users wished that the battery life was longer for 16+ hours of wear. Here are some sample reviews:
- "One of the best over-the-counter hearing aids you'll find.They're extremely lightweight which I really appreciate because usually whenever I use any sort of earbuds I like it to wear I don't even feel like they're on my ear.The clarity of the audio that comes out of these small little hearing aids is very impressive." - Jay
- "The instructions are not complicated and the all day clear app for the phone is easy to use and works well for personal customization. You can use the hearing aids itself to control the volume and connect to other devices. The all day clear hearing aids are comfortable to wear all day. I feel more confident because I feel like I am apart of conversations and not alienated in life. The battery life is good but you will need to recharge if you are wearing them all day." - Kamille
- "I got my 72-year-old dad the Sennheiser hearing aid, and oh boy, it's a total game-changer! Dad's been dealing with some hearing trouble for a while, but this device has turned things around big time.Being far away from him, I sent the aid his way, and he managed to set it up all by himself using YouTube. Easy peasy! Now, he's raving about how it's like night and day. In group chats, he used to miss out on voices, but not anymore. He's hearing everyone loud and clear, even when Mom calls him from another room." - Britto
- Premium Sonova-built technology for less than prescription channels
- Bluetooth streaming and hands-free calls (Android and iPhone)
- Comfortable all-day form factor
- Charger must be plugged in while charging
- Requires a smartphone for programming
- All-Day Clear is an OTC product appropriate for mild-moderate hearing loss levels
- If you have more significant hearing loss you might consider local or Telehealth care. Read more about prescription Vs. OTC hearing aids here
- Available for purchase online via Soundly
- Does not require a prescription from a doctor
- Customize your hearing aids with the Sennheiser All-Day Clear app
- Soundly customers get a complimentary guided setup session
- Sennheiser offers impressive underlying background noise management technology
- We found this product performed at a similar level to top prescription brands
- Comfortable receiver-in-canal style is great for all day wear
- Sits behind the ear with a receiver (speaker) that reaches into the ear canal
- The form factor of Sennheiser All-Day Clear is comparable to leading prescription hearing aids like Phonak Lumity
- Available in a dual-tone black and silver
- Choose between slim and non-slim versions (we recommend the non-slim option for most people)
- Sennheiser All-Day Clear comes with rechargeable batteries
- 16 hours of wear on a single charge
- Recharge case must be plugged into the wall while in use
- All-Day Clear streams to all devices including iPhone and Android
- All Day Clear allows hands free phone calls on both iPhone and Android
- Streaming quality is similar to the top prescription products on the market
- All-Day Clear is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- The All-Day Clear recharge case has ports that must be in contact for charging. This type of charger is more difficult than premium conduction chargers which do not require ports to be touching
- Sennheiser All-Day Clear hearing aids have an IP68 rating
- These devices can be submerged in up to one meter of water for 30 minutes without damage
- The Sennheiser All-Day Clear app enables setup and customization of your hearing aids
- The smartphone app allows on-the-go volume and sound quality adjustments
- The All-Day Clear app has a music and automatic program but does not offer Tinnitus masking, program creation or other advanced features
One more thing...
If you are looking for a way to get a hearing boost without springing for a traditional hearing aid, you might try AirPods Pro 2. With the right feature configuration AirPods pro can turn into a pretty good entry-level hearing aid. Read our full review on that topic here.
Apple AirPods Pro 2
- Personalized Audio: Spatial Audio with head tracking provides a tailored listening experience.
- Extended Battery Life: Up to 6 hours on a single charge with noise cancellation enabled.
- Seamless Apple Integration: Quick setup and automatic switching between Apple devices.
- Comfortable Fit: Comes with four ear tip sizes to ensure a snug, secure fit.
The Apple AirPods Pro 2 deliver an enhanced audio experience with intelligent noise cancellation and a comfortable, customizable fit.
- Advanced Noise Cancellation: With up to twice the noise-canceling power of its predecessor, these earbuds create a focused listening experience by blocking out unwanted distractions—ideal for commutes or busy environments.
