Experiencing hearing difficulties and thinking about getting hearing aids? Not sure which ones to select from the sea of products available on the market? Worried about how it would look, or whether it will really help in addressing your problem? Know that you are not alone!
According to the World Health Organization (WHO), approximately 466 million people worldwide (over 5% of the global population) suffer from disabling hearing loss. WHO predicts that by 2050, over 900 million people will be affected by some form of hearing disability.Hearing aids come in various shapes, sizes and technology levels; each with their own unique features, making it difficult to select the ones that are best suited for your specific needs. This is why consulting with a Hearing Professional such as an Audiologist is your best move, so that they can provide you with more in depth information on how to help you manage your specific hearing difficulties.It may be difficult to take that initial step into getting hearing aids, but instead of missing out on social interactions, or other hearing-driven activities, appease your concerns with our complete guide on hearing aids. Learn more about these devices, including, how and why they work, which variant to purchase, and how much you may have to pay for them.
What is a Hearing Aid?
Permanent hearing loss occurs when there is damage to the hair cells (small sensory cells) in your inner ear. This can be the result of noise exposure, an injury, or in many cases, the body’s natural aging process. While a hearing aid is not a miracle device that will restore your normal hearing, it comes pretty close by amplifying the specific sounds that you find difficult to hear. Essentially, it is a small electronic device that you wear behind, or in your ear. When the device transmits the amplified sounds to your ear, the surviving hair cells can detect the larger vibrations, and send relevant signals to your brain. This in turn facilitates your hearing.
Depending on the type of devices you buy, hearing aids can help you hear in a noisy, as well as quiet environment. Getting fitted with hearing aids would mean you can listen, communicate and participate in daily activities more holistically.
How do Hearing Aids Work?
The primary purpose of hearing aids is to carry sounds from the environment into your ear and make them loud enough for you to be able to actually hear them. Most hearing aids are battery-powered digital devices that include three main components:
- Microphone: Picks up sound and converts the sound waves into electrical signals.
- Amplifier: Increases the power of those signals to make them louder and sends them to a receiver/speaker.
- Receiver: Transmits the amplified sound into the ear canal for you to be able to hear.
Technologically advanced devices available today also include a computer chip:
- The microphone transmits the sound to the computer chip.
- The programmable chip contains dozens of features (if not more) that collectively analyze and adjust the sounds around you, based on its existing volume, varying acoustic components in your forever-changing listening environments, as well as your specific hearing loss.
- After necessary analyses and adjustments, the chip converts the amplified frequencies into sound waves, which the device’s speakers deliver to your ears.
- There are even hearing aids that have the necessary technology to adjust its settings automatically to your acoustic preferences
- This process does not stop as long as the hearing aids are working.
Benefits of Hearing Aids
Even a slight hearing impairment could negatively impact your social interactions, professional capabilities, interpersonal relationships, and ability to live a normal life. In fact, there are several studies that correlate untreated hearing loss to a number of physical, emotional and cognitive problems, such as:
- Reduced alertness and concentration, with increased risk to personal safety
- Fatigue, stress, and frequent bouts of anger and irritation
- Depression and withdrawal from social situations
- Impaired memory and reduced ability to learn or retain new tasks or information
- Weaker job performance and decrease in earning power
- In some cases, premature cognitive decline, and even dementia
However, in reality, many people do not take advantage of hearing aids to help improve their hearing. In a study by the National Institute of Deafness and Other Communication Disorders (NIDCD), approximately 28.8 million adults (age 20 – 69) in the U.S. could benefit from hearing aids, but fewer than 16% have ever used them.
Hearing aids help in restoring hearing abilities to an extent where you can perform most daily tasks without major obstacles. This can translate into improved:
- Mental Health: You feel secure and independent and are not constantly stressed about not being able to hear.
- Physical Health and Wellbeing: You feel good about yourself and are not tired or exhausted due to the strain of the hearing impairment.
- Relationships: You can actively engage in social interactions.
- Job Performance: You can focus better on the task at hand.
Additionally, many hearing aids also help in managing tinnitus, by means of managing and often reducing the annoyance or irritation related to Tinnitus (hearing sounds in one or both ears, in the form of clicking, ringing, buzzing, hissing, humming, or others).
What are the Different Types of Hearing Aids?
