The First Steps With Hearing Aids
Hearing Aids: the few things that matter most, and the mistakes that catch people out early.
Devices that amplify and shape sound to compensate for hearing loss.
Key takeaways
- Over-the-counter hearing aids: for adults 18 and older with perceived mild to moderate hearing loss
- Prescription hearing aids: for more severe loss, for children, or when an audiologist fits them
- Most useful single change: Wear them all day from the start, not only when you struggle.
- Commonest mistake: Wearing them only occasionally, which prevents adaptation.
- See a doctor if any of the signs under "When to speak to a doctor" below apply to you.
Why bother
Results depend almost entirely on consistent use, and the first few weeks are when people give up.
Start here
Begin here, with two things rather than ten.
- Wear them all day from the start, not only when you struggle
- Persist through the first few weeks while sounds seem harsh
Then add these
Once the basics are in place, add these.
- Go back for adjustment rather than leaving them in a drawer
- See a doctor or audiologist first if your loss is in one ear, sudden, or comes with pain or dizziness
The numbers, in one place
| Measure | Figure |
|---|---|
| Over-the-counter hearing aids | for adults 18 and older with perceived mild to moderate hearing loss |
| Prescription hearing aids | for more severe loss, for children, or when an audiologist fits them |
| Insurance | Original Medicare does not cover hearing aids; some Medicare Advantage, Medicaid and private plans do |
| Adaptation | takes weeks; the brain has to relearn |
| Follow-up | go back for adjustment rather than giving up |
Common early mistakes
- Wearing them only occasionally, which prevents adaptation
- Using over-the-counter aids for a child or for severe loss
- Buying without checking the return period and what support is included
Related topics
- Hearing and the Brain: Sorting the Evidence From the Noise (Brain Health)
- What the Guidance Really Says About Everyday Noise Exposure (Environmental Health)
- Noise at Work: What Published Guidance Supports (Workplace Health)
- Buying Medicines Online: Sorting the Evidence From the Noise (Medicines Safety)
Where to go next
- Hearing Aids: What the Evidence Actually Says
- Hearing Aids, Explained Without the Jargon
- Hearing Aids — the reference entry
- Hearing Health: The Complete Guide
- Ear Infections: What Published Guidance Supports
- What the Guidance Really Says About Dizziness and Balance
When to speak to a doctor
Get same-day care for sudden hearing loss, ear pain, discharge or dizziness. Return to your audiologist or hearing aid provider for feedback, discomfort or a sudden change in how the aid works, which can point to wax, infection or a change in hearing. Call 911 for hearing loss with facial drooping, weakness on one side or trouble speaking.
Where this comes from
- FDA — OTC Hearing Aids: What You Should Know
- National Institute on Deafness and Other Communication Disorders — Hearing Aids
- Medicare.gov — Hearing aids
How this page was put together
Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.
Medical disclaimer
This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.
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