- Personalized Fit & Audio: Four sizes of silicone tips ensure a secure fit, while Spatial Audio with dynamic head tracking provides immersive sound tailored to your ears.
Designed for those seeking a seamless blend of comfort, sound quality, and integration with Apple’s ecosystem.
- Impressive Sound Quality: Users highlight the clear highs and deep bass, making these ideal for music lovers.
- Effective Noise Cancellation: Many praise the substantial improvement in blocking background noise, even in busy areas.
- Comfortable Fit: The inclusion of four ear tip sizes helps achieve a secure, comfortable fit for various ear shapes.
- Longer Battery Life: Users appreciate the extended battery life, especially with Active Noise Cancellation on.
- Convenient Controls: The intuitive swipe and press controls on the stems are a favorite for quick volume adjustments and call management.
- Occasional Charging Issues: Some users report rare connectivity glitches when charging with non-Apple chargers.
- Excellent built-in hearing test
- Industry leading headphone features and Apple connectivity
- Affordable hearing aid alternative
- Limited functionality with non-Apple devices.
- Not as good in background noise
- Not as comfortable or socially acceptable for all-day wear
Factors seniors should consider when choosing hearing aids.
How to Choose A Hearing Aid Brand
Hearing aids come in a wide range of styles, prices and technologies. So how should you choose? Our team thinks about this everyday. We work with hearing aid wearers and clinicians to understand which products are best in class at any given moment. When we counsel caregivers, we look at a few important factors.
- Price and Insurance: Hearing aids can range from a few hundred dollars to over $5,000. A growing number of insurance plans now include hearing benefits so it's a good idea to start with an insurance or Medicare Advantage benefits check. From there, reference the list below to find a product that meets your needs and budget.
- Care Models: Users can choose between in-clinic care, telehealth care, and over-the-counter devices. This decision significantly affects both cost and method of care.
- Durability / Warranty: No matter the care model, selecting a durable product with a strong warranty is crucial. Our list below prioritizes trusted brands with these qualities.
- Dexterity: For seniors with dexterity challenges, rechargeable devices are recommended.
- Mobility and Location: Choose a product and care model that align with the user's location and ability to visit a local clinic. Over-the-counter and telehealth options can reduce the need for office visits.
- Tech Savvy: The hearing aids listed below are among the most user-friendly. We looked for options with onboard buttons, simple apps, and straightforward setup processes that caregivers can manage with minimal ongoing adjustments.
Prices and Insurance
Prescription hearing aids cost, on average, $4,400 for a pair at a local clinic. Unfortunately, Original Medicare does not typically cover hearing aids or exams for fitting them. However, some Medicare Advantage plans may offer partial coverage or discounts. It's essential to check with your specific plan to understand what is covered.
Read more about insurance in our guides:
Care Models
High prices and low insurance coverage often lead seniors and care givers to alternate models of care including over-the-counter hearing aids and Telehealth solutions. When it comes to care delivery, you have three options to choose from: in-clinic prescription care, telehealth, or OTC hearing aids? Let’s break this down.
1. Prescription Care at A Local Clinic
Seeing a provider in a clinic has some significant advantages. It offers a hands-on approach where professionals can provide personalized recommendations, perform fittings, and offer ongoing support during the initial adjustment period and beyond. Many clinics offer drop-off maintenance services, making it easier to manage the care or troubleshooting of your senior’s hearing aids without them needing to make a trip out.
However, coordinating an in-clinic visit can be a bit challenging for some, especially if our seniors live in a care facility and need transportation. It requires careful planning and perhaps a bit of extra effort. So while the professional support they receive can be invaluable, it’s wise to evaluate all aspects of this type of care model so you can make an informed choice.
Pros and Cons of Prescription Hearing Aids for Seniors
Pros:
- Personalized Recommendations: Clinic professionals provide tailored advice based on the senior's specific hearing needs, fitting retention issues, or other concerns.
- Professional Fittings: Experts ensure the hearing aids fit properly, maximizing comfort and effectiveness.
