The Living Dispatch

Consumer cost reporting, paid for by the products it covers.

Hearing Aids · What They Actually Cost

About a 10-minute read

I answered for my husband for two years. I thought I was being helpful.

A retired school secretary from Muncie kept the conversation moving for both of them — at the counter, on the phone, at her own kitchen table. She understood what it had cost on the day a pharmacist stopped talking to him.

A woman in her early seventies standing at a kitchen counter in the morning.

Photo supplied by the author.

This is not really a story about my husband’s ears.

It’s about what I did, and I’ve decided to tell it honestly because I think there are a lot of us doing it right now and calling it kindness.

My name is Marilyn. I’m 70. I ran the front office at an elementary school in Muncie, Indiana for twenty-six years, so filling in the gap in a conversation is more or less what I was built to do.

My husband Dale is 73. He drove a route for a bakery distributor for most of his life.

And somewhere around 2023, without either of us ever discussing it, I became the person who talks.

How it starts, so you can catch it earlier than I did

It doesn’t start with anything dramatic.

It starts at a drive-through, when the girl asks a question through the speaker twice and I lean over from the passenger seat and answer it.

That’s all. That’s the whole beginning. One helpful sentence.

Then it’s the waitress. Then it’s the fellow at the parts counter. Then it’s his own sister on the telephone, because she talks fast and he was getting maybe half.

Each one of those, by itself, is nothing. It’s a wife being useful.

A kitchen counter with reading glasses resting on a small notepad.
I keep the calendar, the bills and the phone numbers. Adding his conversations to the list felt like nothing.

I want to be careful here, because I know how this sounds. I was not being a martyr about it. I didn’t feel put upon.

I felt needed, honestly. That’s the trap in it.

The pharmacy

Here’s the day it stopped being invisible to me.

We were at the pharmacy counter, both of us, standing side by side. Dale asked something about one of his prescriptions.

The pharmacist answered.

She answered me.

She looked at me and explained it to me, about him, while he was standing right there next to me with his wallet out.

And I answered her. Because that had become the way it worked, and it took me until we were out in the parking lot to understand what had just happened in there.

He didn’t say a word about it in the car. He knew. Of course he knew.

What I had actually been doing

I sat down that week and made myself be honest, the way you do when something has been bothering you for days and you finally stop and look straight at it.

I hadn’t been helping him hear. I’d been helping him not have to.

Every time I answered for him, he didn’t have to ask again. Every time I repeated the waitress, he didn’t have to sit with how much it cost him to say “what?” a third time. Every time I took the phone from him, we both got to skip the uncomfortable part.

I made it comfortable enough to not fix.

Two years of that. And I’d have told you the whole time that I was being a good wife.

The thing I didn’t notice at all

But that’s not the part that keeps me up, honestly.

Here’s the part.

Somewhere in there, I stopped telling him small things.

Not important things. I’d never have kept anything real from him. I mean the small ones. That the Hendersons finally sold. That I saw a hawk on the wire by the mailbox. That the girl at the bank had her baby.

Because a small thing isn’t worth saying three times.

You say it. He says “hm?” You say it louder. He gets most of it. And by the third pass, the hawk on the wire is not worth what it costs either of you, so you just say “nothing, never mind.”

Never mind. I must have said that a thousand times.

Two armchairs facing a television in a living room in the evening.
Two chairs, one television, and a volume neither of us liked.

And here is what I understand now that I didn’t then.

A marriage is almost entirely small things. Forty-six years of them. The hawk, the Hendersons, the girl at the bank. That’s not the filler around the marriage. That is the marriage.

I quietly stopped delivering it. And I never once told him I’d stopped.

He must have felt the house get quieter and had no idea why.

What was actually happening to him

I need to put this part in, because when somebody finally explained it to me I was ashamed of how I’d been thinking about it.

I had it in my head that he was hearing everything, just quieter. Like the world had the volume turned down for him. Which made his “what?” feel — and I hate writing this — a little bit like not paying attention.

