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Hearing Aid Business Under Pressure From Consumer Electronics

HughPickens.com writes: There's good news for aging Americans who may have damaged their hearing by attending one too many rock concerts when they were young. Andrew Pollack writes at the NYT that the consumer electronics industry is encroaching on the hearing aid business, offering products that are far less expensive and available without the involvement of audiologists or other professionals. The new devices are forcing a re-examination of the entire system for providing hearing aids, which critics say is too costly and cumbersome, hindering access to devices vital for the growing legions of older Americans. "The audiology profession is obviously scared, for good reason, right now," says Abram Bailey.

Hearing aids cost an average of nearly $2,400 each, or close to $5,000 a pair, according to a White House advisory group, and Medicare does not pay for them, nor do most insurers. By contrast, the consumer devices are not regulated and sell for a few hundred dollars apiece, at most. Hearing aid manufacturers say that diagnosing and treating hearing loss is too complex for consumers to do using consumer devices, without the aid of a professional. But sound amplifiers have been around for years and they are growing in sophistication, taking advantage of signal processing chips developed for phones, Bluetooth headsets and computers. The devices include the Smart Listening System from Soundhawk, which sells at $400 for a single ear; the Bean from Etymotic Research, at $300; the CS50+ from Sound World Solutions at $350; and the Crystal Ear from NeutronicEar, at $545. "To me it was a reasonable investment to experiment with," says Ira Dolich, 81, who bought the Soundhawk device, which he can adjust by himself using his smartphone. "I've been pretty pleased with it," he said.

2 of 209 comments (clear)

  1. Re:I believe this is because diagnosis is importan by jenningsthecat · · Score: 5, Interesting

    Yes, diagnosis can be very important. I learned that during a year-long stint calibrating audiometers and tympanometers in the offices of both hearing instrument practitioners and audiologists. I also learned that some tests are very short and rudimentary; most often these are what customers get at the 'blow it out the door' hearing aid places. Most audiololgists, (and the good, competent HIP's), do in-depth testing that can diagnose problems and potential problems that might otherwise not be found.

    So, in short, I agree with everything you said, and you know a lot more about hearing loss than I do. I also know that there's a degree of sophistication in modern hearing aids that simply can't be had really cheaply, both because of manufacturing costs, and because of a significant amount of original research - even in materials science.

    Having said that, I still have a strong impression that hearing aids are very much over-priced. And I know that the testing equipment, (audiometers in particular), are also very over-priced. The whole industry is ripe for some major disruption, and I suspect the encroachment of cheap consumer devices is only the thin edge of the wedge.

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  2. I think the $2,4000 models are a great deal by damn_registrars · · Score: 4, Interesting

    I recently helped an elderly family member get tested, fitted, etc for hearing aids at an audiology office. Sure, it seems like a lot of money. But the $2,400 covers the hearing aid for three years of whatever you might happen to do to it. That breaks down to $800 per year, or less than $70 per month (per ear). That's less than a cable bill, and less than what most people - even elderly drivers - spend on gas for their cars for a month.

    That said, there is one health care plan that does cover hearing aids 100% that I am aware of - the VA. I know several people who have gotten their hearing aids for free through them and they've been very happy with it.

    Several health insurance plans also offer a small rebate to the customer after they purchase them. The same elderly family member I mentioned before got $500 back from these, and is eligible to do that every 3 years. While I'm not in need of them myself I believe my health insurance plan has a similar arrangement.

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