- Ongoing Support: Visiting a clinic comes with continuous professional assistance for adjustments, maintenance, and troubleshooting at regularly scheduled intervals or as needed.
- Maintenance Services: Many clinics offer drop-off services for maintenance and repairs, reducing the burden on the senior and their caregivers.
- Companion Apps: Some prescription hearing aids come with companion apps that allow caregivers to monitor wear time, battery life, and even receive fall alerts. Not to mention the “Find My Hearing Aid” feature that can offer peace of mind.
Cons:
- Transportation Challenges: Seniors living in care facilities may face difficulties in arranging transportation to clinic appointments.
- Scheduling Coordination: Organizing clinic visits can require careful planning with respect to both seniors’ and accompanying caregivers’ schedules.
- Higher Costs: Prescription hearing aids and associated services can be more expensive compared to over-the-counter options, especially with a ‘bundled’ plan.
- Dependency on Availability: Access to professional services may be limited by the availability and location of the clinic, with rural areas potentially requiring long drives.
2. Telehealth Care Model
Telehealth care for hearing aids leverages technology to provide remote consultations, fittings, and ongoing support. This model is particularly beneficial for seniors who live in rural areas or have difficulty coordinating transportation to a clinic. Telehealth allows audiologists to connect with patients through video calls and provide personalized care from the comfort of their homes.
Pros and Cons of Telehealth Care for Seniors
Pros:
- Accessibility: Ideal for seniors in rural or remote areas, offering a convenient way to access professional hearing care without the need for travel.
- Convenience: Enables seniors to receive ongoing support and adjustments from audiologists without leaving their homes.
- Efficient Scheduling: Easier to coordinate appointments compared to in-person visits, reducing the logistical burden on caregivers.
- Personalized Care: Provides a tailored approach, similar to in-clinic visits, with the added convenience of being remote.
- Cost-Effective: Often less expensive than in-clinic visits, making it a more affordable option for continuous care.
Cons:
- Technology Requirements: Seniors need access to a reliable internet connection and a device capable of video calls, which can be a barrier for some.
- Limited Physical Interaction: The lack of hands-on care may pose challenges for fitting and physical adjustments of hearing aids.
- Comfort with Technology: Seniors and caregivers must be comfortable using technology, which can be a hurdle for those who are less tech-savvy.
- Potential for Technical Issues: Connectivity problems or technical difficulties with devices can interrupt sessions and lead to frustration.
3. Over The Counter Model
Over-the-counter (OTC) devices are becoming a popular option for those with mild to moderate hearing loss who are more budget-conscious. These devices can be more 'do-it-yourself,' meaning that while they are more affordable, they may require extra support from loved ones to ensure that seniors get the full benefit.
Setting them up and troubleshooting might require caregiver support, but for some, the cost savings are well worth it. The key here is choosing a reputable brand with the right features.
Pros and Cons of Over-the-Counter (OTC) Hearing Aids for Seniors
Pros:
- Cost-Effective: Generally more affordable than prescription hearing aids, making them a budget-friendly option.
- Accessibility: Easily available without the need for clinic appointments, providing a convenient purchase experience.
- High Quality Options: Some prescription hearing aid companies also make high quality, reputable OTC hearing aids.
- Immediate Use: Can be used immediately after purchase, without the need for fitting or customization in a clinic setting.
Cons:
- Limited Fitting Range: These devices will not work for more than a moderate hearing loss.
- Self-Management: Seniors and caregivers must handle the bulk of setup, maintenance, and troubleshooting.
- Technology Challenges: The setup with a Smartphone app could be challenging for some seniors who are not comfortable using an app. Most quality products work without an app after an initial setup.
- Limited Professional Support: Manufacturers offer different levels of customer support, which can include instructional videos, phone, or email support. (note: Soundly supports several OTC devices with a guided unboxing and follow-up support with an audiologist.)
