Yes. I am not discounting Costco overall. I am just posting my recent experience. I think because I have severe low frequency loss, this is optimally dealt with by high powered BTEs. But at the moment, for whatever reason, there is not a lot available at Costco right now in that form factor.
I assume your low frequency hearing is mild/moderate. What are the numbers up to 1khz?
Ultra power and super power.
Hi Bob, these are Ultra Power & Super Power BTEâs (Behind The Ears) These aids have enough power to deal with severe/profound losses, they usually require disposable batteries as Li-on batteries arenât powerful enough at present, they use custom molds, and tubing⌠I hope this helps, cheers Kev
This is incorrect information, why would only this be?
You might mean mild to severe, the only reason I wouldnât add profound (this is from 90 -95dB onwards) is because Costco no longer stock the UP BTE type of hearing aids, so if you need this in the lower frequencys, thereâs a problem.
The Jabra, Rexton,and Philipâs models sold by Costco have no problem being fit to severe loss, so now we get to how good is the person setting the standard for fitting this, one could say Costco or a private clinic could get this wrong, youâll find many on this very forum complaining about both!
@astrohip sometimes finding a âgoodâ audiologist is very difficult. I thought the one I was working with was good⌠I have severe profound loss in both ears. My AuD sold me Bolero SP aids. They were useless to me they didnât help me at all. So $7500 later totally wasted. Sadly even good AuDâs make bad judgement callsâŚ
I love the 675 battery on Xceed. Last at least 20 days. Easy to handle and cleaning.
Bolero SP despite being a SP Aid is really only suitable for a max of 90 dB apart from 8K which goes to 110 dB.
All these SP Phonak Aids sure isnât easy to understand.
Think Phonak have made it more simpler by having Audeo as RIC and Naida as BTE Aids and thereâs no different power levels of SP Phonak Aids now.
I do think BTE Aids are easier to maintain.
I tried an Audeo M70 for a while. Seemed too flimsy and easy to break but I guess some people like the small Aid.
Rotating between More 1 and Xceed. 5 days on Xceed and 2 days on More (weekend)âŚStill love Xceed more! Easy to handle and cleaning. 675 battery last for a long period of time and no need to bring charger in the bag while traveling. More 1 rechargeable if fully charge, will show up as 100% in the Companion Apps but 675 battery will never be 100% in Com Apps. 60-80% in Xceed then remains 50% a week or more before you hear a low battery sound in a week later. Overall, 675 battery last about 15 - 20+days.
More 1 is discrete on the ear but never bother about it for Xceed.
Well that explains exactly why they were useless. As my audiogram hadnât changed much in the last 6 years to what it is now. The CI aud even questioned why I had these aids Now I know why! Thanks Zebras for your explanation.
It is better to go for the UP or SP - BTE models for severe to profound HL. If it is too loud, we can lower the volume rather than you could hear loud enough.
I moved from SP to UP aids last year and the difference is clear
I donât have experience with BTE so canât comment on that piece. But as it pertains to significant hearing loss and Costco aids I personally have found the aid to be comparable to an independent good audiologist.
My loss is significant and hard to fit as it is pretty flat. Currently -85 to -90db across all levels. Every audiologist has said the same thing - very hard to fit; aids are not geared towards such a significant flat loss. (Single ear loss; need to update my audiogram here)
That said, I have a Philips 9030 from Costco; also an Oticon More 1 from independent. Both aids use the same baseline hearing test at my request. I have a custom ear mold as well. Both have the 80 power receiver - at some point may try the 100. For me, the 9030 seems to have a slightly more balanced sound but the More brings in more of the lower levels/bass sounds which is nice too.
The fitter makes a huge difference. I am fortunate that I have several Costcoâs within 30 miles so I switched locations two times until I got the best fitter.
Because of my type of loss I have accepted that my HA will help but likely wonât be perfect. So keeping in mind that my aid from Costco was (at the time) under $1k but the More was $3300 I definitely believe that even for significant loss Costco remains a good option. At least for me.
We do not have Costco here. Started with Bose and is not suitable for Profound HL. Returned and bought a pair of More 1 (100dB mic) online for USD2600 but still find difficult to hear in noisy environment/restaurants. With the help in this forum, bought a preowned Xceed UP 1 BTE and it works much better than More 1. Still need some time to fine tune by the Audi to get it better for my type of HLâŚ
It is better to trial Oticon Xceed or Phonak Naida BTE ultra power for Severe to Profound HL. Look out for preowned HA before you decide to buy a new pair or new released models. Check it out whether it helps or not.
I have a problem with the terminology of âsevere to profound lossâ because although itâs quite specific in the amount of decibel loss, it doesnât mention anything about frequency. I have a âsevere to profoundâ loss from 3000 Hz up in my right ear, but I consider my loss pretty moderate and Costco RICS with medium receivers suit me pretty well. If I had a loss that was severe or greater in the 250 Hz to 1000 Hz range, I could see that UP BTEs might be a good idea. Just wanting to make the point that just because somebody has a 90 dB loss at 6 kHz and 8 kHz doesnât mean they have a profound loss. If they have normal hearing up to 4 kHz, they likely donât even need hearing aids.
So looking at your audiogram shows a mild to profound on your left and moderate to profound on your right, so if itâs more then 90dB then itâs considered âprofoundâ regardless of the frequency, itâs common for this to be in the higher frequencies, and yes definitely if you have this kind of loss at say 4Hz and under, this is definitely going to need UP, but Iâm not sure I could go along with saying people who only have a loss from 4Hz and over donât need HAs if they have normal hearing otherwise.
This is how UK NICE guidelines show you have a severe/profound loss.
Find it quite interesting. Donât know if these are important frequencies?
Makes sense. From what Iâve seen, loss above 4 kHz is largely ignored.