Older adults in the U.S. can get the best hearing care by acting like informed consumers—asking questions and advocating for themselves. Begin with these key strategies.

Get a Professional Hearing Evaluation

Don’t rely on home tests or free retail hearing tests. A licensed audiologist or hearing instrument specialist can identify treatable causes (like earwax or infections) and your type of hearing loss to confirm if hearing aids are necessary. They should explain your evaluation results clearly.

Understand Insurance and Costs

Medicare doesn’t cover hearing aids, though Medicare Part B covers hearing exams if ordered by a doctor. Some Medicare Advantage plans include hearing benefits, so check your policy. Paying out of pocket offers flexibility, and you can seek reimbursement later. Ask if pricing is bundled (device plus services) or unbundled, and clarify what’s included—fittings, follow-ups, adjustments. Inquire about extra fees and financing options to avoid surprises.

Choose Hearing Aids Wisely

Experts recommend an in-person exam before buying any aids, including one to rule out underlying medical conditions. Where an ENT referral is necessary, we can identify the red flags that indicate additional testing by a medical doctor is required.For any device, review return policies and trial periods (which are, at a minimum, 30 days). Share your priorities—battery life, Bluetooth®, ease of use—so providers can match devices to your lifestyle. The best hearing aid is one you’ll use consistently, not necessarily the priciest.

Advocate for Yourself

Prepare questions: “What does the price include?” “What’s the warranty?” “How long is the return period?” Bring a friend for support and note-taking.

In a complex health care system, informed patients get the best results—so advocate for your hearing health.