robysue, I am merely a fairly new user (started trialing aids last summer about this time), but since it’s Sunday night, and you are probably wishing for info, I’m going to give you what I can. More experienced users and the professionals will probably chime in when they can.
More expensive than what? If you mean really inexpensive aids that don’t do anything other than turn the volume up on the world, then yes. If you mean the difference between the latest and greatest $7,000 aids and the one step back $6,000 aids, I don’t think so. Also if you mean the difference between the private audi’s $7,000 aids and some of the Costco aids for less than half that, probably not there either. What you find is HAs are very individual. So you may try two different pairs and find A is unbearable for amplifying things you don’t want to hear and B does a good job making those things sound natural. I may try the same aids and find B works for me and A are the unbearable ones. Some of that has to do with fitting, but some has to do with the differences between me and thee.
Most new wearers find background noises too loud until they adjust. You aren’t going to get bird calls louder without also having running water and your computer keyboard louder.
Since it sounds like tinnitus is a big factor for you, you should know that the aids with tinnitus masking are the more expensive ones. For some people just getting aids helps with tinnitus. I think it is for me although I’m not willing to certify that yet, but from what I’ve seen here, even the masking programs don’t work for everyone.
Costco aids don’t have the tinnitus masking feature, but you can get the longest trial periods there. For me it was 90 days; I see posts saying it’s now 180 days. You have to pay up front, but you get a 100% refund if you return them. Private audis tend to have 2-week to 30-day trial periods and charge a restocking fee, although the one I dealt with didn’t charge my credit card up front.
All aids are going to “enrich your whole aural environment,” the trick is to find ones and that can do it in a way you’re comfortable with and find someone who can program them to take advantage of that best.
That’s something you have to answer for yourself. From posts here I get the impression BTE are only sold these days when there’s some reason. RITE (RIC) are more common/popular. Maybe someone else can give pros and cons of each style.
I don’t think most people have any problem with it. I wear sunglasses over my RIC aids whenever I’m out and about, and have computer glasses also. The RIC aid at least, is small and the arm of the glasses sit on top without any problem.
Some of your outdoor activities would call for caution, though. If you walk in the rain to where you get soaked, dripping hair and all that, you’d need to take the HA out. People who do really sweaty things get these little protector thingums that go over the aids.
As to tips, I’d say take advantage of the trial periods offered. I’ve never been very good at doing that, but I did try 3 brands and am glad I did. Of course some people try one brand and are immediately in love, but the first ones I tried were high-end very expensive ones from a private audi, and I didn’t think they helped enough to be worth the bother. You can see in my signature that my hearing is worse than yours but similar. I too got by for a long time by simply asking people to speak up, but the fact is most do that for a sentence or two and then fall back to their natural level, and it finally got to where I knew I was tuning people out and not even trying to understand them, and I needed to do something. I’m glad I continued to pursue a solution. I’m sure you can find aids that work for you.