I ended up buying ReSound at Costco for $2700. The fitter is named Sam at the Costco San Juan Capistrano store. He had his own business up until 2008, and has been with Costco ever since. A 30+ year guy, extremely knowledgeable and professional, degree in electrical engineering. This store was #18 in the Costco USA ranking of hearing aid departments in 2019, and they were #1 in 2020! The ranking is based on a number of factors including sales, return rate, capture rate, etc.
I feel unbelievably lucky, and was shocked when he showed me their rating system. He feels the ReSound Preza product is the best for me, and their app looks great. I am used to 312 batteries rather than rechargeable, so ordered that product.
I had the same experience with a private audiologist - who was trying to sell me $7,000 Widex aids. It was the price and the fact the aids she fitted didnāt seem to help much that made me walk away, but her exaggerated claims that Costco sells āyears oldā technology didnāt help her case.
I donāt see why anyone wouldnāt at least give Costco a try. Itās not as if you canāt return the aids without financial penalty and go somewhere else if you arenāt happy with what they fit.
Except that from what Iāve seen people report here, Costcoās fitters follow best practices as a default.
While average fitter in private clinic probably isnāt. And their common method is manufacturer fit + āhow do you hear me nowā method.
Good fitter in private clinic does follow best practices.
Best is the one who not just follows them but understands them and how hearing works and how loss works, and is able to advice you.
You ask them to tell you if they follow best practices. As a minimum criteria. Judging from the information, youāll eliminate probably 80% of them
What are those? Check dr cliff aud webpage, under resources: https://drcliffaud.com/
And be sure that you understand them (dig around his youtube as well and here on forum), thatās the only way you can be confident that your fitter is really doing them and not just saying they do but ānot for youā.
This is awesome!
What prompted you to do that if you donāt mind sharing? And in what exactly you gained by doing that? I mean, I as a wearer have some assumptions that fitter who wears aids can better understand how they really work, but so far I havenāt met any who do so, so thatās why Iām asking you, what you really gained by doing so?
This is one of the best things Iāve heard here!
And all other things youāve wrote, I can only say āyeah, listen to thisā, great great advice
However, you can do a lot with good provider who doesnāt know some aid in its soul. Mine is ājustā good. We work together, he doesnāt know everything, but also, he really knows a lot and is able to troubleshoot things. And he follows best practices to an extent theyāre possible/billable here. In short, quickSIN or similar is nowhere to be found because insurance companies donāt take those results in the consideration. But thatās regional issue
However, what makes him my choice and I only can recommend him is that heās extremely honest, so I know if he doesnāt know something because he tells me so immediately. Or why he doesnāt have some tests/further equipment. But also, questions I ask are probably more aligned with difficulty he had on his exams, and not your average customer. Not to mention that he openly talks about prices he has to pay for something, if I ask him. So weāre really great team, even though I wouldnāt say for him that he has one aid that he knows in its soul. He said that theyāre basically all the same, so he works with whatever and provides same great results, and he approaches the software with understanding of what really happens deep down, not by learning by heart, which I think many do from what Iāve seen and experienced until I met him.
However, I do DIY myself for all those options and I didnāt bother him with that, so I donāt know how well heād be in it, since he didnāt touch that part. Options like - more/less directionality of mics, more/less noise block, more/less wind block, per programā¦ Thatās why I canāt say heās utterly excellent since I didnāt use him for everything. Heās great for me, since we work together, and heās totally on board with me DIYing and keeping him in the loop why I did something, and him making suggestions what I could try do to about some issue.
Just point - it is possible to have great fitter and great results for you even though your fitter isnāt satisfying formally all checkboxes from best practices list, but you both have to know why he doesnāt do something and whatās way around it eg how they ensure you get the best possible outcome.
@LawyerFL
However, speech based tests and hearing aid fitting plus after that speech based verification how aids work both with instrument and you doing test again is IMO absolute minimum you have to get.
Walk away really should be the first thing on your mind, not the last. They have to convince you theyāre good for you to stay, and you should come with the assumption theyāre bad. Unfortunately current state of the industry pushes us consumers into this being the better approach for us if we want to really get the value for that insane amount of money weāll pay.
