Sound
Advice on Hearing Aids |
If you suffer from a hearing impairment like 21 million other Americans, you may
consider buying a hearing aid. Before you do, determine whether a hearing aid will work
for you and what to look for when shopping for one.
How does a hearing aid work?
A hearing aid is an electronic device with a small microphone that
amplifies weak sounds through a small speaker. You must have some ability to hear for the
device to work. And because hearing loss affects people in different ways, you need to get
the right device for you.
Why do people lose their
hearing?
Medically, there are two major types of hearing loss. Conductive
hearing loss involves the outer and middle ear. It usually results from a wax blockage, a
punctured eardrum, birth defects, ear infections, or it may be genetic. Conductive hearing
loss generally can be corrected surgically.
Sensorineuralor "nerve"hearing loss
involves damage to the inner ear. It can be caused by aging, prenatal and birth-related
problems, viral and bacterial infections, genetics, trauma (such as a severe blow to the
head), exposure to loud noises, the use of certain drugs, or fluid buildup or a benign
tumor in the inner ear. Sensorineural hearing loss usually can't be repaired surgically;
it's usually corrected with a hearing aid.
Where can I buy a hearing aid?
"Dispensers"merchants or audiologistssell hearing
aids. Ask friends or family for referrals. You also can check out prospective dispensers
with your local Better Business Bureau, consumer protection agency, or state Attorney
General. Your state or local consumer protection office may have records of complaints
against dispensers or physicians, and can tell you how they responded to the complaints.
Consumer protection officials also can tell you whether dispensers or audiologists must be
licensed or certified by the state.
How can I tell whether I need
a hearing aid?
Get an ear examination from a licensed physician. An examination will
insure that there are no underlying illnesses or medical problems associated with the
hearing loss: sometimes a hearing loss can be a symptom of a medical condition. As a
result, you'll want to be wary of advertisements for hearing aids that dismiss the need
for an examinationthe distributor may be selling inadequate products. In addition,
don't feel pressured into buying a hearing aidask for more information or a second
opinion.
You also should get a hearing evaluation from a dispenser or an
audiologist. The cause and severity of hearing loss varies from person to person. An
evaluation will help a dispenser or audiologist select and fit you with an appropriate
hearing aid.
Can I get a trial period?
Many states recommend or require that consumers get at least a free 30-day
trial period. There usually is a service feefive to 20 percent of the purchase
priceif you return the hearing aid during that time. In fact, many manufacturers
will make adjustments during the trial period, and allow returns within 60 to 90 days of
purchase at no charge to the dispenser.
Buying a hearing aid from a door-to-door salesperson or through the mail
is risky. If you buy from a door-to-door salesperson at any location that is not the
salesperson's regular place of business, you have the right to cancel any sale for $25 or
more within three business days.
Some states don't allow hearing aids to be sold through the mail. That's
because it's hard to get a proper fit. If your state does allow mail-order sales, federal
law requires companies to ship your purchase when promised and give you the option to
cancel the order for a refund.
What about purchase agreements?
The hearing aid purchase agreementor contractshould include all
terms of the transaction, including a clear explanation of all verbal promises. In
reviewing your agreement, consider the following:
- Is the warranty honored by the manufacturer or by the dispenser? In some
cases, a manufacturer may not honor its warranty unless the hearing aid is purchased from
a seller authorized by the manufacturer.
- What servicesif anywill be provided free of charge, and how
long will they be provided?
- Will I get a "loaner" if my hearing aid needs repair?
What are the federal
standards for hearing aid sales?
The Federal Trade Commission (FTC) is responsible for monitoring the
business practices of hearing aid dispensers and vendors. The FTC can take action against
companies that mislead or deceive consumers. Such companies may use misleading sales and
advertising practicesgiving inaccurate information about hearing loss, hearing aid
performance, refund policies, or warranty coverage. The law further requires companies
offering warranties to fully disclose all terms and conditions of their warranties.
The Food and Drug Administration (FDA) enforces regulations that deal
specifically with the manufacture and sale of hearing aids. According to the FDA, the
following conditions must be met by all dispensers before selling a hearing aid:
- Dispensers must obtain a written statement from the patient, signed by a
licensed physician. The statement must be dated within the previous six months, state that
the patient's ears have been medically evaluated, and that the patient is cleared for
fitting with a hearing aid.
- A patient age 18 years or older can sign a waiver for a medical
examination, but dispensers must avoid encouraging the patient to waive the medical
evaluation requirement. Dispensers also must advise the patient that waiving the
examination is not in his best health interest.
- Dispensers must advise patients who appear to have a hearing problem to
consult promptly with a physician.
- The FDA regulations also require that an instruction brochure be provided
with the hearing aid that illustrates and describes its operation, use, and care. The
brochure must list sources for repair and maintenance, and include a statement that the
use of a hearing aid may be only part of a rehabilitative program.
What are the state standards
for hearing aid sales?
Many states have laws governing hearing aid sales. Most states license
hearing aid dispensers. You also may be protected by implied warranties created by state
law. Your state Attorney General's office can tell you what laws apply to hearing aid
sales in your state.
Where can I complain?
The FTC works for the consumer to
prevent fraudulent, deceptive and unfair business practices in the
marketplace and to provide information to help consumers spot, stop and
avoid them. To file a
complaint or to get free information
on consumer issues, visit
www.ftc.gov or
call toll-free, 1-877-FTC-HELP (1-877-382-4357); TTY: 1-866-653-4261. The
FTC enters Internet, telemarketing, identity theft and other fraud-related
complaints into
Consumer Sentinel, a
secure, online database available to hundreds of civil and criminal law
enforcement agencies in the U.S. and abroad.
|
FEDERAL TRADE COMMISSION |
FOR THE CONSUMER |
1-877-FTC-HELP |
www.ftc.gov |
|
May 1998 |