That’s not what was happening.

Why this happens

You are not hearing less. You are hearing half of every word.

Age-related hearing loss almost never takes sound away evenly. It takes the high notes first, and leaves the low ones alone.

That one fact explains almost everything that is happening to you.

Vowels sit in the low frequencies and stay audible. Consonants sit in the high frequencies, which age-related hearing loss takes first. Low pitch High pitch Loudness a e i o u vowels — the sound s f th k t sh p consonants — the meaning this side goes first
A simplified view of where speech sounds sit. Vowels are low and loud. Consonants are high and quiet — and they are the ones that carry meaning.

Vowels are low, long and loud. They survive. So a voice still reaches you and still sounds like a voice.

Consonants are the opposite — high, short and quiet. The s, the f, the th, the k. Those are the first to go.

And consonants are where the meaning lives.

What is actually said

Did you feed the cat this morning?

What arrives without the high notes

_i_ ooo _ee_ _e _a_ _i_ _or_i__?

You still heard something. You heard the rhythm, the tone, the fact that it was a question. You just did not get the words.

Three things follow from that, and every one of them will sound familiar.

  • Everyone seems to mumble. They are not. You are receiving the part of speech that has no edges.
  • The television is a fight, but music is fine. Music is mostly vowels and instruments. Dialogue is mostly consonants.
  • Restaurants are the worst place on earth. Background noise is low-pitched, so it covers what is left of the voice.

This is also why the guessing starts. If you miss the opening consonants of a sentence, you lose the subject — and you spend the rest of it trying to work out what the sentence was about.

And from the outside, that does not look like a hearing problem. It looks like something else entirely.

He wasn’t hearing quieter. He was getting half of every word.

The vowels came through, so my voice still sounded like my voice. The consonants didn’t, and the consonants are where the meaning is.

So he’d hear that I said something, hear that I was cheerful about it, and have no idea what it was.

And then he’d guess.

Which means every one of those thousand times I decided he wasn’t listening — he was listening harder than I was. He was doing the work of assembling a sentence out of half its pieces, at my kitchen table, at speed, all day long.

I was the one who wasn’t paying attention.

Why we hadn’t fixed it

Now, the practical part, because I’m the one in this house who handles paperwork and I know some of you are too.

He went in for the test in 2023. Mild to moderate, both ears, worse up in the range where the consonants live.

They quoted him $4,800.

We’re on a fixed income. I did what I do — I sat down with the number, and I put it up against the roof, and the truck, and what we keep back for the grandchildren. And I put the paper in the drawer in the kitchen with the batteries and the twist ties.

I want to be very clear that I did that. Not him. I’m the one who filed it.

And for two years, when it came up, we said “we can’t afford that right now,” in the plural, like a couple, and it was easier for both of us than the alternative.

What I found when I finally looked properly

What changed was the pharmacy. After that I went at it the way I’d have gone at a problem at the school office, which is to say I read the actual rules instead of assuming I knew them.

Two things came out of it, and I was angry about both.

The first. A hearing aid is a microphone, a small processor, a speaker, a battery, and a shell. That’s the entire list. Published industry estimates put parts and assembly in the low hundreds of dollars.

I’ll be fair, because I sat behind a counter for twenty-six years and I know what real work looks like. Somebody tested him. Somebody would have programmed it and seen him again. That’s genuine, and it’s worth paying for.

It is not worth four thousand dollars.

The Clinic Tax

The suite in the medical building. The lease. The front desk — which was my job for twenty-six years, so I know exactly what a front desk costs, and it is not this. And the commission for whoever slides the paper across the desk, because in most of those places he’s paid on what he sells you.

And then the piece that actually explains the whole thing.

Until 2022, there was no way to buy the device by itself.

Hearing aids had to be dispensed through a licensed professional. The hardware came bundled with the office, no matter what. There was no version where you bought the part on its own, no matter how ordinary the loss was.

In October 2022, the FDA changed that. Over-the-counter hearing aids became available for adults with perceived mild to moderate loss. No prescription. No exam required. Nobody in the middle.