Hearing Aid Styles
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Receiver-in-Canal (RIC) Hearing Aids
Among hearing aid styles, Receiver-in-Canal (RIC) hearing aids stand out as the most popular behind-the-ear option. One of the primary reasons for their popularity is their comfortable and discreet design. RIC hearing aids consist of a small casing that sits comfortably behind the ear, while a thin wire connects the casing to a receiver placed in the ear canal.
RIC hearing aids are known for their versatility, rechargeable options, and the latest technology. They often come equipped with features such as Bluetooth connectivity, allowing seniors to stream audio directly from their Smartphones, if they like. Or, for those who prefer to keep things simple, RIC models offer adaptive sound processing, which automatically adjusts to different listening environments, making it easier for seniors to transition from a quiet room to a noisy restaurant without missing a beat.
Maintenance is typically quite manageable, requiring wax guard replacement and light cleaning. RIC hearing aids can also fit a wide range of hearing loss and have retention options to help them stay in the ear better for those with challenging ear canal geometry (i.e., retention wires, custom receiver with helix lock, etc.) This convenience, along with their superior sound quality and user-friendly features, makes RIC hearing aids an excellent choice for seniors seeking both reliability and comfort.
Considering these benefits, it's no wonder RIC hearing aids have become a favorite among users looking for an effective solution that combines cutting-edge technology with ease of use.
Pros and Cons of Receiver-in-Canal (RIC) Hearing Aids
When considering Receiver-in-Canal (RIC) hearing aids for a senior in your life, it's essential to weigh both the advantages and potential drawbacks. Here’s a balanced look at the pros and cons of RIC hearing aids:
Pros:
- Discreet and Comfortable: The lightweight design and the small casing behind the ear make RIC hearing aids one of the most discreet and comfortable options available.
- Versatility: Suitable for a wide range of hearing losses, from mild to severe.
- Advanced Features: RICs have the latest technology, with features such as Auracast connectivity for streaming audio, and automatic, adaptive sound processing.
- Rechargeability: Many models offer dexterity-friendly, rechargeable batteries, reducing the need for tiny battery replacements.
Cons:
- Cost: The advanced technology and features with premium technology through prescription care can make RIC hearing aids more expensive than other types (note: this style is also available at a lower price point through Telehealth or OTC channels).
- Durability: The receiver in the ear canal can be more susceptible to moisture and earwax buildup, potentially requiring more frequent servicing or repairs.
In-Ear Hearing Aids
In-ear style hearing aids fit inside the ear and range in size from a tiny IIC or CIC to a larger ITE devices. These devices are custom-made to fit the ear's shape. ITE hearing aids are easier to handle for seniors who may have dexterity issues. They can accommodate a wide range of hearing loss levels and some manufacturers offer rechargeable ITE devices.
Pros and Cons of In-the-Ear (ITE) Hearing Aids for Seniors
Pros:
- Custom-Made for Comfort: Since ITE hearing aids are custom-fitted to the individual’s ear, they provide good retention and fit snugly in the ear. Ready-to-wear products can also provide a comfortable fit for most ears.
- Ease of Handling: Maneuvering one piece into the ear can make them easier to insert, remove—especially beneficial for seniors with dexterity issues.
- Wide Range of Hearing Loss: These aids can accommodate different levels of hearing loss.
- Rechargeable Options: Some manufacturers offer rechargeable models, reducing the need for frequent battery changes.
Cons:
- Visibility: While in-ear devices can be discreet, ITE hearing aids are more visible than completely-in-the-canal (CIC), invisible-in-the-canal (IIC), BTE models.
- Custom Fit Requires In-Clinic: To create a custom ITE, you’ll need to visit an in-person clinic to have an ear impression made. Note: OTC and telehealth offer some ready-to-wear options.
- Moisture and Wax Issues: Being placed inside the ear canal, they are more susceptible to moisture and earwax buildup, which can affect their performance.
Durability and Warranty
Broken hearing aids can be expensive and disruptive for seniors (and anyone else). That's why durability is another essential factor to consider when choosing a hearing aid. If you spend more time in humid or dusty environments, consider a hearing aid that stands up against these elements. More on hearing aid longevity here.