The competitive hearing aids market features over 200 different types of devices across 7 key styles. Some styles may be suitable for mild to moderate hearing losses, whereas other styles may be required for severe-to-profound hearing losses. Here is a quick rundown on each hearing aid style:
Invisible-in-Canal (IIC): With a custom-fitted device inserted farther into the ear canal, the IIC is practically invisible when worn. It is best suited for adults with a milder hearing loss, and who prefer not to attract any attention to their hearing impairment. This said, this type of hearing aid may not be suited for some patients due to the size of their ear canal, and the amount of wax they produce. Ear hygiene is definitely a concern with this style of hearing aid. Consulting with an Audiologist if this is the right style for you is necessary.
Completely-in-Canal (CIC): A completely-in-the-canal hearing aid is custom-moulded to fit the size and shape of the user’s ear canal. One of the smallest and least visible devices in the market, the CIC is less likely to pick up wind noise, but it is more likely to cause earwax build up, which can clog the speaker. Also, since the CIC is really small, its battery size is small and battery life is limited. It typically does not offer features such as directional microphones, which help to hear better in noisier environments; and may not have control buttons right on the hearing aid, for example, to change the volume of the hearing aid. Both of these features are typically offered on all other styles of hearing aids listed below.
In-the-Canal (ITC) or In-the Ear (ITE): An in-the-canal hearing aid is also custom-moulded to fit the user’s ear canal, but it sits only partially in the ear canal, making it more visible on the outside. This however, makes it easier to handle than with the smaller custom styles of hearing aids. This device is slightly more feature-rich than the IIC and CIC styles of hearing aids. It is often recommended for people who may have a harder time inserting the over-the-ear hearing aids, such as patients who suffer from arthritis in their fingers. This type of hearing aid is also available as a full shell hearing aid, which we call ITE – In the Ear hearing aid, which fills up the ear cavity entirely.
Behind-the-Ear (BTE): A hard case that contains the electronic components hooks up over the top of your ear, and rests behind it. A tube connects the hearing aid to a custom earmould, which fits inside your ear. Although traditional models were quite large in size, the newer designs are much thinner and much less bulky. The BTE style hearing aid is traditionally prescribed for more severe to profound hearing losses, and often for children so that only the earmoulds need to be changed when their ears grow.
Open BTE (Open): A modified BTE, the Open BTE hearing aid is small enough to completely fit behind the ear, with just a narrow tube inserted into the ear canal, keeping the canal open. Due to its open fit, this device may be a good choice for people who experience chronic earwax buildup. It may also be a good option for patients who do not want the perception of their voice to sound ‘plugged-up’. This is typically suitable for people with milder hearing losses. That said, this style of hearing aid is less and less popular amongst Audiologists, as it does not offer a lot of flexibility should your hearing loss worsen over time, and require more amplification, power or change in programming.
Receiver-in-Canal (RIC): The receiver-in-canal (RIC) hearing aid is also known as receiver-in-the-ear (RITE) or canal-receiver technology (CRT). RIC style hearing aids can be worn with a dome (keeping the ear canal open), or with a custom-made canal-sized earmould, which is set up with the receiver that sits inside the ear canal. It is connected to a unit behind the ear through a thin electrical wire that is typically available in 3 power levels.
The RIC is by far the most popular style of hearing aid among patients, but also amongst Audiologists thanks to its versatility, flexibility in power and discretion; whilst not leaving behind the necessary acoustic features to help patients be successful with managing their hearing loss. This style of hearing aid is typically available in regular or rechargeable batteries and can typically offer connectivity to your phone either directly, or through an intermediate device.
How to Choose Hearing Aids?
Whether this is your first experience with hearing aids, or you are in the process of getting new ones, it is important to end up with a device that works best with your:
- Level of hearing loss
- Listening needs
- Lifestyle and aesthetic preferences
- Abilities to manipulate the device and be independent with it
- Budget
Since most devices come in a range of sizes, colours and finishes that complement a variety of hair and skin tones, you have plenty to choose from. Your Audiologist will be able to help you select the best hearing aids for you based on a variety of factors:
- Hearing Loss Level & Tinnitus: In addition to determining your basic hearing loss level, you may have to factor in the specifics. For example, if you are hard of hearing in the high frequencies, your hearing aid will need to have the flexibility of programming that is necessary to amplify the specific pitches that you need amplified. If you have tinnitus, you may require a device that allows better management of this condition, by using built-in tinnitus programs within some hearing aids.
- Speech Clarity Level: Sometimes patients not only have hearing loss, but also a problem in processing of speech. Your Audiologist determines this during your hearing assessment. If this is your case, it means that even when we give you more volume with the help of hearing aids to compensate for your hearing loss, there is still a problem in processing how clear speech is. Patients with this type of difficulty will typically benefit more from higher-end technology of hearing aids, as it has more features built-in that can analyze and process sounds for you, instead of only relying on your brain’s ability to do so.
