Glossary

For hearing loss, refers to less than average ability to hear and understand sounds due to one or more parts of the hearing system not working properly.

Glossary

For hearing loss, refers to problems hearing in both ears, not just one.

Glossary

For hearing loss, refers to problems hearing in one, but not both ears

Glossary

People with mild hearing loss have some difficulty following speech, mainly in noisy situations; quietest sounds they can hear in their better ear average between 25 and 39 decibels (a standard measure of sound)

Glossary

People with moderate hearing loss have difficulty following speech without a hearing aid; quietest sounds they can hear in their better ear average between 40 and 69 decibels (a standard measure of sound).

Glossary

People with severe hearing loss get help from powerful hearing aids, but often rely on lip-reading even when using an aid; quietest sounds they can hear in their better ear average between 70 and 95 decibels (a standard measure of sound).

Glossary

People with profound hearing loss mostly rely on lip-reading and/or sign language; the quietest sounds heard in their better ear average from 95 decibels or louder (a standard measure of sound).

Glossary

A disease in which bone grows abnormally in the middle ear preventing structures within the ear from working properly and causing hearing loss.

Glossary

Part of the ear that contains both the organ of hearing (the cochlea) and the organ of balance (the labyrinth).

Glossary

A high-pitched, sometime painful, whistling sound that occurs when a microphone picks up sound from a nearby speaker and replays it again and again (commonly occurs when a poorly fitting hearing aid earmold allows sound to “leak” from the speaker back into the microphone).

Glossary

Electronic devices or accessories for hearing aids that provide extra help in specific listening situations (telephone, noisy backgrounds, small or large group settings, etc.).

Glossary

Hearing loss due to failure of the auditory nerve, also called nerve deafness.

Glossary

A portion of the lower skull bone that contains the inner ear.

Glossary

For individuals who previously experienced hearing and get a cochlear implant, the comprehensive training program that “re-teaches” them how to hear and interpret sounds, to recover any lost speech skills, and to properly use the cochlear implant speech processor and controls.

Glossary

For individuals who had not previously experience hearing and get a cochlear implant, the comprehensive training program that teaches them to hear and interpret sounds, to develop or improve speech skills, and to properly use the cochlear implant speech processor and controls.

Glossary

For health insurance, coverage involves making sure a health plan or policy pays for the cochlear implant device and related professional services (for example, physician and audiology services). Usually, you go through a preauthorization process. This means getting a guarantee from the health insurance plan that they will pay for the implant and services before getting treatment.

Glossary

For health insurance, billing involves the process by which health care providers charge, code, and submit their bills (in the form of a claim) to the health insurance company or plan.

Glossary

For health insurance, payment involves getting the full amount allowed for services given a health plan’s limitations, allowables, deductibles, and co-payments.

 
Hearing Loss Education Center
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The Process of Acquiring a Hearing Aid

Most hearing aids are custom-made based on your hearing loss, the shape of your ear, and, sometimes, the sound settings you commonly use (classroom, restaurant, music listening, etc.). The process of getting your personal hearing aid involves activities before, during, and after receiving the aid. 

It is important to mention that you may sometimes see ads that say that you can buy a hearing aid without being examined. This is not wise. It is in your interest to have a thorough exam by a licensed practitioner who specializes in the ear and hearing loss before getting a hearing aid. This rules out any treatable causes for hearing loss, and gets you the best advice on the type and style of hearing aid that is most appropriate for your personal needs.

Before getting a hearing aid

Seeing the doctor

If you think you may have a hearing problem, it is best to see a special doctor, usually an ENT (ear, nose and throat doctor) or otolaryngologist, for an exam and tests to find out if you are a candidate for hearing aids.

Exam & tests – When you visit the doctor, he or she is likely to perform:

  • an exam of external and middle ear (and sometimes special imaging tests to  “see” middle and inner ear structures)
  • various tests of hearing, such as an audiogram, to determine the type and amount of hearing loss

Evaluation & fitting

If a hearing aid is appropriate, you will be scheduled for an “evaluation and fitting” appointment

You may want to bring a relative or friend to this appointment since you will get a lot of information on the types and styles of hearing aids.  A "second set of ears" can help you remember the various options discussed.

At the appointment, you may decide which hearing aid to purchase, or you may want some additional time to think over your choices.

Seeing the doctor

Getting a hearing aid

Choosing the aid

Once you and your hearing-aid provider agree on the appropriate style, type, and brand of your hearing aid (based on your hearing loss, needs, and personal preferences), the fitting and making of your hearing aid begins.

Custom “casting”

An impression or cast of your ear canal(s) is taken if it will be custom fit. The cast is sent to a facility that makes your hearing aid (usually takes about 2 to 3 weeks). You may also have additional testing to define your hearing loss further.

Fitting

When your aid is ready, you return for your fitting appointment. At that time your provider will:

  • Fit the aid(s) to your ear(s) and tune the aid(s) to you specific hearing loss and preferences.
  • Instruct you on the use and care of your hearing aid.
  • If possible, bring along someone to this appointment, so a second person can help you remember how to use and care of your aid.
Seeing the doctor

After getting a hearing aid

Trial period

In the U.S., many states recommend or require a trial period for hearing aid purchases. During this time, you can often get a refund (minus service charges and non-refundable professional fees) if you are not satisfied with your hearing aid. To make best use of a trial period you should:

  • Wear the hearing aid as much as possible.
  • Use the hearing aid in as many sound settings as possible.
  • Make notes of situations where sounds do not seem right
  • If you are having problems, go back to your provider for adjustments

Follow-up

Within a few weeks, you will have a follow-up appointment when your provider will check:

  • Your progress in wearing and using the aid
  • What sounds you hear (with the aid) and if “fine-tuning” is needed.
  • How well you understand the use and care of your hearing aids.

Long-term use

Keep in mind that adapting to hearing aids takes time, patience, and commitment.

  • They do not restore normal hearing.
  • It’s best to use your hearing aids daily—not just for “special occasions.”
  • It takes a while for your ear and brain to “re-learn” how to hear new sounds, especially when hearing loss has occurred over a long time.
  • If sounds continue to not seem right, contact your hearing-aid provider to discuss your concerns, get more training, or receive additional adjustments.

After getting a hearing aid