Most modern hearing aids today incorporate protective capabilities, including water resistance and charger options with built-in dehumidifiers.
As you consider a hearing aid, double-check the warranty and have issues addressed before that warranty lapses.
More premium devices generally come with the highest water resistance (look for IP68) and the most extended warranties (typically 3 years). Affordable devices may have lower IP ratings (sometimes IP57) and shorter warranty durations (1-2 years).
Dexterity
Older adults with dexterity challenges can often find themselves struggling to insert, maintain or wear hearing aids.
Thankfully, several hearing aid styles are specifically designed to address this issue. For example, an in-the-ear (ITE) hearing aid is one style that can be easier to manage and provide the necessary support for those with problems related to dexterity. ITE hearing aids offer easy insertion and fewer pieces. Read our full guide to hearing aid styles here.
If you (or a loved one) have limited dexterity, consider rechargeable batteries, as they reduce the need for tiny battery changes every 5-7 days. We've considered dexterity as we constructed the product recommendations below.
Mobility
For those in a wheelchair or care facility, in-person visits to the hearing aid clinic can pose a challenge.
Reach out to your local clinic to request a more spaced-out visit to ensure that your doctor has adequate time to fit and explain your hearing aids.
A local hearing aid clinic can also clean and check the hearing aids at regular intervals between those in-person visits, requiring only that the devices be dropped off rather than visiting the clinic in person.
You may also want to explore options like Jabra Enhance Select which programs hearing aids through Telehealth or over-the-counter devices like Sennheiser All Day Clear.
Many local clinics can also log into your hearing aids remotely for fine-tuning after an initial fitting. Double-check that the hearing aid you choose supports remote follow-up care.
Senior-Friendly App Features for Hearing Aids
Many seniors are tech-savvy and appreciate access to an effective smartphone app. While apps are not critical for daily operation of hearing aids, an app allows users to change the volume, sound quality and programs. Hearing aid smartphone apps also include some unique caregiver features.
- Remote support: Some hearing aids come with companion apps that offer monitoring capabilities, such as with the Starkey Hear Share app. These apps are particularly beneficial for caregivers, as they help support the user’s hearing aid experience. For example, caregivers can view how many hours the hearing aids are being worn daily.
- Fall detection: Starkey's hearing aids also offer optional fall detection which can alert family or friends when a potential fall has occurred.
- Find my hearing aids: Several prescription hearing aid brands (Starkey, ReSound an Phonak) offer an app-based "find my hearing aid" feature which locates lost devices on a map.
Understanding these technology options helps in selecting the most appropriate hearing aid tailored to an individual's lifestyle and hearing needs.
Free or Discounted Hearing Aids For Seniors
For those on a tight budget, there are some additional options to consider for support in the financial aspect of the hearing aid process:
- Financing. Many companies and clinics offer affordable plans to fit within your budget. Jabra Enhance Select offers prices as low as $39 a month per pair.
- Have you served in the military? Reach out to the VA to see if you qualify for hearing aid coverage through service connection. Read more here.
- Do you have a Medicare Advantage plan? You may be eligible for discount pricing through a third party like TruHearing. Read more here.
- Lions Club. The Lions Club is an international organization that provides hearing aids at low or no cost through donations to their hearing aid bank. Read more about your local Lions Club here.
- Medicaid is a state and federal insurance program. Each state has different eligibility requirements, with hearing aid coverage in some states. Find out more about your state here.
Final Thoughts
Choosing the right hearing aid involves balancing a variety of factors, from fit and comfort to advanced features like Bluetooth streaming and fall detection. Whether you opt for an over-the-counter model or a custom prescription device, the key is to find something that meets your specific needs and lifestyle.
Remember, customer support and a good warranty can significantly enhance your user experience, making it easier to get the help you need when you need it. We hope this guide has provided valuable insights and helped you feel more confident about making an informed decision.
Have a question?
If you need help navigating the best hearing aid option for you, please feel free to reach out to the Soundly team for support. You can text or call us any time at 1 (213) 460 1310.