- Ambient Noise Exposure: If you lead a lifestyle where you go out often, or for long periods of time, you may be exposed to more background noise, compared to the comfortable and controlled environment of your home. As a result, you may have to look for hearing aids that enhances speech and reduces ambient noise a bit more.
- Nature of Key Listening Moments: Your key listening moments usually depend on the activity in which you spend the most time. For example, do you work at a construction site? Do you host large public speaking events? Are you in a music related field? Do you actively participate in a sport or outdoor activity? Selecting a device that can give you the best possible support during your key listening moments is important for your success.
- Direct Audio Streaming to the Hearing Device: Are you an avid smartphone user, or a TV buff, who prefers to stream music or videos directly to your hearing aids? Some modern hearing aids offer Bluetooth connectivity, through which you can connect your phones, laptops or tablets directly.
- Device Management: Do you want a hearing aid that is versatile and easy-to-control? Certain advanced models feature smart phone connectivity through dedicated, manufacturer-developed apps. These apps allow you to personalize your listening experience, and adjust your device settings through interactive, AI-powered features. There is even a manufacturer that offers an app that is capable of machine-learning!
How Much do Hearing Aids Cost in Ontario?
With a wide range of brands, models, designs and features, the prices of hearing aids may vary greatly. A common misconception is that the smaller the device, better its functionality, and higher its cost. However, in reality, with smaller hearing aids, you may have to compromise on power, battery life, wireless connectivity, rechargeability, and other additional hearing aid functionalities. Smaller also does not mean more expensive. The range in cost of hearing aids relies entirely on the level of technology built-into the hearing aid, not its size or shape.
Hearing aids in Canada are priced according to the cost of the hearing aid technology, along with the cost of the clinical services you will receive from your chosen clinic. So, when you purchase hearing aids, you are also typically purchasing your clinical services for the lifetime of the hearing aids, which ends up being for 5 years on average.
Clinical services are often included in this cost because hearing aids cannot function forever by themselves. They require programming, ongoing maintenance, as well as clinical care for your hearing, as well as ongoing counselling to help you understand your hearing abilities better.
This said, from size and features, to occupational requirements and cosmetic preferences, no matter what drives your purchase decision, hearing aid purchases (including the cost of ongoing clinical services) in Canada fall under four broad price bands.
Essential: Essential-level hearing aids usually work better in quiet environments, as they are quite sparse on features. They are not ideal for users who spend any amount of time in noisy or outdoor environments. Most are priced at around $1,500 to $2,000 per hearing aid (including clinical services).
Basic: A step higher than the essential level devices, basic hearing aids may offer a few additional features, but remain suitable for relatively quiet environments. Prices range from $2,000 to $2,500 per hearing aid (including clinical services).
Mid-Range: These are performing hearing aids that are suitable for enhanced hearing in quiet, or somewhat noisy environments. Generally speaking, they offer better sound quality and lower listening effort than the essential or basic levels of technology. They are typically suitable for most environments but may sometimes require some manual changes. Devices in this category may cost $3,000 to $3,500 per hearing aid (including clinical services).
High-End: With top-of-the-line features and technology, these devices typically offer great sound quality, and require the least listening effort. They are the most automatic hearing aids on the market, and therefore may require less manual changes. They also have features that can help with more complex sounds, such as wind and music. Hearing aids in this segment are suitable for both quiet and noisy environments and are ideal for people with active lifestyles, or for people who simply want the most automatic, effortless and natural sounding hearing possible. High-End level hearing aids may cost $3,500 to $4,000 per hearing aid (including clinical services).
Regardless of the level of technology you end up selecting, you will hear better. The difference between the technology levels have a lot more to do with the quality of the sound, rather than how much volume we will be able to provide a patient for their hearing loss. Also, in all levels of technology, most manufacturers offer hearing aids that can be rechargeable and can offer smartphone or Bluetooth connectivity. This typically does not rely on cost.
If you are an Ontario resident, you currently have coverage under the Assistive Devices Program (ADP), which provides a limited subsidy for hearing aids. Adults and children with Ontario Health Insurance Program (OHIP) Health Cards can get 75% coverage of the cost of one or two hearing aids, up to a maximum grant of $500 per aid. This benefit is applicable only once every five years, and the patient covers the balance cost. Certain disqualifiers and conditions apply.