@timcorbett
Iād just add to this - tech level in aids is about software and hardware features (eg number of microphones), and not about the look of the case itself.
So, with phonak, level 90 means you get echo block and all possible programs in autosense, in level 70 you cannot have echo block at all, and very loud noise is possible only as a manual program.
50 and 30 have just one mic, so they arenāt able to provide same level of noise blocks or stereo zoom (where all 4 mics work together to eliminate noise from your back and focus on the sound directly in front of you), plus also they have less and less programs in autosense (thatās a automatic switch for programs).
Also with tech level comes/might come some reduction in software ability, like 30 will give you lower boost signal-to-noise than level 90.
So audi who says that costoās aids are not on the same tech level as top original is basically lying.
And āhighest qualityā definitely needs detailed explanations to be taken seriously.
I personally donāt consider those things MDB stated as different as giving better quality, but you or your audi might, thatās IMO more in the area of personal taste than of objective measure.
Eg I will defend regular battery all day long as a superior solution, while some will insist that rechargeable means better quality.
Yeah, that sounds especially funny when you put in context that HAs actually are released every several years, roughly 4
So, unless you buy at the time of the release, youāll always buy āyears old techā simply because thereās no newer.
Marvel vs Paradise difference is negligible (especially for vast majority of users) and I havenāt seen USA or other audi who is able to match costcoās prices of roughly 1500 USD for a pair of KS9 essentially M90s.
Coming from a person who tried them both and learned a lot. And official price here is around 6000 eur for a pair No costco here.
Iād recommend KS9 to anyone who can get their hands on them.
I wear paradises but wouldnāt recommend them unless you REALLY need two BT devices simultaneously connected, which isnāt that probable if youāre retired (vast majority of HA wearers), and even if youāre working person, if you donāt need calls all the time, then probably you donāt NEED paradises.
Yes, paradises do have a new chip, but they donāt utilize it anything significantly different than marvels do their chip. I expect to see something really new with the next line, when paradises which are basically public beta testing for that chip age a bit and give feedback.
Belong was testing field for marvels (streaming to only one aid), which are polished well working product (binaural streaming).
My fitter honestly told me that he cannot match those online prices, but he pointed out service he can provide for his price. Which is why I decided for him among other things.
I think we donāt mind paying more if we really perceive weāre getting the value for that. Spitting on someone doesnāt show how you bring me value, quite the opposite.
I mentioned case design for two reasons: 1) I like to try to be complete and 2) Iād read somewhere that Phonak put considerable effort into designing the microphone openings to reduce wind noise.
They even changed them between marvel and paradises, not the shape but the position, one has more parallel another is a bit like V shape. I forgot what youāve said which case KS9 uses though?
However, unless you say this, OP has no clue and honestly I didnāt pay attention why ācase is differentā would matter.
So Iām glad that youāve answered with more details
Wind noise, which the Costco audiologist could not bring down to non-annoying levels even after consulting with Phonak, is the only thing I find unsatisfactory about my KS9s. I wear headbands when outside if thereās wind because of it. I suspect the different case design of the Marvels would be better there, but for the price difference wouldnāt have gone for them even if it was guaranteed.
You have to factor in ability to pay. I did without hearing aids, knowing I needed them, for years, mentioned the unhappy experience with the $7,000 audi to my doctor (I went expecting a price of maybe $3,500, which would have been a stretch), and the doctor was the one told me to go to Costco, that more of his patients who wore aids were satisfied with them than with private audiologists. Only then was I able to afford aids. My first pair 6 years ago cost about $2,500.
True. I was comparing those who can afford audi price vs costco. Even if you can pay that doesnāt mean you want/should if you arenāt getting the value.
Of course, if audi is out of your range, then costco might be a lifesaver
I went from Widex very poorly fitted without best practices by private audi, to great fitter at Costco. Saved a lot of money with a better solution (Phonaks). Their money back guarantee is no risk. Availability for anytime adjustments or questions was another selling point.
Well, I step away from my computer for a few days and this whole post blows up!!!