The device didn’t get cheaper.

It just became possible to buy it on its own.

Dale’s quote is dated 2023. That’s after the rule changed. Nobody in that office said one word about it, and I have thought about that a great deal.

What the same category costs in the United States
National clinic chain, quoted price $4,000 – $5,000
Warehouse club hearing centre around $1,500
Drugstore over-the-counter pair $199 – $999
Parts and assembly, industry estimates low hundreds

Figures are the ranges commonly published for each channel, not quotes for any specific product. Your own quote will differ.

If you want to hold the current prices against whatever your husband was quoted, they're listed here. It takes about a minute.

See what it costs without the room

Goes to the seller's website. We are paid a commission if you buy.

The second thing. And this one is for whoever else in this house does the paperwork.

Medicare does not cover hearing aids. It covers an exam in some cases. Not the device. It never has.

But if you have an HSA or an FSA, hearing aids are generally an eligible expense. That is your own money, set aside before tax, sitting in an account most people forget they opened. Rules vary by plan — confirm with your administrator, which took me one phone call.

I had been telling my husband we couldn’t afford something, out of a drawer, while the answer sat in a different folder in the same house.

What actually changed

He ordered a pair. They came in a box to the house, for a fraction of what was on that paper.

I’ll tell you the truth about the first few days, because the accounts that leave this out are no use to anybody.

They were hard. He said everything was too loud and too close — his own boots, the refrigerator, the mail on the table. He was short with me on the second day and I was sure we’d wasted the money.

It settled by the end of that week. Apparently that’s how it goes. His brain had been throwing those sounds away for years and needed a minute to work out what was worth keeping.

They’re small, too. Smaller than I expected. I’ve had to look for them on purpose.

And here is the ending, which is not much of an ending.

About two weeks in I was at the sink and I said, without turning around and without raising my voice, that the Hendersons had finally sold the place on Nichols Street.

And he said, “Well, it’s about time.”

That’s it. That’s all that happened.

I didn’t say it twice. I didn’t turn around. I didn’t check.

I sat down after that, actually, because I hadn’t understood until right then how long it had been since I’d told my husband something small.

What buyers wrote

These are verified customer reviews published by Nebroo, reproduced with the reviewer's name and city as published. Nebroo states these are real customer reviews received by email and social media. We did not write them. See them at the source.

  • Robert Ruggles Gering, US

    ★★★★★

    I bought HearWell by Nebroo after my expensive hearing aids had finally wore out. I had tried several bargain aids that didn’t work well. The Nebroo brand proved to be very comfortable and works well. These are worth the low price.

  • Craig McCue Melbourne, US

    ★★★★★

    I like mine a lot. The customer service people are outstanding. I had no idea how much I was missing.

  • D'Anna Fortunato Phoenix, US

    ★★★★★

    They fit my ears perfectly and I do have some small ear canals as well. A blessing to have found them!

  • Diana Ayers Kerrville, US

    ★★★★★

    Their hearing aids are the best and super easy to use. To top it off the customer service is also great. This is my 3rd pair but only because I accidentally broke the first and lost the second. Also reasonably priced.

  • Laura Barns Gering, US

    ★★★★★

    Have had mine awhile now and I so love them. So great to hear again.

Individual results vary. These accounts describe those buyers' experiences and are not a promise of what any other person will experience.

Three things, if you’re the one who answers

One. If you have started answering for him, you are not helping him hear. You are helping him not have to. I did it for two years and I’d have argued with you about it the whole time.

Two. Watch for “never mind.” Not his — yours. The day the small things stop being worth saying twice is the day the two of you start living in separate rooms with the same address.

Three. The number he was quoted is not the price of hearing. It’s the price of the room. Since October 2022 the room is optional, and nobody sent us a letter about it either.

He didn’t leave the conversation.

I filed the paper, I answered the pharmacist, and I stopped telling him about the hawk on the wire.

Where these facts come from