Depending on the chosen clinic, brand and time of the year, you may also enjoy special deals, discounts, and easy financing options.
When to Get Hearing Aids?
According to Statistics Canada, about 4 million people in Canada are living with hearing loss, and most people who discover hearing loss, wait an average of 7 years to seek help or opt for hearing aids. The long wait would mean that your hearing loss progresses to an extent where the brain ‘forgets’ how to hear sounds properly, which makes it harder for you to get used to hearing at a more normal level with the help of hearing aids. Opting for hearing aids sooner may allow for this progression to slow down, and help present any lifestyle obstructing hearing-related difficulties.
Symptoms that indicate a hearing impairment
- You find yourself continually asking people to repeat themselves.
- You find the voices on phone calls to be low or unclear.
- Your family or friends complain that you watch TV or listen to music at a very high volume.
- You seem to find it difficult to understand speech in a noisy environment.
- You think others are mumbling or speaking too softly and strain to understand conversations in a work or social setting.
- You find yourself trying to lip read people since you cannot clearly hear what they are saying.
Sometimes, excessive wax build-up, ear infections, or exposure to loud sounds, such as gun shots or music concerts can lead to temporary hearing loss. However, if you notice the above-mentioned symptoms on a slightly more prolonged basis, you may be suffering from hearing difficulties that require further rehabilitation.
If this sounds like you or someone you know, book a hearing test or visit your primary health care provider, who may refer you to an Audiologist. Based on the results, your hearing health professional will advise whether hearing aids can address your specific problem, or if there is a medical condition to take care of.
Where to Buy Hearing Aids?
On the Ontario government’s official website, in the Health and Wellness section, you will find an extensive, city-wise list of vendors who sell hearing aids. As an Audiology services clinic, based in Orléans, Ottawa, Echo Audiology is also part of this vendor listing. With a state-of-the-art audiology clinic and highly qualified team of hearing health professionals, we offer Hearing Tests, Tinnitus Consultations, as well as a wide range of hearing aids for purchase. Being an independent clinic, we also have access to all mainstream hearing aid manufacturers.
In addition to a friendly, bilingual, medical-based and patient-centered clinic, we provide:
- A holistic approach to hearing health.
- Trial period and extensive counselling to help acclimatize patients with their hearing aids.
- Amplification simulators that help patients instantly experience the impact of a hearing aid.
- Hearing loss simulator to help spouses, partners and family members empathize with the patients’ hearing impairment.
- Free, in-clinic demos that help patients understand how it would feel to hear better.
- Discounted prices through our community partnerships, as well as other attractive, budget-friendly funding and payment options on most hearing aid brands and models, including the innovative Hearing Aid Rental option.
- We also have an Audiologist, Speech-Language Pathologist & Physiotherapist, all available under one roof.
We are a clinic of choice for Physicians, Specialists and Health Professionals, who refer their patients to us for hearing tests and hearing aids. You do not require a medical referral to book an appointment with us, but we do accept them. Moreover, all our services are also available for patients who have purchased their hearing aids elsewhere, who are looking for 2nd opinions or high-quality ongoing clinical services.
Get Started Today with a 75-Day Trial Period!
At Echo Audiology, we pride ourselves on our modern Audiology tools & equipment, as well as our comprehensive medical and patient-focused hearing health services.
- Vast Choice in Hearing Aids: From hearing loss level and skin and hair tones, to lifestyle and budget, we are mindful of the various factors that may influence hearing aid recommendation. Hence, we have access to an extensive collection of hearing aids from industry leading manufacturers. This includes all types, sizes and styles of hearing aids, including Bluetooth compatibility, rechargeable options, discrete devices, and Tinnitus compatible versions.
- Superior Hearing Health Services: We believe in a transparent, educative and counselling-driven approach to guide you in your hearing aid journey. Our Registered Audiologist comes with a decade of experience and superior clinical skills. She is also committed to your success.
At Echo Audiology, we understand that hearing aids are an important investment that needs careful evaluation and consideration. If you are looking to get fitted with hearing aids, don’t miss out on our 75-Day Trial offer!
- Let our Audiologists advise you on selecting hearing aids that suits your listening needs, while keeping in mind your lifestyle, budget, and personal preferences.
- Take advantage of our special offers and easy-payment options.
Rediscover your hearing with the help of Echo Audiology, your local, independent and trusted Orléans Audiology Clinic. Call us at 613-841-3033 or fill out our online form to book a consultation and take charge of your hearing health today.