Iād like to answer the question posed to my about what prompted me to start wearing hearing aids even though I donāt have hearing loss.
I have worn hearing aids very faithfully (10+ hours per day) for about 4 years. I would be lying if I said that bluetooth wasnāt a part of that decision. But really I want to be able to look someone in the eye and say that if I can wear them all day everyday then you can too. I have learned so much about the daily use of hearing aids and dealing with any stigma that can come. Frankly, I love that I have not actually experienced any stigma and that most people donāt even notice that I wear them. My patients typically like that I wear hearing aids. They know that I am going through the same experiences that they are and that I understand both the Audiologist side and the Patient side of hearing aids.
Dear Enoch,
I sure wish Iād had your advice 7-8 years ago when I bought my first pair of HAās. From a friendās recommendation I used a guy that inherited the business from his dad. He probably didnāt have much training in hearing. I received the standard hearing test of the tones. My loss is from 1000 Hz up. I hated the HAās from day one. Went back to him for 2 years every month if not more trying to explain to him my issues. He said I was the most persistent customer heād ever had and that I made him learn more about hearing than anyone ever had. After one broke and he wanted another $2000 for it, I said thatās it. I didnāt wear HAās for another two years. Finally after much complaining from my wife, I tried Livingston Hearing Center. $7000 for a pair of Starkey CICās. Standard hearing test of tones and Speech Recognition. I was impressed at first. After receiving the HAās, same deal, over amplification in the upper frequencies. Continued to go back for adjustments occasionally for another 1.5 years with not much improvement. As others have stated here, the Audi makes some clicks on the program, hands the aids back to you and says āHows that Soundā. " How the heck do I know, Weāre in your quiet carpeted office". Not once did he say, "Lets put you back in the booth and do some speech recognition or simulate some environments. Luckily I stumbled on to this site and acquired the software, learned where to buy the hardware and programmed them myself. Now I can understand my grand children, understand the waitress in a noisy restaurant , wear them all day if I so desire, etc.
So, to all on this site, I hope you donāt have to go through the miserable experiences I have had with two Audiās. You deserve better. Take Enochās advice and learn what to ask and when to walk out.
Sarge,
Iām not sure how to share any kind of contact info on this site, but Iād be happy to do a remote session with you. If you have the software and hardware to program your hearing aids, I should be able to compare your settings with your hearing loss to see if you are on the right track or if a few simple tweaks could be made to get you better long term results.
Let me know if youād like to spend a few minutes looking over your programming.
Hello and THANK YOU SO MUCH for your most sensible advice. May I know in what city you have your practice? Iām a very old senior and a newbie and I went as far as taking a couple of hearing tests during the past 2 or 3 years but fear getting the wrong hearing aids - some of the testing audiologists seemed to be so uninterestedā¦ If you happen to live in NYC Iād love to have you as my audiologist and be fitted with the proper aids. Iāve been found to be āmoderate to severeā and am still vain enough that Iām afraid to be seen with them unless the invisible ones are efficient and reliable? If not you, do you (or anyone in this thread) happen to know an audiologist in NYC as profoundly interested in his/her profession and as intelligent as you are? Anticipating big thanks for prompt response. :o)
nuevadela,
Wow, thank you so much for considering coming to see me!!! Unfortunately I donāt live in NYC, but my business model is actually setup to work remotely with people. I have clients all over the US, one in China and one in Scotland. If youād like we could private message and discuss how I may be able to help you.
Hello Enoch, well said. You must be a provider? Audiologist? In what city are you? I hope in NYCā¦ Itās difficult to find a knowledgeable provider for such expensive and complicated hearing aids.
I have auditory neuropathy (just learned the name) not just very low audio, as you well know, which makes it doubly difficult.
Oh Enoch I apologize for writing you again today, i guess I forgot I had written you on the same subject in March! I guess Iām a little nervous to do this by distance as itās my first timeā¦
Just curious minded - where is this list? Iāve got several in a practical driving distance. Iām comfortable with the one I have an upcoming appointment with, Iāve seen him before. But it could be good information if I have follow-up problems.
